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Revenue Recognition and Accounts Receivable Variable Consideration (Details) - USD ($) $ in Millions | 12 Months Ended
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Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Disaggregation of Revenue [Line Items] |  |  |
Gross sales | $ 30,553.4 | $ 19,899.1 | $ 19,012.2
Chargebacks | (5,530.1) | (3,656.2) | (3,309.6)
Rebates, promotional programs and other sales allowances | (6,135.6) | (3,765.5) | (3,629.3)
Returns | (384.6) | (329.7) | (237.9)
Medicaid and other governmental rebates | (689.5) | (327.8) | (465.1)
Sales Revenue, Gross to net adjustments | 12,739.8 | 8,079.2 | 7,641.9
Net sales | 17,813.6 | 11,819.9 | 11,370.3
Net sales |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Net sales | 17,813.6 | 11,819.9 | $ 11,370.3
Operating Segments |  |  |
Disaggregation of Revenue [Line Items] |  |  |
Net sales | $ 17,813.6 | $ 11,819.9 |

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