Revenues Reserves for Discounts and Allowances (Details 1) $ in Millions	3 Months Ended
	Mar. 31, 2026 USD ($)
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	$ 1,210.8
Current Provisions Relating To Sales In Current Year	905.0
Adjustments Relating To Prior Years	(17.2)
Payments/Returns Relating To Sales in Current Year	(388.8)
Payments/Returns Relating To Sales in Prior Year	(533.2)
Ending Balance	1,176.6
Discounts
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	115.7
Current Provisions Relating To Sales In Current Year	214.0
Adjustments Relating To Prior Years	0.8
Payments/Returns Relating To Sales in Current Year	(133.4)
Payments/Returns Relating To Sales in Prior Year	(92.3)
Ending Balance	104.8
Contractual adjustments
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	1,046.1
Current Provisions Relating To Sales In Current Year	683.7
Adjustments Relating To Prior Years	(28.4)
Payments/Returns Relating To Sales in Current Year	(255.3)
Payments/Returns Relating To Sales in Prior Year	(426.0)
Ending Balance	1,020.1
Returns
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	49.0
Current Provisions Relating To Sales In Current Year	7.3
Adjustments Relating To Prior Years	10.4
Payments/Returns Relating To Sales in Current Year	(0.1)
Payments/Returns Relating To Sales in Prior Year	(14.9)
Ending Balance	$ 51.7