v3.26.3
Revenue Recognition and Accounts Receivable Variable Consideration (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Revenue from Contract with Customer [Abstract]        
Gross sales $ 5,860.1 $ 6,208.3 $ 17,863.3 $ 17,753.3
Chargebacks (1,043.9) (1,265.9) (3,383.8) (3,684.5)
Rebates, promotional programs and other sales allowances (878.9) (975.0) (2,898.3) (2,864.0)
Returns (49.4) (48.7) (136.3) (150.8)
Medicaid and other governmental rebates (153.2) (171.2) (454.6) (494.3)
Sales Revenue, Gross to net adjustments (2,125.4) (2,460.8) (6,873.0) (7,193.6)
Net sales $ 3,734.7 $ 3,747.5 $ 10,990.3 $ 10,559.7