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Prepaids and Other Current Assets Related Party Text (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Prepaid Expense and Other Assets, Current [Abstract]        
Pfizer MSA Product Costs $ 21.7 $ 16.2 $ 59.3 $ 51.9
ICU Medical MSA Revenue $ 17.5 $ 16.1 $ 57.4 $ 55.0