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Revenue Recognition (Tables)
3 Months Ended
Mar. 31, 2019
Revenue from Contract with Customer [Abstract]  
Schedule of disaggregation of revenue
Product revenues, net consisted of the following:
 
Three Months Ended March 31,
 
2019
 
2018
 
(in thousands)
SYMDEKO/SYMKEVI
$
320,275

 
$
34,124

ORKAMBI
293,007

 
354,066

KALYDECO
243,971

 
249,539

Total product revenues, net
$
857,253

 
$
637,729

Total revenues from external customers and collaborators by geographic region consisted of the following:
 
Three Months Ended March 31,
 
2019
 
2018
 
(in thousands)
United States
$
641,104

 
$
482,667

Outside of the United States
 
 
 
Europe
167,751

 
131,895

Other
49,580

 
26,237

Total revenues outside of the United States
217,331

 
158,132

Total revenues
$
858,435

 
$
640,799