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Net Revenues - Movement in Discounts and Other Reductions (Details) - EUR (€)
€ in Thousands
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Movement in Chargebacks      
Balance at beginning of year € 75,175 € 105,890 € 87,249
Current estimate related to sales made in current and prior year 1,119,540 923,023 826,775
(Actual returns or credits in current period related to sales made in current period) (1,104,493) (957,695) (795,449)
(Actual returns or credits in current period related to sales made in prior periods) 275   31
Translation differences (9) 3,957 (12,716)
Balance at end of year 90,488 75,175 105,890
Movement in Cash discounts      
Balance at beginning of year 6,441 5,114 6,632
Current estimate related to sales made in current and prior year 70,340 62,518 57,512
(Actual returns or credits in current period related to sales made in current period) (64,523) (56,568) (52,270)
(Actual returns or credits in current period related to sales made in prior periods) (6,385) (4,909) (6,024)
Translation differences 24 286 (736)
Balance at end of year 5,897 6,441 5,114
Movement in Volume rebates      
Balance at beginning of year 24,797 17,991 26,507
Current estimate related to sales made in current and prior year 56,426 46,922 43,274
(Actual returns or credits in current period related to sales made in current period) (28,014) (24,648) (28,976)
(Actual returns or credits in current period related to sales made in prior periods) (25,050) (16,384) (20,210)
Translation differences 546 916 (2,604)
Balance at end of year 28,705 24,797 17,991
Movement in Medicare / Medicaid      
Balance at beginning of year 22,941 16,204 21,757
Current estimate related to sales made in current and prior year 50,442 40,343 41,722
(Actual returns or credits in current period related to sales made in current period) (34,486) (21,324) (28,198)
(Actual returns or credits in current period related to sales made in prior periods) (20,375) (13,232) (16,659)
Translation differences 389 950 (2,418)
Balance at end of year 18,911 22,941 16,204
Movement in Other discounts      
Balance at beginning of year 8,837 10,143 4,442
Current estimate related to sales made in current and prior year 34,323 28,727 35,262
(Actual returns or credits in current period related to sales made in current period) (22,490) (26,493) (26,072)
(Actual returns or credits in current period related to sales made in prior periods) (5,652) (3,781) (2,864)
Translation differences 52 241 (625)
Balance at end of year 15,070 8,837 10,143
Total movement in discounts and other reductions      
Balance at beginning of year 138,191 155,342 146,587
Current estimate related to sales made in current and prior year 1,331,071 1,101,533 1,004,545
(Actual returns or credits in current period related to sales made in current period) (1,254,006) (1,086,728) (930,965)
(Actual returns or credits in current period related to sales made in prior periods) (57,187) (38,306) (45,726)
Translation differences 1,003 6,350 (19,099)
Balance at end of year € 159,072 € 138,191 € 155,342