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Net Product Sales (Notes)
3 Months Ended
Mar. 31, 2018
Revenues [Abstract]  
Product Sales and Concentration Risk [Text Block]
Product Sales
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


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.


Revenue from product sales is recognized at a point in time when our customer is deemed to have obtained control of the product, which generally occurs upon receipt by our distributors and specialty pharmacies. The Company's written contracts with its customers stipulate product is shipped freight on board destination (FOB destination).
The amount of revenue we recognize varies due to rebates and chargebacks provided under governmental and other programs, distribution-related fees, and other sales-related deductions. We estimate the amount of variable consideration that we will be entitled to, in order to determine the transaction price, based upon contracts with customers and government agencies, statutorily-defined discounts applicable to government-funded programs, historical experience, estimated payer mix, and other relevant factors.
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


Accruals for chargebacks are recorded as a direct reduction to accounts receivable and accruals for rebates and distribution-related fees are recorded within accrued liabilities.