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Intangible Assets (Roll Forward) (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Intangible Assets Roll Forward    
Beginning balance $ 33,046.1 $ 34,697.5
Sale of Oncology franchise 1,598.5 0.0
Measurement period adjustments 0.0 (1,397.0)
Amortization charged (1,375.3) (1,280.5)
Foreign currency translation (314.2) 1,350.3
Contribution to JV (163.7) 0.0
Impairment (10.0) (20.0)
Other 35.9 0.0
Acquisition 5.1 0.0
Ending balance $ 29,625.4 $ 33,350.3