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Income Taxes (Details 2)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Reconciliation between the U.S. federal statutory tax rate and effective tax rate      
Statutory rate 21.00% 35.00% 35.00%
State taxes 0.60% 0.80% 0.90%
Taxes on foreign earnings (1.90%) (11.10%) (9.60%)
Credits and net operating loss utilization (0.90%) (0.80%) (1.40%)
Purchased intangible assets 1.20% 1.40% 1.20%
Manufacturing deduction 0.00% (1.90%) (1.90%)
2017 Tax Act 2.10% 22.90% 0.00%
GILTI 1.60% 0.00% 0.00%
Impairment of ZINBRYTA related tax assets 0.00% 0.90% 0.00%
Permanent items 0.30% 0.70% 0.50%
Other 0.20% 0.00% 0.40%
Effective tax rate 24.20% 47.90% 25.10%