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Revenue Recognition (Tables)
9 Months Ended
Sep. 30, 2018
Revenue from Contract with Customer [Abstract]  
Change in Sales Allowance and Reserve The following table summarizes an analysis of the change in the government rebates for lomitapide and metreleptin for the period indicated:

 
Amount
 
(in thousands)
Balance as of December 31, 2017
$
13,471

Provision
18,530

Payments
(17,092
)
Balance as of September 30, 2018
$
14,909