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Contingencies - Fosamax Litigation - Narrative (Details) - Fosamax
$ in Millions
 1 Months Ended 9 Months Ended 12 Months Ended
Mar. 31, 2014
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Sep. 30, 2018
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Dec. 31, 2014
USD ($)
Jul. 31, 2015
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Nov. 30, 2013
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Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   3,955      
ONJ Litigation          
Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   4      
Percentage of participation in litigation settlement (as percent)     95.00%    
Litigation settlement amount to other party | $     $ 27.3    
Femur Fracture Litigation          
Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   3,950      
Femur Fracture Litigation | Federal          
Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   3      
Loss contingency, claims dismissed, number (in legal matters) 650 1,055      
Loss contingency, claims on appeal, number (in legal matters)   515      
Femur Fracture Litigation | New Jersey state court          
Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   2,610      
Loss contingency, initial cases selected for review, number (in legal matters)   30      
Loss contingency, subsequent cases selected for review, number (in legal matters) 50     25 50
Femur Fracture Litigation | California state court          
Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   275      
Loss contingency, initial cases selected for review, number (in legal matters) 10        
Femur Fracture Litigation | Other state courts          
Loss Contingencies [Line Items]          
Loss contingency, pending claims, number (in legal matters)   4