Integration and acquisition costs (Details) (USD $) In Millions, unless otherwise specified	3 Months Ended	6 Months Ended
Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Business Acquisition [Line Items]
Integration and acquisition costs	$ 112.1	$ 17.4	$ 118.7	$ 21.5
Viropharma
Business Acquisition [Line Items]
Integration and acquisition costs	29.2	0	95.0	0
Acquisition and Integration Costs, Gross Amount
Business Acquisition [Line Items]
Integration and acquisition costs	31.5		97.3
Change in fair value of contingent consideration	$ 80.6		$ 21.4

This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 10

-Section 25

-Paragraph 23

-URI http://asc.fasb.org/extlink&oid=21917927&loc=d3e1043-128460

Name:	us-gaap_BusinessCombinationAcquisitionRelatedCosts
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration