Revenues (Details Textual) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Disaggregation of Revenue [Line Items]
Other Revenues	$ 3,600.1	$ 3,439.0	$ 10,706.6	$ 9,926.6
Distributor One
Disaggregation of Revenue [Line Items]
Percentage of revenues from major distributors	28.70%	30.70%	30.10%	32.40%
Distributor Two
Disaggregation of Revenue [Line Items]
Percentage of revenues from major distributors	18.40%	19.30%	17.00%	18.00%
Other
Disaggregation of Revenue [Line Items]
Other Revenues	$ 109.6	$ 147.2	$ 562.0	$ 420.2
Other | Bioverativ
Disaggregation of Revenue [Line Items]
Other Revenues	$ 65.6	$ 36.5	$ 306.9	$ 131.1