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Quarterly Financial Data (Unaudited) (Details) (USD $)
In Millions, except Per Share data
3 Months Ended12 Months Ended
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2009
Sep. 30, 2009
Jun. 30, 2009
Mar. 31, 2009
Dec. 31, 2010
Dec. 31, 2009
Dec. 31, 2008
Unaudited quarterly financial data           
Total revenues$ 11,294.2[1],[2]$ 11,251.8[1],[2]$ 11,288.8[1],[2]$ 11,138.4[1],[2],[3]$ 8,197.0[1],[2]$ 5,613.0[1],[2]$ 5,496.8[1],[2]$ 5,415.5[1],[2],[3]$ 44,973.2[4]$ 24,722.3[4]$ 21,941.2[4]
Cost of revenues10,520.8[1],[2]10,487.7[1],[2]10,531.3[1],[2]10,475.2[1],[2],[3]7,509.3[1],[2]5,001.9[1],[2]4,904.2[1],[2]4,882.9[1],[2],[3]42,015.0[4]22,298.3[4]19,910.6[4]
Gross profit773.4[2]764.1[2]757.5[2]663.2[2],[3]687.7[2]611.1[2]592.6[2]532.6[2],[3]2,958.22,424.02,030.6
Selling, general and administrative215.5[2]236.1[2]227.2[2]208.5[2],[3]284.1[2]252.7[2]212.4[2]177.3[2],[3]887.3926.5756.3
Operating income557.9[2]528.0[2]530.3[2]454.7[2],[3]403.6[2]358.4[2]380.2[2]355.3[2],[3]2,070.91,497.51,274.3
Net income from continuing operations329.6[2]307.1[2]307.3[2]260.6[2],[3]223.1[2]196.8[2]192.1[2]214.6[2],[3]1,204.6826.6775.9
Net (loss) income from discontinued operations, net of tax (5.6)[2](17.4)[2](0.4)[2],[3]0.2[2]0.8[2]0.2[2](0.2)[2],[3](23.4)1.00.2
Net income329.6[2]301.5[2]289.9[2]260.2[2],[3]223.3[2]197.6[2]192.3[2]214.4[2],[3]1,181.2827.6776.1
Basic earnings (loss) per share:           
Continuing operations$ 0.62[2]$ 0.58[2]$ 0.56[2]$ 0.47[2],[3]$ 0.41[2]$ 0.36[2]$ 0.37[2]$ 0.43[2],[3]$ 2.24$ 1.57$ 1.56
Discontinued operations $ (0.01)[2]$ (0.03)[2]     $ (0.04)  
Net earnings$ 0.62[2]$ 0.57[2]$ 0.53[2]$ 0.47[2],[3]$ 0.41[2]$ 0.36[2]$ 0.37[2]$ 0.43[2],[3]$ 2.19$ 1.57$ 1.56
Diluted earnings (loss) per share:           
Continuing operations$ 0.62[2]$ 0.57[2]$ 0.56[2]$ 0.47[2],[3]$ 0.40[2]$ 0.35[2]$ 0.37[2]$ 0.43[2],[3]$ 2.21$ 1.55$ 1.54
Discontinued operations $ (0.01)[2]$ (0.03)[2]     $ (0.04)  
Net earnings$ 0.62[2]$ 0.56[2]$ 0.53[2]$ 0.47[2],[3]$ 0.40[2]$ 0.36[2]$ 0.37[2]$ 0.43[2],[3]$ 2.17$ 1.56$ 1.54
Quarterly Financial Data (Unaudited) (Textuals) [Abstract]           
Retail pharmacy co-payments$ 1,493.0$ 1,478.5$ 1,547.3$ 1,662.6 $ 708.4$ 721.1$ 822.7 $ 879.9 
[1]Includes retail pharmacy co-payments of $1662.6 and $822.7 for the three months ended March 31, 2010 and 2009, respectively, $1547.3 and $721.1 for the three months ended June 30, 2010 and 2009, respectively, $1478.5 and $708.4 for the three months ended September 30, 2010 and 2009, respectively, and $1493.0 and $879.9 for the three months ended December 31, 2010 and 2009, respectively.
[2]Includes the December 1, 2009 acquisition of NextRx.
[3]Restated to exclude the discontinued operations of PMG
[4]Includes retail pharmacy co-payments of $6,181.4, $3,132.1, and $3,153.6 for the years ended December 31, 2010, 2009, and 2008, respectively.