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Summary of Quarterly Consolidated Financial Data (Unaudited) - Summary of Unaudited Quarterly Results of Operations (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Revenues:                      
Net product sales $ 35,083 $ 42,624 $ 36,659 $ 31,602 $ 28,844 $ 19,786 $ 17,277 $ 11,567 $ 145,968 $ 77,474 $ 30,767
Cost of product sales (15,874) (17,195) (13,588) (14,962) (11,572) (7,576) (5,231) (3,133) (61,619) (27,512) (4,588)
Gross Profit 19,209 25,429 23,071 16,640 17,272 12,210 12,046 8,434      
Operating expenses:                      
Research and development 48,277 34,708 41,425 42,972 39,891 30,421 30,159 39,561 167,382 140,032 138,582
General and administrative 9,874 8,597 9,778 9,648 8,738 7,288 6,209 7,028 37,897 29,263 25,554
Sales and marketing 20,420 16,977 23,647 28,720 19,957 16,281 14,531 13,835 89,764 64,604 56,601
Loss from operations (59,362) (34,853) (51,779) (64,700) (51,314) (41,780) (38,853) (51,990) (210,694) (183,937) (194,558)
Other income (expense), net 1,442 1,258 1,557 1,688 1,755 3,434 183 (275) 5,945 5,097 (2,926)
Net loss $ (57,920) $ (33,595) $ (50,222) $ (63,012) $ (49,559) $ (38,346) $ (38,670) $ (52,265) $ (204,749) $ (178,840) $ (197,484)
Basic and diluted net loss per share $ (0.65) $ (0.42) $ (0.63) $ (0.80) $ (0.63) $ (0.49) $ (0.54) $ (0.81) $ (2.50) $ (2.44) $ (3.65)