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Summary of Significant Accounting Policies and Use of Estimates (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Jan. 01, 2018
Accounting Policies [Line Items]      
Increase (decrease) in retained earnings due to revenue recognition $ (619,041) $ (599,886)  
FUSILEV, MARQIBO, and BELEODAQ [Member]      
Accounting Policies [Line Items]      
Number of months customers are allowed to return products 6 months    
EVOMELA [Member]      
Accounting Policies [Line Items]      
Number of months 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]      
Accounting Policies [Line Items]      
Increase (decrease) in retained earnings due to revenue recognition     $ 4,700