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Inventories (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Raw materials and supplies $ 45,752   $ 45,752   $ 47,051
Work in process 37,555   37,555   37,257
Finished goods 16,933   16,933   12,523
Total inventory, net 100,240   100,240   $ 96,831
Inventory adjustment to reflect net realizable value $ 6,100   17,000    
Enoxaparin          
Inventory, Firm Purchase Commitment, Loss     $ 3,500 $ 4,200  
ANP | Crude Heparin          
Inventory adjustment to reflect net realizable value   $ 2,500   $ 12,700