Accrued Expenses and Other Current Liabilities (Tables)

12 Months Ended

Dec. 31, 2018

Payables and Accruals [Abstract]

Schedule of accrued expenses and other current liabilities

Accrued expenses and other current liabilities consist of the following:

	As of December 31,
	2018		2017
Accrued payroll and related costs	$	261.8	$	191.8
Accrued clinical trial expense	142.2		120.9
Accrued sales-related charges, deductions, and royalties	182.7		194.5
Income taxes payable	20.8		0.2
Other accrued expenses and liabilities	164.6		129.8
	$	772.1	$	637.2