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Revenues, Recognition and Allowances (Details 2) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Revenue from Contract with Customer [Abstract]        
Gross Company product sales $ 40,111 $ 53,460 $ 124,801 $ 174,504
Deduction to gross product sales:        
Chargebacks and billbacks 10,739 30,954 49,103 105,059
Wholesaler fees for service 1,662 1,511 2,774 5,715
Sales discounts and other allowances 11,335 11,559 28,636 26,174
Total reduction to gross product sales 23,736 44,024 80,513 136,948
Company product sales, net $ 16,375 $ 9,436 $ 44,288 $ 37,556