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Reserves for Discounts and Allowances (Details 1) - USD ($)
$ in Millions
Sep. 30, 2016
Dec. 31, 2015
Summary of total product revenue reserves included in consolidated balance sheets    
Total reserves $ 538.4 $ 662.7
Reduction of accounts receivable    
Summary of total product revenue reserves included in consolidated balance sheets    
Total reserves 155.4 144.6
Component of accrued expenses and other    
Summary of total product revenue reserves included in consolidated balance sheets    
Total reserves $ 383.0 $ 518.1