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Summary of Significant Accounting Policies and Use of Estimates - Additional Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Jan. 01, 2018
Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Increase (decrease) in retained earnings due to revenue recognition $ (599,886)   $ (502,107)
Cash and equivalents maturities period 3 months    
FUSILEV, MARQIBO, and BELEODAQ [Member]      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Number of months after expiration customers are allowed to return products 6 months    
EVOMELA [Member]      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Number of months after expiration customers are allowed to return products 12 months    
Number of months prior to product expiration during which customer can return product 6 months    
Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Accounting Standards Update 2014-09 [Member]      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Increase (decrease) in retained earnings due to revenue recognition $ (3,087) $ 4,700