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Segment Information - Financial Information by Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Revenues, net:    
Revenues, net $ 165,871 $ 184,063
Gross Profit:    
Total gross profit 53,513 82,228
Operating expenses 118,996 107,643
OPERATING (LOSS) (65,483) (25,415)
Other expenses, net (15,278) (10,612)
(LOSS) BEFORE INCOME TAXES (80,761) (36,027)
Prescription Pharmaceuticals    
Revenues, net:    
Revenues, net 148,015 164,302
Gross Profit:    
Total gross profit 45,443 73,508
Consumer Health    
Revenues, net:    
Revenues, net 17,856 19,761
Gross Profit:    
Total gross profit $ 8,070 $ 8,720