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Debt - Narrative (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
May 31, 2014
Debt Instrument [Line Items]            
Loss on extinguishment of debt     $ 0 $ 4,876 $ 0  
Term Loan | Second Amendment [Member]            
Debt Instrument [Line Items]            
Repayments of debt $ 20,000          
Loss on extinguishment of debt 1,500          
Write-off of unamortized debt issuance costs and discount $ 1,900          
Endo Ventures manufacturing and supply agreement            
Debt Instrument [Line Items]            
Notes payable   $ 7,000        
Endo Ventures manufacturing and supply agreement | Notes payable            
Debt Instrument [Line Items]            
Notes payable           $ 7,000
Imputed interest on working capital advance           $ 4,700
Write-off of unamortized discount   $ 3,400