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General - Revenues and Significant Customers (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Net revenues    
Managed Care Revenue $ 545,000 $ 646,100
Fee-For-Service and Cost-Plus Contracts Revenue 103,000 79,000
Rebate Revenues 19,800 15,900
PBM Revenue 335,000 185,800
Dispensing Revenue 55,300 46,500
Medicare Part D Revenues 50,300  
Revenues $ 1,117,022 980,968
Florida Medicaid Contract    
Net revenues    
Termination notice 1 day  
Termination notice period without cause 30 days  
Florida Contracts    
Net revenues    
Revenues $ 130,800 106,000
Iowa Contracts    
Net revenues    
Revenues 4,400 127,200
Pharmacy Management | Customer A | Service    
Net revenues    
Revenues $ 95,959 $ 74,605