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Accounts Receivable, Sales and Allowances - Summary of Adjustments to Gross Sales (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Receivables [Abstract]                      
Gross sales                 $ 1,887,862 $ 2,351,071 $ 2,891,267
Less adjustments for:                      
Chargebacks                 (830,038) (953,326) (1,218,560)
Rebates, administrative fees and others                 (297,802) (476,601) (463,724)
Product returns                 (20,162) (26,874) (28,285)
Discounts and allowances                 (36,933) (45,292) (55,494)
Advertising, promotions, and others                 (8,909) (7,933) (8,361)
Revenues, net $ 153,386 $ 165,625 $ 190,944 $ 184,063 $ 186,057 $ 202,428 $ 199,140 $ 253,420 $ 694,018 $ 841,045 $ 1,116,843