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Reserves for Discounts and Allowances (Details 1) - USD ($)
$ in Millions
Mar. 31, 2017
Dec. 31, 2016
Summary of total product revenue reserves included in consolidated balance sheets    
Total reserves $ 676.5 $ 605.5
Reduction of accounts receivable    
Summary of total product revenue reserves included in consolidated balance sheets    
Total reserves 171.2 166.9
Component of accrued expenses and other    
Summary of total product revenue reserves included in consolidated balance sheets    
Total reserves $ 505.3 $ 438.6