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Revenue - General (Details)
9 Months Ended
Sep. 30, 2018
Contract with customer  
Revenue, Practical Expedient, Financing Component true
Minimum  
Contract with customer  
Contract term 1 year
Termination notice period 0 days
Maximum  
Contract with customer  
Contract term 5 years
Termination notice period 180 days
Pharmacy cost management services  
Contract with customer  
Collection period after data submission 180 days