Consolidated Statements of Cash Flows - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 1,166.1	$ 615.3
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	1,216.8	1,041.7
Share based compensation	86.9	106.4
Expense related to the unwind of inventory fair value adjustments	39.3	625.4
Change in deferred taxes	(204.9)	(293.3)
Change in fair value of contingent consideration	45.9	147.7
Impairment of PP&E and intangible assets	153.3	53.6
Other, net	(47.1)	21.6
Changes in operating assets and liabilities:
Increase in accounts receivable	(126.3)	(181.5)
Increase in sales deduction accrual	37.5	57.1
Increase in inventory	(169.8)	(171.6)
(Increase)/decrease in prepayments and other assets	(61.5)	104.6
Decrease in accounts payable and other liabilities	(186.3)	(445.1)
Net cash provided by operating activities	1,949.9	1,681.9
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of PP&E	(361.3)	(391.1)
Proceeds from sale of investments	0.0	40.6
Other, net	(35.6)	3.2
Net cash used in investing activities	(396.9)	(347.3)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from revolving line of credit, long term and short term borrowings	2,650.3	2,111.9
Repayment of revolving line of credit, long term and short term borrowings	(4,262.3)	(3,527.9)
Payment of dividend	(276.6)	(234.7)
Proceeds from issuance of stock for share-based compensation arrangements	133.7	79.5
Other, net	(6.9)	(24.0)
Net cash used in financing activities	(1,761.8)	(1,595.2)
Effect of foreign exchange rate changes on cash and cash equivalents	(8.3)	4.1
Net decrease in cash, cash equivalents, and restricted cash	(217.1)	(256.5)
Cash, cash equivalents, and restricted cash at beginning of period	511.8	554.4
Cash, cash equivalents, and restricted cash at end of period	294.7	297.9
Supplemental information:
Interest paid	242.4	267.0
Income taxes paid, net	424.5	176.0
Cash, cash equivalents, and restricted cash at end of period	$ 511.8	$ 554.4