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Share-Based Compensation - Share Tracking Awards Plans - Benefit recognized (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Share based compensation benefit recognized in connection with the STAP    
Share-based compensation expense (benefit) before tax $ 29.2 $ (101.1)
STAP awards    
Share based compensation benefit recognized in connection with the STAP    
Share-based compensation expense (benefit) before tax 11.0 (115.0)
Related income tax expense (benefit) (2.5) 26.3
Share-based compensation (benefit) expense, net of tax 8.5 (88.7)
Cash payments on awards exercised during the period 5.8 43.6
Cost of product sales | STAP awards    
Share based compensation benefit recognized in connection with the STAP    
Share-based compensation expense (benefit) before tax 0.7 (6.2)
Research and development | STAP awards    
Share based compensation benefit recognized in connection with the STAP    
Share-based compensation expense (benefit) before tax 1.9 (23.6)
Selling, general and administrative | STAP awards    
Share based compensation benefit recognized in connection with the STAP    
Share-based compensation expense (benefit) before tax $ 8.4 $ (85.2)