Revenues (Details Textual) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Disaggregation of Revenue [Line Items]
Other Revenues	$ 3,616.7	$ 3,356.5	$ 7,106.5	$ 6,487.6
Distributor One
Disaggregation of Revenue [Line Items]
Percentage of revenues from major distributors	30.50%	32.50%	30.90%	33.20%
Distributor Two
Disaggregation of Revenue [Line Items]
Percentage of revenues from major distributors	18.20%	18.60%	16.30%	17.30%
Other
Disaggregation of Revenue [Line Items]
Other Revenues	$ 160.0	$ 108.6	$ 452.4	$ 273.0
Other | Bioverativ
Disaggregation of Revenue [Line Items]
Other Revenues	$ 34.5	$ 47.6	$ 241.3	$ 94.6