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Revenue, Credit Concentrations and Geographic Information - Total Net Product Revenue Concentrations Attributed to Largest Customers (Detail) - Customer Concentration Risk - Net Product Revenue
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Customer A, B, & C        
Concentration Risk [Line Items]        
Concentration risk, percentage 47.00% 41.00% 41.00% 41.00%
Customer A        
Concentration Risk [Line Items]        
Concentration risk, percentage 20.00% 16.00% 17.00% 15.00%
Customer B        
Concentration Risk [Line Items]        
Concentration risk, percentage 16.00% 14.00% 14.00% 14.00%
Customer C        
Concentration Risk [Line Items]        
Concentration risk, percentage 11.00% 11.00% 10.00% 12.00%