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Revenue Recognition - Disaggregated Revenue By Major Products and Services (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Makena    
Disaggregation of Revenue [Line Items]    
Revenue $ 89,983 $ 86,455
Feraheme    
Disaggregation of Revenue [Line Items]    
Revenue 25,135 25,922
Intrarosa    
Disaggregation of Revenue [Line Items]    
Revenue 2,165 0
MuGard    
Disaggregation of Revenue [Line Items]    
Revenue 65 140
Product Revenue    
Disaggregation of Revenue [Line Items]    
Revenue 117,348 112,517
Service Revenue    
Disaggregation of Revenue [Line Items]    
Revenue $ 28,969 $ 26,931