v3.26.1
Revenue Recognition and Accounts Receivable Variable Consideration (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Revenue from Contract with Customer [Abstract]        
Gross sales $ 6,079.2 $ 5,974.8 $ 12,003.2 $ 11,545.0
Chargebacks (1,162.3) (1,260.6) (2,339.9) (2,418.6)
Rebates, promotional programs and other sales allowances (970.8) (918.4) (2,019.4) (1,889.0)
Returns (43.4) (47.8) (86.9) (102.1)
Medicaid and other governmental rebates (156.8) (179.0) (301.4) (323.1)
Sales Revenue, Gross to net adjustments (2,333.3) (2,405.8) (4,747.6) (4,732.8)
Net sales $ 3,745.9 $ 3,569.0 $ 7,255.6 $ 6,812.2