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Revenues
6 Months Ended
Jun. 30, 2019
Revenue from Contract with Customer [Abstract]  
Revenues Revenues
The following table presents a summary of total revenues (in thousands): 
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
2019
 
2018
 
2019
 
2018
Xyrem
$
413,212

 
$
356,008

 
$
781,529

 
$
672,785

Erwinaze/Erwinase
27,622

 
58,713

 
88,521

 
109,340

Defitelio/defibrotide
46,055

 
40,498

 
87,555

 
75,559

Vyxeos
31,362

 
27,951

 
60,305

 
54,179

Other
5,172

 
12,925

 
8,844

 
25,079

Product sales, net
523,423

 
496,095

 
1,026,754

 
936,942

Royalties and contract revenues
10,710

 
4,384

 
15,565

 
8,150

Total revenues
$
534,133

 
$
500,479

 
$
1,042,319

 
$
945,092

The following table presents a summary of total revenues attributed to geographic sources (in thousands): 
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
2019
 
2018
 
2019
 
2018
United States
$
480,932

 
$
455,359

 
$
943,794

 
$
861,046

Europe
36,518

 
35,018

 
71,919

 
63,349

All other
16,683

 
10,102

 
26,606

 
20,697

Total revenues
$
534,133

 
$
500,479

 
$
1,042,319

 
$
945,092


The following table presents a summary of the percentage of total revenues from customers that represented more than 10% of our total revenues: 
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
2019
 
2018
 
2019
 
2018
Express Scripts
77
%
 
71
%
 
75
%
 
71
%
McKesson
12
%
 
20
%
 
15
%
 
20
%

Financing and payment
Our payment terms vary by the type and location of our customer but payment is generally required in a term ranging from 30 to 45 days.
Contract Liabilities - Deferred Revenue
The deferred revenue balance as of June 30, 2019 primarily related to deferred upfront fees received from Nippon Shinyaku Co., Ltd., or Nippon Shinyaku, in connection with two license, development and commercialization agreements granting Nippon Shinyaku exclusive rights to develop and commercialize each of Defitelio and Vyxeos in Japan. We recognized contract revenues of $1.2 million and $3.1 million during the three and six months ended June 30, 2019, respectively, relating to these upfront payments. The deferred revenue balances are being recognized over an average of four years representing the period over which we expect to perform our research and developments obligations under each agreement.
The following table presents a reconciliation of our beginning and ending balances in contract liabilities from contracts with customers for the six months ended June 30, 2019 (in thousands): 
 
Contract Liabilities
Balance as of December 31, 2018
$
14,995

Amount recognized within royalties and contract revenues
(3,054
)
Balance as of June 30, 2019
$
11,941