19. Other Revenue Sharing Arrangements (Details Narrative) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Other Revenue Sharing Arrangements Details Narrative
Co-promotion expenses	$ 25,400	$ 18,500	$ 6,900
Co-promotion, royalty and other revenues	$ 4,600	$ 2,700	$ 4,300