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Goodwill and Other Intangible Assets - Intangible categories (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2018
Apr. 01, 2017
Dec. 31, 2017
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Gross $ 4,732.4   $ 4,661.7
Accumulated Amortization 1,473.3   1,371.2
Indefinite-lived intangibles: 91.3   90.3
Total other intangible assets 4,823.7   4,752.0
Intangible assets amortization expense 87.2 $ 85.5  
Trademarks, trade names, and brands      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Indefinite-lived intangibles: 52.8   52.1
In-process research and development      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Indefinite-lived intangibles: 38.5   38.2
Distribution and license agreements and supply agreements      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Gross 312.3   311.2
Accumulated Amortization 180.2   169.8
Developed product technology, formulations, and product rights      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Gross 1,362.8   1,358.4
Accumulated Amortization 629.5   598.7
Customer relationships and distribution networks      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Gross 1,675.0   1,642.0
Accumulated Amortization 500.8   460.6
Trademarks, trade names, and brands      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Gross 1,367.5   1,335.4
Accumulated Amortization 149.9   129.5
Non-compete agreements      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Gross 14.8   14.7
Accumulated Amortization 12.9   $ 12.6
RX      
Finite And Indefinite Lived Assets By Major Class [Line Items]      
Intangible assets amortization expense $ 20.6 22.3  
Impairment charge   $ 12.2