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Segment information
9 Months Ended
Sep. 30, 2011
Segment information [Abstract] 
Segment information
Note 11 — Segment information
          We report segments on the basis of services offered and have determined we have two reportable segments: PBM and EM. Our domestic and Canadian PBM operating segments have similar characteristics and as such have been aggregated into a single PBM reporting segment. During the third quarter of 2011, we reorganized our FreedomFP line of business from our EM segment into our PBM segment. Historical segment information has been retrospectively adjusted to reflect the effect of this change. As described in Note 4, our PMG line of business was classified as a discontinued operation in the second quarter of 2010. The results of operations for PMG, previously included in our EM segment, are reported as discontinued operations for all periods presented in the accompanying unaudited consolidated statements of operations in accordance with applicable accounting guidance.
          Operating income is the measure used by our chief operating decision maker to assess the performance of each of our operating segments. The following table presents information about our reportable segments for the three and nine months ended September 30, 2011 and 2010.
                         
(in millions)   PBM     EM     Total  
 
For the three months ended September 30, 2011
                       
Product revenues:
                       
Network revenues(1)
  $ 7,491.0     $     $ 7,491.0  
Home delivery and specialty revenues(2)
    3,678.4             3,678.4  
Other revenues
          330.6       330.6  
Service revenues
    65.7       5.3       71.0  
 
                 
Total revenues
    11,235.1       335.9       11,571.0  
Depreciation and amortization expense
    59.3       2.0       61.3  
Operating income
    600.8       4.3       605.1  
Interest income
                    5.9  
Interest expense and other
                    (94.3 )
 
                     
Income before income taxes
                    516.7  
Capital expenditures
    42.8       1.2       44.0  
 
 
                       
For the three months ended September 30, 2010
                       
Product revenue:
                       
Network revenues(1)
  $ 7,490.9     $     $ 7,490.9  
Home delivery and specialty revenues(2)
    3,369.0             3,369.0  
Other revenues
          326.3       326.3  
Service revenues
    62.6       3.0       65.6  
 
                 
Total revenues
    10,922.5       329.3       11,251.8  
Depreciation and amortization expense
    59.8       1.9       61.7  
Operating income
    525.5       2.5       528.0  
Interest income
                    2.2  
Interest expense and other
                    (42.2 )
 
                     
Income before income taxes
                    488.0  
Capital expenditures
    32.7       0.8       33.5  
 
                         
(in millions)   PBM     EM     Total  
 
For the nine months ended September 30, 2011
                       
Product revenues:
                       
Network revenues(1)
  $ 22,138.1     $     $ 22,138.1  
Home delivery and specialty revenues(2)
    10,715.6             10,715.6  
Other revenues
          952.2       952.2  
Service revenues
    205.1       15.9       221.0  
 
                 
Total revenues
    33,058.8       968.1       34,026.9  
Depreciation and amortization expense
    181.5       6.0       187.5  
Operating income
    1,719.3       17.5       1,736.8  
Interest income
                    7.8  
Interest expense and other
                    (184.3 )
 
                     
Income before income taxes
                    1,560.3  
Capital expenditures
    95.6       2.5       98.1  
 
 
                       
For the nine months ended September 30, 2010
                       
Product revenue:
                       
Network revenues(1)
  $ 22,596.4     $     $ 22,596.4  
Home delivery and specialty revenues(2)
    9,990.0             9,990.0  
Other revenues
          889.3       889.3  
Service revenues
    194.3       9.0       203.3  
 
                 
Total revenues
    32,780.7       898.3       33,679.0  
Depreciation and amortization expense
    175.1       5.8       180.9  
Operating income
    1,505.6       7.4       1,513.0  
Interest income
                    4.4  
Interest expense and other
                    (127.0 )
 
                     
Income before income taxes
                    1,390.4  
Capital expenditures
    82.7       1.9       84.6  
 
 
(1)   Includes retail pharmacy co-payments of $1,390.4 million and $1,478.5 million for the three months ended September 30, 2011 and 2010, respectively and $4,374.0 million and $4,688.4 million for the nine months ended September 30, 2011 and 2010, respectively.
 
(2)   Includes home delivery, specialty and other including: (a) drugs distributed through patient assistance programs and (b) drugs we distribute to other PBMs’ clients under limited distribution contracts with pharmaceutical manufacturers.
          The following table presents balance sheet information about our reportable segments:
                         
(in millions)   PBM     EM     Total  
 
Total Assets
                       
As of September 30, 2011
  $ 10,401.3     $ 470.4     $ 10,871.7  
 
As of December 31, 2010
  $ 10,155.1     $ 402.7     $ 10,557.8  
          PBM product revenues consist of revenues from the sale of prescription drugs by retail pharmacies in our retail pharmacy networks, revenues from the dispensing of prescription drugs from our home delivery pharmacies and distribution of certain fertility and specialty drugs. EM product revenues consist of specialty distribution activities. PBM service revenues include administrative fees associated with the administration of retail pharmacy networks contracted by certain clients, informed decision counseling services, and specialty distribution services. EM service revenues include revenues from healthcare card administration.
          The following table shows the percentage of total revenue represented by our top five clients and clients representing 10% or greater of our consolidated revenue for each respective period:
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2011     2010     2011     2010  
 
WellPoint
    29.9 %     29.4 %     29.7 %     28.7 %
Department of Defense (“DoD”)
    21.3 %     19.8 %     21.2 %     19.2 %
Other
    6.2 %     6.3 %     6.2 %     6.4 %
 
                       
Top five clients
    57.4 %     55.5 %     57.1 %     54.3 %
          None of our other clients accounted for 10% or more of our consolidated revenues during the three and nine months ended September 30, 2011 or 2010.
          Revenues earned by our Canadian PBM totaled $15.8 million and $12.9 million for the three months ended September 30, 2011 and 2010, respectively and $46.7 million and $37.9 million for the nine months ended September 30, 2011 and 2010, respectively. All other revenues were earned in the United States. Long-lived assets of our Canadian PBM (consisting primarily of fixed assets) totaled $16.1 million and $16.7 million as of September 30, 2011 and December 31, 2010, respectively. All other long-lived assets are domiciled in the United States.