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Fair Value Measurements (Details 1) - USD ($)
$ in Millions
Dec. 31, 2016
Dec. 31, 2015
Summary of fair and carrying value of debt instruments    
Total fair value $ 6,808.4 $ 6,645.9
Notes Payable to Fumedica    
Summary of fair and carrying value of debt instruments    
Notes payable, fair value 6.1 9.4
6.875% Senior Notes due 2018    
Summary of fair and carrying value of debt instruments    
Notes payable, fair value 583.7 602.6
2.90% Senior Notes due 2020    
Summary of fair and carrying value of debt instruments    
Notes payable, fair value 1,521.5 1,497.5
3.625% Senior Notes due 2022    
Summary of fair and carrying value of debt instruments    
Notes payable, fair value 1,026.6 1,014.2
4.05% Senior Notes due 2025    
Summary of fair and carrying value of debt instruments    
Notes payable, fair value 1,796.0 1,764.6
5.20% Senior Notes due 2045    
Summary of fair and carrying value of debt instruments    
Notes payable, fair value $ 1,874.5 $ 1,757.6