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Gross to Net Product Sales - Reconciliation of Gross to Net Product Sales (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Sales Revenue Net [Abstract]        
Gross product sales $ 57,521 $ 105,442 $ 100,494 $ 187,271
Government rebates and chargebacks (20,364) (29,824) (31,083) (49,273)
Data, distribution and GPO fees (5,704) (9,542) (10,046) (13,470)
Prompt pay discount (13) (1,447) (105) (2,606)
Product returns allowance 774 998 2,299 491
Net product sales $ 32,213 $ 65,627 $ 61,559 $ 122,411