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Intangible Assets and Goodwill (Details 1) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Feb. 01, 2017
Goodwill [Line Items]        
Elimination of goodwill allocated to our hemophilia business   $ 0.0    
Income tax benefit (expense) $ 2,458.7 1,237.3 $ 1,161.6  
Accumulated impairment losses related to goodwill 0.0      
Summary of roll forward of the changes in goodwill        
Goodwill, beginning of period 3,669.3 2,663.8    
Increase to goodwill 1,267.3 1,026.9    
Other 10.0 (21.4)    
Goodwill, end of period 4,632.5 3,669.3 $ 2,663.8  
Fumapharm AG | TECFIDERA        
Goodwill [Line Items]        
Income tax benefit (expense) 232.7 173.1    
Summary of roll forward of the changes in goodwill        
Increase to goodwill $ 1,500.0 $ 1,200.0    
Bioverativ        
Goodwill [Line Items]        
Elimination of goodwill allocated to our hemophilia business       $ (314.1)