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Inventory - Additional Information (Details) - USD ($)
$ in Thousands
Jun. 30, 2019
Dec. 31, 2018
Inventory [Line Items]    
Total inventory $ 29,270 $ 39,032
SUSTOL    
Inventory [Line Items]    
Total inventory 4,000 6,700
CINVANTI    
Inventory [Line Items]    
Total inventory $ 25,300 $ 32,300