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Long-Term Debt - Narrative (Details)
3 Months Ended 4 Months Ended 9 Months Ended
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Aug. 14, 2019
USD ($)
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Dec. 29, 2017
USD ($)
quarter
Debt Instrument [Line Items]              
Net product revenues $ 1,902,000 $ 0   $ 4,042,000 $ 0    
Debt amortization period       5 years 6 months      
Interest expense, back end fees       $ 2,000,000      
Debt issuance costs           $ 2,181,000  
Senior Notes              
Debt Instrument [Line Items]              
Amortization of debt discount       1,000,000      
Senior Notes | Note Purchase Agreement              
Debt Instrument [Line Items]              
Unused borrowing capacity             $ 100,000,000
Face amount $ 75,000,000     $ 75,000,000   $ 75,000,000  
Stated interest rate 11.375%     11.375%     9.00%
Upfront fee             1.00%
Exit fee             2.00%
Interest expense, debt $ 2,361,000     $ 6,855,000      
Senior Notes | Note Purchase Agreement | London Interbank Offered Rate (LIBOR)              
Debt Instrument [Line Items]              
Interest rate floor             1.00%
Senior Notes | Note Purchase Agreement - Delayed Draw Notes              
Debt Instrument [Line Items]              
Unused borrowing capacity             $ 25,000,000
Number of trailing quarters | quarter             4
Scenario, Forecast | Senior Notes | Note Purchase Agreement - Delayed Draw Notes              
Debt Instrument [Line Items]              
Net product revenues     $ 15,000,000        
Total debt to trailing four quarter net revenues     6.50