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Accrued Expenses (Details) - USD ($) $ in Thousands	Sep. 30, 2021	Dec. 31, 2020
Payables and Accruals [Abstract]
Legal costs	$ 8,102	$ 24,797
Commissions to sales agents	1,809	2,141
Estimated returns	797	688
Accrued clinical trials	792	651
Accrued GPO fees	496	554
Accrued rebates	584	886
Other	1,112	743
Total	$ 13,692	$ 30,460

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