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Current and Long-Term Liabilities (Details) - USD ($)
$ in Thousands
Sep. 30, 2018
Dec. 31, 2017
Payables and Accruals [Abstract]    
Commercial rebates, fees and returns $ 89,157 $ 101,852
Professional, license, and other fees and expenses 21,442 23,657
Salaries, bonuses, and other compensation 23,623 15,882
Interest expense 3,533 13,525
Intrarosa-related license fees 0 10,000
Research and development expense 3,998 1,816
Total accrued expenses $ 141,753 $ 166,732