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Revenue Recognition and Accounts Receivable Variable Consideration (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
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Jun. 30, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Revenue from Contract with Customer [Abstract] |  |  |  |
Gross sales | $ 5,974.8 | $ 6,383.9 | $ 11,545.0 | $ 12,558.5
Chargebacks | (1,260.6) | (1,282.6) | (2,418.6) | (2,526.8)
Rebates, promotional programs and other sales allowances | (918.4) | (1,040.5) | (1,889.0) | (2,088.8)
Returns | (47.8) | (70.1) | (102.1) | (130.4)
Medicaid and other governmental rebates | (179.0) | (204.8) | (323.1) | (373.1)
Sales Revenue, Gross to net adjustments | (2,405.8) | (2,598.0) | (4,732.8) | (5,119.1)
Net sales | $ 3,569.0 | $ 3,785.9 | $ 6,812.2 | $ 7,439.4

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