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Summary of Significant Accounting Policies (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | Jan. 01, 2019
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |
Allowance for doubtful accounts receivable | $ 200 |  | $ 200 |  |
Net product sales | 48,768 | $ 20,596 | 126,944 | $ 58,601 |
Operating lease, liability | 56,042 |  | 56,042 |  |
Operating lease ROU asset | 35,814 |  | 35,814 |  |
ASU 2016-02 |  |  |  |  |
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |
Operating lease, liability |  |  |  |  | $ 17,600
Operating lease ROU asset | 17,600 |  | 17,600 |  |
U.S. |  |  |  |  |
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |
Net product sales | 15,411 | 757 | 36,660 | 757 |
Ex-U.S. |  |  |  |  |
New Accounting Pronouncements or Change in Accounting Principle [Line Items] |  |  |  |  |
Net product sales | $ 33,357 | $ 19,839 | $ 90,284 | $ 57,844 |

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