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Accrued Expenses (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Payables and Accruals [Abstract]    
Legal costs $ 15,067 $ 12,202
Settlement costs 5,784 5,931
Pricing adjustment settlement with Veterans Affairs 0 6,894
Estimated returns 1,431 2,581
External commissions 1,635 1,722
Accrued clinical trials 647 1,076
Other 1,204 1,755
Total $ 25,768 $ 32,161