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Segment information (Details 1) (USD $)
In Millions, unless otherwise specified
Dec. 31, 2011
Dec. 31, 2010
Segment Reporting Information [Line Items]    
Total assets $ 15,607.0 $ 10,557.8
PBM [Member]
   
Segment Reporting Information [Line Items]    
Total assets 15,149.9 10,155.1
EM [Member]
   
Segment Reporting Information [Line Items]    
Total assets $ 457.1 $ 402.7