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Revenues - (Tables)
9 Months Ended
Sep. 30, 2020
Revenue from Contract with Customer [Abstract]  
Summary of Disaggregation of Revenue
The following table presents a summary of total revenues (in thousands): 
Three Months Ended
September 30,
Nine Months Ended
September 30,
2020201920202019
Xyrem$447,809 $425,644 $1,302,492 $1,207,173 
Defitelio/defibrotide 50,241 37,604 140,387 125,159 
Erwinaze/Erwinase20,145 34,024 90,560 122,545 
Vyxeos30,825 29,581 90,113 89,886 
Zepzelca36,941 — 36,941 — 
Sunosi9,116 987 19,618 987 
Other1,872 4,481 5,246 13,325 
Product sales, net596,949 532,321 1,685,357 1,559,075 
Royalties and contract revenues3,939 5,381 12,693 20,946 
Total revenues$600,888 $537,702 $1,698,050 $1,580,021 
The following table presents a summary of total revenues attributed to geographic sources (in thousands): 
Three Months Ended
September 30,
Nine Months Ended
September 30,
2020201920202019
United States$548,410 $492,366 $1,542,990 $1,436,160 
Europe45,778 35,037 125,229 106,956 
All other6,700 10,299 29,831 36,905 
Total revenues$600,888 $537,702 $1,698,050 $1,580,021 
Summary of Revenues from Customers Representing More Than 10% of Total Revenues
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
September 30,
Nine Months Ended
September 30,
2020201920202019
ESSDS74 %79 %77 %76 %
McKesson10 %12 %11 %14 %
Summary of a Reconciliation in Contract Liabilities from Contracts with Customer
The following table presents a reconciliation of our beginning and ending balances in contract liabilities from contracts with customers for the nine months ended September 30, 2020 (in thousands): 
Contract Liabilities
Balance as of December 31, 2019$9,581 
Amount recognized within royalties and contract revenues(3,540)
Balance as of September 30, 2020$6,041