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General - Revenues and Significant Customers (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Net revenues        
Managed Care Revenue $ 570,800 $ 668,600 $ 1,115,800 $ 1,314,900
Fee-For-Service and Cost-Plus Contracts Revenue 102,600 86,700 205,600 163,600
Rebate Revenues 21,300 16,900 41,100 32,800
PBM Revenue 362,000 330,000 697,000 515,800
Dispensing Revenue 54,400 51,400 109,700 97,900
Medicare Part D Revenues 48,100   98,400  
Revenues $ 1,164,345 $ 1,157,607 $ 2,281,367 2,138,575
Florida Medicaid Contract        
Net revenues        
Termination notice     1 day  
Termination notice period without cause     30 days  
Florida Contracts        
Net revenues        
Revenues     $ 267,800 218,000
Iowa Contracts        
Net revenues        
Revenues     7,400 261,900
Pharmacy Management | Customer A | Service        
Net revenues        
Revenues     $ 193,956 $ 158,132