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Cost Of Revenues (Components Of Cost Of Revenues) (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Cost of Revenue [Abstract]        
Cost of net pharmaceutical product sales $ 341,193 $ 221,823 $ 857,288 $ 673,643
Cost of device revenues 38,006 36,013 119,611 111,987
Total cost of revenues $ 379,199 $ 257,836 $ 976,899 $ 785,630