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Revenue recognition - Net Product Sales (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2023 USD ($) country Distributor | Dec. 31, 2022 USD ($) country Distributor | Dec. 31, 2021 USD ($) country Distributor
Revenue recognition |  |  |
Revenue | $ 937,822 | $ 698,801 | $ 538,593
United States |  |  |
Revenue recognition |  |  |
Revenue | 531,661 | 381,862 |
Non-US |  |  |
Revenue recognition |  |  |
Revenue | 406,161 | 316,939 |
Net product revenue |  |  |
Revenue recognition |  |  |
Contract with Customer, Liability | $ 0 | $ 0 |
Net product revenue | Geographic concentration risk |  |  |
Revenue recognition |  |  |
Number of countries exceeding 10% of net product sales | country | 2 | 2 | 1
Percentage of net product sales threshold | 10.00% | 10.00% | 10.00%
Net product revenue | Customer concentration risk |  |  |
Revenue recognition |  |  |
Number of distributors | Distributor | 2 | 2 | 2
Percentage of net product sales threshold | 10.00% | 10.00% | 10.00%
Net product revenue |  |  |
Revenue recognition |  |  |
Revenue | $ 661,249 | $ 535,228 | $ 428,904
Net product revenue | Non-US |  |  |
Revenue recognition |  |  |
Revenue | 406,100 | 316,900 | 241,600
Net product revenue | Net product revenue | Geographic concentration risk | United States |  |  |
Revenue recognition |  |  |
Revenue | 255,100 | 218,300 |
Net product revenue | Net product revenue | Geographic concentration risk | Russia |  |  |
Revenue recognition |  |  |
Revenue | 86,000 | 59,700 |
Emflaza | United States |  |  |
Revenue recognition |  |  |
Revenue | 255,100 | 218,300 | 187,300
Translarna | Non-US |  |  |
Revenue recognition |  |  |
Revenue | $ 355,800 | $ 288,600 | $ 236,000

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- Definition Amount of obligation to transfer good or service to customer for which consideration has been received or is receivable. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479837/606-10-45-1 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 8 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479806/606-10-50-8 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479837/606-10-45-2 + Details
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