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General (Details 2)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Mar. 31, 2014
item
Sep. 30, 2015
USD ($)
item
Sep. 30, 2014
USD ($)
Net revenues          
Managed Care Revenue $ 689,500 $ 611,400   $ 2,004,400 $ 1,935,000
Fee-For-Service and Cost-Plus Contracts Revenue 85,100 72,900   248,700 205,600
Block Grant Revenues   0     33,300
Performance-Based Revenue 4,400 1,600   10,100 7,000
Rebate Revenues 23,500 14,300   56,300 27,600
PBM Revenue 327,100 155,700   842,900 383,200
Dispensing Revenue 53,700 64,500   151,600 179,600
Significant customers          
Revenues generated $ 1,190,082 $ 923,170   $ 3,328,657 2,777,659
Maricopa County Regional Behavioral Health Authority          
Significant customers          
Number of members receiving behavioral healthcare management and other related services | item     680,000    
Revenues generated         213,300
Iowa Contracts          
Significant customers          
Number of contracts | item       2  
Revenues generated       $ 394,800 337,900
Iowa Medicaid Contract          
Significant customers          
Termination notice period without cause       30 days  
Iowa Medicaid Integrated Health Home Provider Agreement          
Significant customers          
Termination notice period without cause       60 days  
Florida Medicaid Contract          
Significant customers          
Termination notice       1 day  
Termination notice period without cause       30 days  
Florida Contracts          
Significant customers          
Revenues generated       $ 324,100 143,900
Pharmacy Management | Customer A | Service          
Significant customers          
Revenues generated       $ 93,908 92,793
Minimum number of contracts per customer | item       1  
Pharmacy Management | Customer B | Service          
Significant customers          
Revenues generated       $ 241,556 $ 105,079