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Segment Information (Tables)
9 Months Ended
Sep. 30, 2021
Segment Reporting [Abstract]  
Schedule of net product sales, cost of product sales and gross profit for each commercial products Net product sales, cost of product sales, and gross profit for each of our commercial products were as follows (in millions):
Three Months Ended September 30,
2021
Tyvaso(1)
Remodulin(1)
OrenitramUnituxinAdcircaTotal
Net product sales$164.2 $125.4 $85.2 $55.3 $14.6 $444.7 
Cost of product sales7.8 6.9 4.5 2.4 6.1 27.7 
Gross profit$156.4 $118.5 $80.7 $52.9 $8.5 $417.0 
2020
Net product sales$129.5 $124.5 $74.7 $37.6 $13.8 $380.1 
Cost of product sales5.0 4.9 5.1 2.9 6.1 24.0 
Gross profit$124.5 $119.6 $69.6 $34.7 $7.7 $356.1 
Nine Months Ended September 30,
2021
Tyvaso(1)
Remodulin(1)
OrenitramUnituxinAdcircaTotal
Net product sales$441.0 $395.4 $233.8 $152.3 $47.8 $1,270.3 
Cost of product sales20.6 23.5 12.4 11.0 20.4 87.9 
Gross profit$420.4 $371.9 $221.4 $141.3 $27.4 $1,182.4 
2020
Net product sales$351.6 $388.8 $219.1 $93.2 $45.7 $1,098.4 
Cost of product sales14.7 16.2 13.7 9.1 19.6 73.3 
Gross profit$336.9 $372.6 $205.4 $84.1 $26.1 $1,025.1 
(1) Net product sales and cost of product sales include sales of delivery devices for the respective product, including, with respect to Remodulin, the Remunity Pump.
Schedule of net revenues from external customers by geographic area
Geographic revenues are determined based on the country in which our customers (distributors) are located. Total revenues from external customers by geographic area are as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
 2021202020212020
United States$412.1 $369.0 $1,178.1 $1,046.5 
Rest of World32.6 11.1 92.2 51.9 
Total$444.7 $380.1 $1,270.3 $1,098.4 
Schedule of revenue from two specialty pharmaceutical distributors in the United States as a percentage of total revenue
We recorded revenue from three distributors in the United States that exceeded 10 percent of total revenues. Revenue from these three distributors as a percentage of total revenues is as follows:
Three Months Ended September 30,Nine Months Ended September 30,
 2021202020212020
Distributor 149 %56 %50 %56 %
Distributor 230 %28 %28 %27 %
Distributor 310 %10 %11 %%