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Revenue Recognition (Tables)
6 Months Ended
Jun. 30, 2019
Revenue from Contract with Customer [Abstract]  
Schedule of disaggregation of revenue Total revenues from external customers and collaborators by geographic region consisted of the following:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2019
 
2018
 
2019
 
2018
 
(in thousands)
 
 
 
 
United States
$
700,618

 
$
584,811

 
$
1,341,721

 
$
1,067,478

Outside of the United States
 
 
 
 
 
 
 
Europe
180,196

 
135,914

 
347,947

 
267,809

Other
60,479

 
31,432

 
110,060

 
57,669

Total revenues outside of the United States
240,675

 
167,346

 
458,007

 
325,478

Total revenues
$
941,293

 
$
752,157

 
$
1,799,728

 
$
1,392,956


Product revenues, net consisted of the following:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2019
 
2018
 
2019
 
2018
 
(in thousands)
 
 
 
 
SYMDEKO/SYMKEVI
$
361,832

 
$
185,558

 
$
682,107

 
$
219,682

ORKAMBI
316,441

 
311,261

 
609,448

 
665,327

KALYDECO
262,107

 
253,093

 
506,078

 
502,632

Total product revenues, net
$
940,380

 
$
749,912

 
$
1,797,633

 
$
1,387,641