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Customer, Supplier and Product Concentration - Disaggregation of Revenue by Customer (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Concentration Risk [Line Items]        
Revenues, net $ 190,944 $ 199,140 $ 375,007 $ 452,560
Net Revenue | Customer Concentration Risk        
Concentration Risk [Line Items]        
Concentration risk percentage 100.00% 100.00% 100.00% 100.00%
Big 3 Wholesalers combined        
Concentration Risk [Line Items]        
Revenues, net $ 112,245 $ 123,663 $ 230,611 $ 286,279
Big 3 Wholesalers combined | Net Revenue | Customer Concentration Risk        
Concentration Risk [Line Items]        
Concentration risk percentage 58.80% 62.10% 61.50% 63.30%
Amerisource        
Concentration Risk [Line Items]        
Revenues, net $ 39,256 $ 39,654 $ 77,211 $ 83,591
Amerisource | Net Revenue | Customer Concentration Risk        
Concentration Risk [Line Items]        
Concentration risk percentage 20.60% 19.90% 20.60% 18.50%
Cardinal        
Concentration Risk [Line Items]        
Revenues, net $ 29,861 $ 33,260 $ 57,051 $ 82,228
Cardinal | Net Revenue | Customer Concentration Risk        
Concentration Risk [Line Items]        
Concentration risk percentage 15.60% 16.70% 15.20% 18.20%
McKesson        
Concentration Risk [Line Items]        
Revenues, net $ 43,128 $ 50,749 $ 96,349 $ 120,460
McKesson | Net Revenue | Customer Concentration Risk        
Concentration Risk [Line Items]        
Concentration risk percentage 22.60% 25.50% 25.70% 26.60%
All Others        
Concentration Risk [Line Items]        
Revenues, net $ 78,699 $ 75,477 $ 144,396 $ 166,281
All Others | Net Revenue | Customer Concentration Risk        
Concentration Risk [Line Items]        
Concentration risk percentage 41.20% 37.90% 38.50% 36.70%