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Revenue Recognition and Accounts Receivable - Additional Information (Detail) $ in Thousands, € in Millions | 12 Months Ended
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Dec. 31, 2017 USD ($) | Dec. 31, 2017 EUR (€) | Dec. 31, 2016 USD ($) | Dec. 31, 2016 EUR (€) | Dec. 31, 2015 USD ($) | Dec. 31, 2015 EUR (€)
Health Care Organization Receivable and Revenue Disclosures [Line Items] |  |  |  |  |  |
Shipping and handling costs | $ 3,000 |  | $ 2,000 |  | $ 2,200 |
Marketing service fees | 60,285 |  | 54,136 |  | 55,405 |
Sale of receivables | 11,200 | € 9.8 | 11,100 | € 10.0 | 11,900 | € 10.9
Estimated related fee | 300 |  | $ 400 |  | $ 500 |
Biologics [Member] |  |  |  |  |  |
Health Care Organization Receivable and Revenue Disclosures [Line Items] |  |  |  |  |  |
Marketing service fees | $ 60,285 |  |  |  |  |
Marketing service fee as percentage of segment revenues | 96.00% | 96.00% |  |  |  |

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- Definition Cost incurred during the reporting period in transporting goods and services to customers. Includes freight-out costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=68058157&loc=d3e18780-107790 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 605 -SubTopic 45 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=68080631&loc=d3e61069-111654 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Handling Costs -URI http://asc.fasb.org/extlink&oid=51575068 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 605 -SubTopic 45 -Section 45 -Paragraph 20 -URI http://asc.fasb.org/extlink&oid=68075638&loc=d3e60635-111653 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68058157&loc=d3e18726-107790 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 605 -SubTopic 45 -Section S99 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6408413&loc=d3e221937-122793 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Shipping Costs -URI http://asc.fasb.org/extlink&oid=51575562 + Details
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