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Revenue, Credit Concentrations and Geographic Information - Total Net Product Revenue Concentrations Attributed to Largest Customers (Detail) - Customer Concentration Risk - Net Product Revenue
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Concentration Risk [Line Items]        
Concentration risk, percentage 42.00% 51.00% 44.00% 46.00%
Customer A        
Concentration Risk [Line Items]        
Concentration risk, percentage 16.00% 16.00% 15.00% 17.00%
Customer B        
Concentration Risk [Line Items]        
Concentration risk, percentage 14.00% 13.00% 14.00% 12.00%
Customer C        
Concentration Risk [Line Items]        
Concentration risk, percentage 11.00% 10.00% 12.00% 11.00%
Customer D        
Concentration Risk [Line Items]        
Concentration risk, percentage 1.00% 12.00% 3.00% 6.00%