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Accounting Policies - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Jan. 01, 2018
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Mar. 31, 2018
Dec. 31, 2017
Product Information [Line Items]                
Cumulative adjustment to retained earnings             $ 1 $ 1,573
Product sales allowances   $ 45,036   $ 45,036   $ 25,503    
Cost of product sales   17,195 $ 7,576 45,745 $ 15,940      
Net product sales   42,624 19,786 110,885 48,630      
CINVANTI                
Product Information [Line Items]                
Net product sales   36,400 16,400 97,600 32,800      
SUSTOL                
Product Information [Line Items]                
Cost of product sales   1,700   3,300        
Net product sales   $ 6,200 $ 3,400 $ 13,300 $ 15,800      
Accounting Standards Update 2014-09                
Product Information [Line Items]                
Gross product sales $ 2,900              
Cost of product sales 200              
Accounting Standards Update 2014-09 | Product Sales Allowance                
Product Information [Line Items]                
Product sales allowances 1,100              
Retained Earnings                
Product Information [Line Items]                
Cumulative adjustment to retained earnings             $ 1 $ 1,573
Retained Earnings | Accounting Standards Update 2014-09                
Product Information [Line Items]                
Cumulative adjustment to retained earnings $ 1,600