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REVENUE RECOGNITION (Tables)
 12 Months Ended
Dec. 31, 2019
Revenue from Contract with Customer [Abstract]  
Disaggregated revenue
The following table provides information about disaggregated revenue by product for the years ended December 31, 2019, 2018 and 2017 (in thousands):
 
Years Ended December 31,
 
2019
 
2018
 
2017
Product sales, net
 
 
 
 
 
Makena
$
120,859

 
$
320,311

 
$
385,356

Feraheme
167,947

 
135,001

 
105,930

Intrarosa
21,417

 
16,218

 
1,816

Other
(238
)
 
368

 
741

Total
$
309,985

 
$
471,898

 
$
493,843


Total gross product sales were offset by product sales allowances and accruals for the years ended December 31, 2019, 2018 and 2017 as follows (in thousands):
 
Years Ended December 31,
 
2019
 
2018
 
2017
Gross product sales
$
955,693

 
$
974,330

 
$
920,061

Provision for product sales allowances and accruals:
 
 
 
 
 
Contractual adjustments
530,645

 
387,540

 
310,588

Governmental rebates
115,063

 
114,892

 
115,630

Total
645,708

 
502,432

 
426,218

Product sales, net
$
309,985

 
$
471,898

 
$
493,843
Product revenue allowance and accrual activity

The following table summarizes the product revenue allowance and accrual activity for the years ended December 31, 2019, 2018 and 2017 (in thousands):
 
Contractual
 
Governmental
 
 
 
Adjustments
 
Rebates
 
Total
Balance at January 1, 2017
$
47,600

 
$
52,741

 
$
100,341

Current provisions relating to sales in current year
314,537

 
113,969

 
428,506

Adjustments relating to sales in prior years
(3,949
)
 
1,661

 
(2,288
)
Payments/returns relating to sales in current year
(253,545
)
 
(61,569
)
 
(315,114
)
Payments/returns relating to sales in prior years
(42,479
)
 
(53,060
)
 
(95,539
)
Balance at December 31, 2017
62,164

 
53,742

 
115,906

Current provisions relating to sales in current year
389,861

 
106,988

 
496,849

Adjustments relating to sales in prior years
(2,330
)
 
7,903

 
5,573

Payments/returns relating to sales in current year
(333,694
)
 
(75,920
)
 
(409,614
)
Payments/returns relating to sales in prior years
(58,802
)
 
(58,501
)
 
(117,303
)
Balance at December 31, 2018
57,199

 
34,212

 
91,411

Provisions related to current period sales
521,916

 
100,926

 
622,842

Adjustments related to prior period sales
8,774

 
14,137

 
22,911

Payments/returns relating to current period sales
(431,014
)
 
(60,218
)
 
(491,232
)
Payments/returns relating to prior period sales
(61,654
)
 
(41,435
)
 
(103,089
)
Balance at December 31, 2019
$
95,221

 
$
47,622

 
$
142,843