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Summary of Significant Accounting Policies - Customers Who Represent 10% or More of Total Revenues or Accounts Receivable Balances (Details) - facility
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Sales Revenue, Goods, Net | Customer Concentration Risk | AmerisourceBergen Drug Corporation      
Concentrations and Significant Customer Information      
Concentration risk, including less than and more than 10% (percent) 27.00% 26.00% 27.00%
Sales Revenue, Goods, Net | Customer Concentration Risk | McKesson Corporation      
Concentrations and Significant Customer Information      
Concentration risk, including less than and more than 10% (percent) 26.00% 24.00% 14.00%
Sales Revenue, Goods, Net | Customer Concentration Risk | Caremark, LLC      
Concentrations and Significant Customer Information      
Concentration risk, including less than and more than 10% (percent) 10.00% 10.00% 10.00%
Accounts Receivable | Customer Concentration Risk | Three Customers      
Concentrations and Significant Customer Information      
Concentration risk, including less than and more than 10% (percent) 73.00%    
Accounts Receivable | Customer Concentration Risk | Two Customers      
Concentrations and Significant Customer Information      
Concentration risk, including less than and more than 10% (percent)   57.00%  
Feraheme      
Concentrations and Significant Customer Information      
Number of production facilities 2