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Inventory - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Business Acquisition [Line Items]        
Inventory amounts written down $ 8,500 $ 2,900 $ 18,608 $ 5,968
Keryx Biopharmaceuticals, Inc.        
Business Acquisition [Line Items]        
Inventory step-up charges $ 1,400 $ 8,100 $ 7,400 $ 10,900