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Product Revenue Reserves and Allowances (Details) - USD ($)
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Summary of Activity of Product Revenue Allowance and Reserves    
Bad debt write-offs $ 0  
Trade receivables, credit losses 0  
Product Revenue Allowance and Reserves    
Summary of Activity of Product Revenue Allowance and Reserves    
Beginning balance 24,602,000 $ 11,229,000
Provision related to sales in the current year 50,465,000 43,821,000
Adjustments related to prior period sales (2,569,000) (340,000)
Credits and payments made (52,874,000) (35,929,000)
Ending balance 19,624,000 18,781,000
Chargebacks, Discounts, and Fees    
Summary of Activity of Product Revenue Allowance and Reserves    
Beginning balance 5,739,000 3,198,000
Provision related to sales in the current year 12,129,000 13,034,000
Adjustments related to prior period sales (294,000) (16,000)
Credits and payments made (15,390,000) (11,971,000)
Ending balance 2,184,000 4,245,000
Government and other rebates    
Summary of Activity of Product Revenue Allowance and Reserves    
Beginning balance 17,280,000 7,620,000
Provision related to sales in the current year 34,448,000 30,294,000
Adjustments related to prior period sales (826,000) (183,000)
Credits and payments made (36,805,000) (23,690,000)
Ending balance 14,097,000 14,041,000
Returns    
Summary of Activity of Product Revenue Allowance and Reserves    
Beginning balance 1,583,000 411,000
Provision related to sales in the current year 3,888,000 493,000
Adjustments related to prior period sales (1,449,000) (141,000)
Credits and payments made (679,000) (268,000)
Ending balance $ 3,343,000 $ 495,000