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Commitments and Contingencies (Details) (USD $)
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Operating Leases [Abstract]      
2014 $ 2,071,000    
2015 1,845,000    
2016 1,892,000    
2017 1,609,000    
Operating Leases, Total 7,417,000    
Rent expense 3,458,000 2,980,000 2,524,000
Recorded Unconditional Purchase Obligation [Line Items]      
Purchase obligation, due in next twelve months 4,691,000 0  
Clinical Research Study Obligations [Member]
     
Recorded Unconditional Purchase Obligation [Line Items]      
Purchase obligation, due in next twelve months 3,530,000    
Purchase obligation 4,705,000    
Pre Clinical Research Study Obligations [Member]
     
Recorded Unconditional Purchase Obligation [Line Items]      
Purchase obligation, due in next twelve months 23,000    
Minimum Purchase Obligation, Supply Agreement [Member]
     
Recorded Unconditional Purchase Obligation [Line Items]      
Minimum purchase obligations, total 850,000    
Minimum purchase obligations due within one year $ 850,000