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Restructuring (Tables)
3 Months Ended
Mar. 31, 2019
Restructuring and Related Activities [Abstract]  
Schedule of restructuring reserve by type of cost
The liability related to the 2017 Generic Pharmaceuticals Restructuring Initiative is primarily included in Accounts payable and accrued expenses in the Condensed Consolidated Balance Sheets. Changes to this liability during the three months ended March 31, 2019 were as follows (in thousands):
 
Employee Separation and Other Benefit-Related Costs
 
Other Restructuring Costs
 
Total
Liability balance as of January 1, 2019
$
4,239

 
$
48

 
$
4,287

Cash distributions
(2,827
)
 
(48
)
 
(2,875
)
Liability balance as of March 31, 2019
$
1,412

 
$

 
$
1,412

Substantially all cash payments are expected to be made by the end of the third quarter in 2019.