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Accrued and other current liabilities (Details) - USD ($) $ in Thousands | Mar. 31, 2020 | Dec. 31, 2019
--- | --- | ---
Accrued and Other Current Liabilities |  |  |
Royalties | $ 73,045 | $ 73,221 |
Clinical related costs | 77,913 | 88,710 |
Sales allowances | 96,062 | 59,924 |
Construction in progress | 13,582 | 12,732 |
Operating lease liabilities | 9,021 | 9,343 |
Other current liabilities | 60,411 | 42,020 |
Total accrued and other current liabilities | $ 330,034 | $ 285,950 | [1]
[1] | The condensed consolidated balance sheet at December 31, 2019 has been derived from the audited consolidated financial statements at that date.

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- Definition Carrying value as of the balance sheet date of obligations incurred through that date and payable for clinical related costs. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). + References No definition available. + Details
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