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Product Revenue Reserves and Allowances (Tables)
6 Months Ended
Jun. 30, 2020
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, 2020 and 2019 (in thousands):
Chargebacks, Discounts, and FeesGovernment and other rebatesReturnsTotal
Ending balance at December 31, 2018$3,198  $7,620  $411  $11,229  
Provision related to sales in the current year13,034  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, 20194,245  14,041  495  18,781  
Ending balance at December 31, 2019$5,739  $17,280  $1,583  $24,602  
Provision related to sales in the current year12,129  34,448  3,888  50,465  
Adjustments related to prior period sales(294) (826) (1,449) (2,569) 
Credits and payments made(15,390) (36,805) (679) (52,874) 
Ending balance at June 30, 2020$2,184  $14,097  $3,343  $19,624