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Hedging Hedging - Cash Flow Hedging Instruments (Details) - Foreign currency forward contracts - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Product revenues, net | Designated as hedging instruments      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) on cash flow hedging instruments $ (1,252) $ 768 $ 10,543
Other (expense) income, net | Not designated as hedging instrument      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) on cash flow hedging instruments $ 623 $ 14,129 $ (6,917)