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Product Revenue Reserves and Allowances (Tables)
6 Months Ended
Jun. 30, 2019
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of product revenue allowance and reserve categories The following table summarizes activity in each of the product revenue allowance and reserve categories for the six months ended June 30, 2019 and 2018 (in thousands):
 
Chargebacks, Discounts, and Fees
 
Government and other rebates
 
Returns
 
Total
Ending balance at December 31, 2017
$
1,986

 
$
1,231

 
$
421

 
$
3,638

Provision related to sales in the current year
5,799

 
8,680

 
221

 
14,700

Adjustments related to prior period sales
55

 
(160
)
 
(111
)
 
(216
)
Credits and payments made
(5,002
)
 
(4,528
)
 
(196
)
 
(9,726
)
Ending balance at June 30, 2018
$
2,838

 
$
5,223

 
$
335

 
$
8,396

 
 
 
 
 
 
 
 
Ending balance at December 31, 2018
$
3,198

 
$
7,620

 
$
411

 
$
11,229

Provision related to sales in the current year
13,034

 
30,294

 
493

 
43,821

Adjustments related to prior period sales
(16
)
 
(183
)
 
(141
)
 
(340
)
Credits and payments made
(11,971
)
 
(23,690
)
 
(268
)
 
(35,929
)
Ending balance at June 30, 2019
$
4,245

 
$
14,041

 
$
495

 
$
18,781