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Segment information (Details 1) (USD $)
In Millions
Jun. 30, 2011
Dec. 31, 2010
Segment Reporting Information [Line Items]    
Total assets $ 10,237.9 $ 10,557.8
PBM [Member]
   
Segment Reporting Information [Line Items]    
Total assets 9,709.1 10,078.4
EM [Member]
   
Segment Reporting Information [Line Items]    
Total assets $ 528.8 $ 479.4