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Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
$ in Thousands, shares in Millions
1 Months Ended 12 Months Ended 36 Months Ended
Jun. 30, 2017
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2016
May 31, 2017
Summary Of Significant Accounting Policies [Line Items]              
Noncurrent restricted cash   $ 1,800 $ 3,300     $ 3,300  
Chargeback period, extended period   84 days          
Chargebacks   $ 953,326 $ 1,218,560 $ 1,065,244      
Sales chargebacks as a percentage of gross sales   40.50% 42.10%        
Gross sales   $ 2,351,071 $ 2,891,267 2,511,693      
Change in ratio of direct to indirect sales for chargeback reserves used in sensitivity analysis   4.40%          
Potential increase in chargeback expense based on sensitivity analysis   $ 200          
Potential decrease in chargeback expense based on sensitivity analysis   2,300          
Rebates, administrative fees and others   $ 476,601 $ 463,724 367,514      
Rebates, administrative and other fees as a percentage of gross sales   20.30% 16.00%        
Change in ratio of direct to indirect sales for rebates, administrative and other fees used in sensitivity analysis   4.40%          
Potential increase in rebates, administrative and other fees expense based on sensitivity analysis   $ 0          
Potential decrease in rebates, administrative and other fees expense based on sensitivity analysis   1,100          
Product returns   $ 26,874 $ 28,285 34,272      
Sales returns as a percentage of gross sales   1.10% 1.00%        
Change in lag time to process returns for sales returns reserve used in sensitivity analysis   9 months 18 days          
Potential increase in sales returns expense based on sensitivity analysis   $ 1,400          
Potential decrease in sales returns expense based on sensitivity analysis   2,200          
Past due gross accounts receivable   16,900          
Past due gross accounts receivable, aged over 60 days   4,700          
Provision for Inventory obsolescence   21,369 $ 32,072 8,800      
Allowance for inventory obsolescence   34,402 33,532 21,537   33,532  
Research and development reserve   1,500 2,400        
Depreciation   $ 23,700 $ 22,200 $ 19,900      
Shares excluded from the computation of diluted net earnings per share (in Shares)   3.2 3.6 0.9      
Available-for-sale securities   $ 35 $ 1,106     1,106  
Gain on sale of available-for-sale security   199 45 $ 237      
Nicox              
Summary Of Significant Accounting Policies [Line Items]              
Available-for-sale securities             $ 3,000
Original cost basis   1,500     $ 10,800    
Unrealized gain from original cost basis         1,700    
Available-for-sale securities sold   1,500       $ 9,200  
Gain realized on sale of securities   $ 200          
Proceeds from sale $ 2,600   $ 6,000 $ 2,500      
Gain on sale of available-for-sale security $ 400            
Nicox | Initial Value              
Summary Of Significant Accounting Policies [Line Items]              
Available-for-sale securities         $ 12,500    
Minimum              
Summary Of Significant Accounting Policies [Line Items]              
Chargeback period   28 days          
Maximum              
Summary Of Significant Accounting Policies [Line Items]              
Chargeback period   42 days