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Accounts Receivable, Sales and Allowances - Adjustments to Gross Sales (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Receivables [Abstract]        
Gross sales $ 436,700 $ 586,351 $ 1,465,052 $ 1,833,998
Less adjustments for:        
Chargebacks (188,884) (236,701) (635,329) (754,137)
Rebates, administrative and other fees (66,843) (127,904) (234,217) (362,042)
Product returns (4,805) (6,187) (18,059) (22,721)
Discounts and allowances (8,471) (11,343) (28,654) (35,095)
Advertising, promotions and others (2,072) (1,788) (8,161) (5,015)
Revenues, net $ 165,625 $ 202,428 $ 540,632 $ 654,988