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Selected Quarterly Data (Unaudited) (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Condensed Financial Statements, Captions [Line Items]                      
Revenue $ 6,160.7 $ 5,658.0 $ 5,824.3 $ 5,228.3 $ 5,760.5 $ 5,191.7 $ 5,404.8 $ 4,865.1 $ 22,871.3 $ 21,222.1 $ 19,958.7
Cost of sales 1,624.8 1,566.1 1,551.6 1,327.7 1,466.0 1,400.9 1,465.0 1,323.0 6,070.2 5,654.9 5,037.2
Operating Expenses 3,253.7 2,874.9 2,958.3 2,783.0 3,240.7 2,801.8 2,958.5 2,694.9      
Acquired in-process research and development 50.0 205.0 0.0 857.6 30.0 0.0 0.0 0.0 1,112.6 30.0 535.0
Asset impairment, restructuring, and other special charges (Note 5) 1,003.2 406.5 50.0 213.9 147.6 45.5 58.0 131.4 1,673.6 382.5 367.7
Other-net, (income) expense                 (52.4) 84.8 (100.6)
Income before income taxes 284.1 591.6 1,260.5 61.2 892.0 970.7 944.5 566.8      
Income taxes (Note 13) 1,941.0 36.0 252.5 172.0 120.2 192.7 196.8 126.7 $ 2,401.5 $ 636.4 $ 381.6
Net income (loss) $ (1,656.9) $ 555.6 $ 1,008.0 $ (110.8) $ 771.8 $ 778.0 $ 747.7 $ 440.1      
Basic (usd per share) $ (1.58) $ 0.53 $ 0.96 $ (0.10) $ 0.73 $ 0.74 $ 0.71 $ 0.42 $ (0.19) $ 2.59 $ 2.27
Diluted (usd per share) (1.58) 0.53 0.95 (0.10) 0.73 0.73 0.71 0.41 (0.19) 2.58 $ 2.26
Dividends paid per share (usd per share) 0.52 0.52 0.52 0.52 0.51 0.51 0.51 0.51      
Maximum                      
Condensed Financial Statements, Captions [Line Items]                      
Common stock closing prices(usd per share) 87.89 85.54 86.25 85.88 83.06 83.4 78.75 84.11 87.89 83.06  
Minimum                      
Condensed Financial Statements, Captions [Line Items]                      
Common stock closing prices(usd per share) $ 81.94 $ 77.07 $ 76.98 $ 74.58 $ 65.97 $ 76.85 $ 72.57 $ 69.06 $ 81.94 $ 65.97