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Accounts Receivable, Sales and Allowances - Adjustments to Gross Sales (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Receivables [Abstract]        
Gross sales $ 507,819 $ 567,112 $ 1,028,352 $ 1,247,647
Less adjustments for:        
Chargebacks (222,482) (237,275) (446,445) (517,437)
Rebates, administrative and other fees (75,094) (109,760) (167,374) (234,138)
Product returns (6,133) (8,116) (13,254) (16,533)
Discounts and allowances (9,946) (10,830) (20,183) (23,752)
Advertising, promotions and others (3,220) (1,991) (6,089) (3,227)
Revenues, net $ 190,944 $ 199,140 $ 375,007 $ 452,560