Revenues Reserves for Discounts and Allowances (Details 1) $ in Millions	9 Months Ended
	Sep. 30, 2024 USD ($)
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	$ 1,062.0
Current Provisions Relating To Sales In Current Year	2,625.4
Adjustments Relating To Prior Years	(12.9)
Payments/Returns Relating To Sales in Current Year	(1,831.2)
Payments/Returns Relating To Sales in Prior Year	(692.3)
Ending Balance	1,151.0
Discounts
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	173.3
Current Provisions Relating To Sales In Current Year	605.1
Adjustments Relating To Prior Years	7.6
Payments/Returns Relating To Sales in Current Year	(439.7)
Payments/Returns Relating To Sales in Prior Year	(160.8)
Ending Balance	185.5
Contractual adjustments
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	857.1
Current Provisions Relating To Sales In Current Year	2,004.7
Adjustments Relating To Prior Years	(33.6)
Payments/Returns Relating To Sales in Current Year	(1,391.1)
Payments/Returns Relating To Sales in Prior Year	(514.1)
Ending Balance	923.0
Returns
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	31.6
Current Provisions Relating To Sales In Current Year	15.6
Adjustments Relating To Prior Years	13.1
Payments/Returns Relating To Sales in Current Year	(0.4)
Payments/Returns Relating To Sales in Prior Year	(17.4)
Ending Balance	$ 42.5