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Revenue Recognition (Tables)
9 Months Ended
Sep. 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 September 30,
 
Nine Months Ended September 30,
 
2019
 
2018
 
2019
 
2018
 
(in thousands)
United States
$
710,323

 
$
620,485

 
$
2,052,044

 
$
1,687,963

Outside of the United States
 
 
 
 
 
 
 
Europe
184,845

 
132,876

 
532,809

 
400,685

Other
54,660

 
31,174

 
164,703

 
88,843

Total revenues outside of the United States
239,505

 
164,050

 
697,512

 
489,528

Total revenues
$
949,828

 
$
784,535

 
$
2,749,556

 
$
2,177,491


Product revenues, net consisted of the following:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2019
 
2018
 
2019
 
2018
 
(in thousands)
SYMDEKO/SYMKEVI
$
403,714

 
$
254,919

 
$
1,085,821

 
$
474,601

ORKAMBI
296,711

 
281,859

 
906,159

 
947,186

KALYDECO
249,403

 
245,733

 
755,481

 
748,365

Total product revenues, net
$
949,828

 
$
782,511

 
$
2,747,461

 
$
2,170,152