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Cost of Revenues (Components Of Cost Of Revenue) (Details) (USD $)
In Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Cost Of Revenues        
Cost of net pharmaceutical product sales $ 198,499 $ 107,216 $ 401,212 $ 201,289
Cost of device, service and other revenues 38,198   67,043  
Total cost of revenues $ 236,697 $ 107,216 $ 468,255 $ 201,289