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Summary of Significant Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Jan. 01, 2019
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Allowance for doubtful accounts receivable $ 300    
Net product sales 34,046 $ 16,696  
Operating lease, liability 38,412    
Operating lease ROU asset 36,208    
ASU 2016-02      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Operating lease, liability     $ 17,600
Operating lease ROU asset 15,000    
U.S.      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Net product sales 9,068 0  
Ex-U.S.      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Net product sales $ 24,978 $ 16,696