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Hedging - Cash Flow Hedging Instruments (Details) - Foreign currency forward contracts - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Product revenues, net | Designated as hedging instruments        
Derivative Instruments, Gain (Loss) [Line Items]        
Gain (Loss) on Cash Flow Hedging Instruments $ 1,721 $ (2,461) $ (7,438) $ 4,291
Other (expense) income, net | Not designated as hedging instruments        
Derivative Instruments, Gain (Loss) [Line Items]        
Gain (Loss) on Cash Flow Hedging Instruments $ 782 $ 4,135 $ (1,832) $ 12,958