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Significant Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Jan. 01, 2018
Dec. 31, 2017
Debt Instrument [Line Items]            
Accumulated deficit $ (1,338,248)   $ (1,338,248)     $ (1,257,356)
Cash, cash equivalents and short-term investments 131,800   131,800      
Charge to revenue (3,300) $ 7,868 6,138 $ 36,194    
Restricted cash 5,410 5,048 5,410 5,048   $ 5,541
Accounting Standards Update 2014-09 | Difference between Revenue Guidance in Effect before and after Topic 606            
Debt Instrument [Line Items]            
Accumulated deficit         $ (200)  
Accounting Standards Update 2016-18            
Debt Instrument [Line Items]            
Restricted cash   5,000   5,000    
U.S. government agencies            
Debt Instrument [Line Items]            
Reduction of research and development expenses 200 $ 500 $ 900 $ 1,100    
Minimum            
Debt Instrument [Line Items]            
Payment term     45 days      
Maximum            
Debt Instrument [Line Items]            
Payment term     120 days      
Integrated Commercialization Solutions, Inc            
Debt Instrument [Line Items]            
Distribution agreement, renewal term     1 year      
Distribution agreement, notice period for renewal     90 days      
Distribution agreement, notice period for termination     180 days      
Angiomax            
Debt Instrument [Line Items]            
Charge to revenue $ (3,300)   $ (3,300)