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Contingencies (NPM Adjustment Disputes) (Details) $ in Millions | 3 Months Ended | 9 Months Ended | 12 Months Ended
--- | --- | --- | ---
Sep. 30, 2021 USD ($) | Sep. 30, 2020 USD ($) | Sep. 30, 2021 USD ($) state | Sep. 30, 2020 USD ($) | Dec. 31, 2020 USD ($) | Dec. 31, 2018 USD ($) state | Dec. 31, 2015 USD ($)
Health Care Cost Recovery Actions [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Litigation settlement | $ 1,100.0 | $ 1,200.0 | $ 3,200.0 | $ 3,300.0 |  |  |
PM USA [Member] | Health Care Cost Recovery Actions [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of states with settled litigation including New York, subsequent expansion | state |  |  |  |  |  | 36 |
Loss contingency, credits to offset payments |  |  |  |  |  | $ 1,030.0 |
Litigation settlement, amount expected to be awarded from other party |  |  | 320.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions [Member] | Settled Litigation [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of additional states extended with settled litigation | state |  |  |  |  |  | 35 |
PM USA [Member] | Health Care Cost Recovery Actions [Member] | Pending Litigation [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of additional states extended with settled litigation | state |  |  |  |  |  | 1 |
PM USA [Member] | Health Care Cost Recovery Actions, 2004 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | $ 388.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2004 NPM Adjustment [Member] | Pending Litigation [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of states not settled | state |  |  | 10 |  |  |  |
Loss contingency, number of states with concluded hearings | state |  |  | 9 |  |  |  |
Loss contingency, number of states not in compliance with escrow statues | state |  |  | 2 |  |  |  |
Loss contingency, number of states in compliance with escrow statues | state |  |  | 7 |  |  |  |
Loss contingency, damages sought, value | $ 23.0 |  |  |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2004 NPM Adjustment [Member] | Pending Litigation [Member] | Cost of Sales [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, reduction to cost of sales |  |  | $ 21.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2005 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 181.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2006 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 154.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2007 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 185.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2008 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 250.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2009 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 211.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2010 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 218.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2011 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 166.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2012 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 214.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2013 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 224.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2014 NPM Adjustment [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 258.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2015 NPM Adjustments [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 313.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2016 NPM Adjustments [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 292.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2017 NPM Adjustments [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 302.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2018 NPM Adjustments [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 325.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2019 NPM Adjustments [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | 444.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2020 NPM Adjustments [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Estimate of possible gain |  |  | $ 572.0 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2005-2007 NPM Adjustment | Pending Litigation [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of states not settled | state |  |  | 10 |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2005-2007 NPM Adjustment | Pending Litigation [Member] | Period One |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of states not settled | state |  |  | 9 |  |  |  |
Loss contingency, number of states not settled, arbitration period |  |  | 3 years |  |  |  |
PM USA [Member] | Health Care Cost Recovery Actions, 2005-2007 NPM Adjustment | Pending Litigation [Member] | Period Two |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Loss contingency, number of states not settled | state |  |  | 1 |  |  |  |
Loss contingency, number of states not settled, arbitration period |  |  | 1 year |  |  |  |
New York [Member] | PM USA [Member] | Health Care Cost Recovery Actions, Transition Years 2004-2018 [Member] | Settled Litigation [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Litigation settlement |  |  |  |  |  |  | $ 373.0
MONTANA | PM USA [Member] | Settled Litigation [Member] |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |
Litigation settlement |  |  |  |  | $ 4.0 |  |

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