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Accounts Receivable, Sales and Allowances - Adjustments to Gross Sales (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Receivables [Abstract]    
Gross sales $ 520,533 $ 680,534
Less adjustments for:    
Chargebacks (223,963) (280,160)
Rebates, administrative and other fees (92,279) (124,378)
Product returns (7,121) (8,418)
Discounts and allowances (10,238) (12,922)
Advertising, promotions and others (2,869) (1,236)
Revenues, net $ 184,063 $ 253,420