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Net Product Sales (Tables)
3 Months Ended
Mar. 31, 2018
Revenue from External Customer [Line Items]  
Revenue from External Customers by Products and Services [Table Text Block]
Net product sales consist of the following:
 
 
Three Months Ended
March 31,
Net Product Sales in the United States
 
2018
 
2017
EYLEA®
 
$
984,049

 
$
854,387

ARCALYST®
 
3,860

 
3,858

 
 
$
987,909

 
$
858,245

Schedules of Concentration of Risk, by Risk Factor [Table Text Block]
The Company had product sales to certain customers that accounted for more than 10% of total gross product revenue for the three months ended March 31, 2018 and 2017. Sales to each of these customers as a percentage of the Company's total gross product revenue are as follows:
 
 
Three Months Ended
March 31,
 
 
2018
 
2017
Besse Medical, a subsidiary of AmerisourceBergen Corporation
 
55
%
 
53
%
McKesson Corporation
 
40
%
 
27
%
Curascript SD Specialty Distribution, a subsidiary of Express Scripts
 
**

 
19
%
** For the three months ended March 31, 2018, sales to Curascript SD Specialty Distribution represented less than 10% of total gross product revenue.

Sales Related Deductions Activity
The following table summarizes the provisions, and credits/payments, for these sales-related deductions during the three months ended March 31, 2018 and 2017.
 
Rebates &
Chargebacks
 
Distribution-
Related
Fees
 
Other Sales-
Related
Deductions
 
Total
Balance as of December 31, 2017
$
29,840

 
$
34,142

 
$
21,320

 
$
85,302

Provisions
48,495

 
51,716

 
11,170

 
111,381

Credits/payments
(30,674
)
 
(42,025
)
 
(14,665
)
 
(87,364
)
Balance as of March 31, 2018
$
47,661

 
$
43,833

 
$
17,825

 
$
109,319

 
 
 
 
 
 
 
 
Balance as of December 31, 2016
$
12,712

 
$
29,465

 
$
3,674

 
$
45,851

Provisions
38,908

 
41,175

 
9,520

 
89,603

Credits/payments
(28,502
)
 
(42,287
)
 
(8,632
)
 
(79,421
)
Balance as of March 31, 2017
$
23,118

 
$
28,353

 
$
4,562

 
$
56,033