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Revenue Recognition and Accounts Receivable - Additional Information (Detail) € in Millions | 3 Months Ended | 12 Months Ended |
--- | --- | --- | ---
Dec. 31, 2018 USD ($) | Sep. 30, 2018 USD ($) | Jun. 30, 2018 USD ($) | Mar. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) | Sep. 30, 2017 USD ($) | Jun. 30, 2017 USD ($) | Mar. 31, 2017 USD ($) | Dec. 31, 2018 USD ($) | Dec. 31, 2018 EUR (€) | Dec. 31, 2017 USD ($) | Dec. 31, 2017 EUR (€) | Dec. 31, 2016 USD ($) | Dec. 31, 2016 EUR (€) | Jan. 01, 2018 USD ($)
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Marketing service fees |  |  |  |  |  |  |  |  | $ 57,453,000 |  | $ 60,285,000 |  | $ 54,136,000 |  |
Cost of sales | $ 25,626,000 | $ 24,020,000 | $ 22,835,000 | $ 24,147,000 | $ 23,562,000 | $ 23,717,000 | $ 23,177,000 | $ 22,581,000 | 96,628,000 |  | 93,037,000 |  | 87,853,000 |  |
Sale of receivables |  |  |  |  |  |  |  |  | 11,500,000 | € 9.8 | 11,200,000 | € 9.8 | 11,100,000 | € 10.0 |
Estimated related fee |  |  |  |  |  |  |  |  | 300,000 |  | 300,000 |  | 400,000 |  |
Other Contract Assets [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other contract assets impairment |  |  |  |  |  |  |  |  | 0 |  | 0 |  |  |  |
Other Long-Term Assets [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other contract assets | $ 1,900,000 |  |  |  | $ 1,000,000.0 |  |  |  | 1,900,000 |  | 1,000,000.0 |  |  |  |
Shipping and Handling Costs [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cost of sales |  |  |  |  |  |  |  |  | 2,700,000 |  | $ 3,000,000.0 |  | $ 2,000,000.0 |  |
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Marketing service fees |  |  |  |  |  |  |  |  | $ 57,500,000 |  |  |  |  |  |
Marketing service fee as percentage of segment revenues |  |  |  |  |  |  |  |  | 96.00% | 96.00% |  |  |  |  |
Topic 606 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net increase to opening retained earnings due to cumulative impact of adoption |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 4,800,000
Cost of sales |  |  |  |  |  |  |  |  | $ 96,628,000 |  |  |  |  |  |

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