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Product Revenue Reserves and Allowances (Details) - USD ($)
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Summary of Activity of Product Revenue Allowance and Reserves    
Bad debt write-offs $ 0 $ 0
Trade receivables, credit losses 0 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 75,273,000 66,327,000
Adjustments related to prior period sales (1,677,000) 670,000
Credits and payments made (71,621,000) (54,524,000)
Ending balance 26,577,000 23,702,000
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 16,123,000 21,203,000
Adjustments related to prior period sales (107,000) (27,000)
Credits and payments made (20,011,000) (19,759,000)
Ending balance 1,744,000 4,615,000
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 57,120,000 44,426,000
Adjustments related to prior period sales (1,570,000) 697,000
Credits and payments made (50,717,000) (34,190,000)
Ending balance 22,113,000 18,553,000
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 2,030,000 698,000
Adjustments related to prior period sales 0 0
Credits and payments made (893,000) (575,000)
Ending balance $ 2,720,000 $ 534,000