Summary of Significant Accounting Policies (Details) (USD $)	3 Months Ended								12 Months Ended
	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2010	Sep. 30, 2010	Jun. 30, 2010	Mar. 31, 2010	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Business (Textual) [Abstract]
Total revenues	$ 1,326,700,000	$ 1,309,900,000	$ 1,208,600,000	$ 1,203,300,000	$ 1,219,000,000	$ 1,175,800,000	$ 1,212,700,000	$ 1,108,900,000	$ 5,048,634,000	$ 4,716,423,000	$ 4,377,348,000
Interest in subsidiary (less than given percentage)									100.00%
Percentage of operations of joint venture investments on financial statements									100.00%
Percentage of net income (loss) attributable to noncontrolling interests									50.00%
Payment terms of accounts receivable arising from product sales									Between 30 and 90 days
Percentage of receivables of wholesale distributor accounted in consolidated receivables	14.10%				11.50%				14.10%	11.50%
Estimated useful lives of leasehold improvements									Lesser of the useful life or the term of the respective lease
Purchase price of common stock under the ESPP									85% of the lower of (i) the market value per share of the common stock on the participant’s entry date into an offering period or (ii) the market value per share of the common stock on the purchase date
Percentage of market value per share of common stock									85.00%
Compensation expense recognized over the purchase period									fair value of the look-back provision plus the 15% discount
Discount rate recognized in compensation expense									15.00%
Advertising costs									$ 45,300,000	$ 35,300,000	$ 26,500,000
Buildings [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipments Useful Life, Minimum									15
Property, Plant and Equipments Useful Life, Maximum									40
Furniture and Fixtures [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipments Useful Life, Minimum									5
Property, Plant and Equipments Useful Life, Maximum									7
Machinery and Equipment [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipments Useful Life, Minimum									5
Property, Plant and Equipments Useful Life, Maximum									20
Computer Software and Hardware [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipments Useful Life, Minimum									3
Property, Plant and Equipments Useful Life, Maximum									5