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Stock compensation (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Stock compensation        
Stock compensation expense $ 38.0 $ 34.9 $ 110.8 $ 99.3
Weighted-average fair value assumptions        
Valuation method     Black-Scholes valuation model  
Dividend yield (as a percent)     0.00%  
Research and Development Expense [Member]        
Stock compensation        
Stock compensation expense 26.3 23.4 $ 75.3 67.8
Selling, General and Administrative Expenses [Member]        
Stock compensation        
Stock compensation expense $ 11.7 $ 11.5 $ 35.5 $ 31.5
Stock Options        
Weighted-average fair value assumptions        
Average risk-free interest rates (as a percent) 2.72% 1.81% 2.60% 1.79%
Average expected life (in years) 5 years 11 days 4 years 11 months 27 days 5 years 3 months 7 days 5 years 2 months 27 days
Volatility (as a percent) 45.00% 48.00% 45.00% 49.00%
Weighted-average fair value (in dollars per share) $ 29.32 $ 55.80 $ 34.41 $ 53.81
Restricted Stock Units (RSUs)        
Weighted-average fair value assumptions        
Average risk-free interest rates (as a percent) 2.81% 1.47% 2.63% 1.37%
Average expected life (in years) 6 months 6 months 6 months 6 months
Volatility (as a percent) 27.00% 39.00% 45.00% 41.00%
Weighted-average fair value (in dollars per share) $ 13.56 $ 20.46 $ 15.91 $ 19.89