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Income Taxes (Schedule of Reconciliation of Income Taxes) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Tax Disclosure [Abstract]      
Income tax at the U.S. federal statutory tax rate $ 1,518.3 $ 1,105.8 $ 772.8
Add (deduct):      
International operations, including Puerto Rico (297.1) (242.0) (627.1)
General business credits (97.9) (108.8) (87.4)
Non-deductible acquired IPR&D 63.2 0.0 309.9
2017 Tax Act 0.0 0.0 175.3
Other (150.3) (127.0) (14.0)
Income taxes $ 1,036.2 $ 628.0 $ 529.5