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Goodwill and Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]    
Cost $ 953,855 $ 874,755
Accumulated Amortization 417,576 259,130
Impairments 319,246 319,246
Total 217,033 296,379
Total intangible assets    
Cost 953,855 953,855
Impairments 319,246 319,246
Net 217,033 375,479
Makena | Developed technology rights    
Finite-Lived Intangible Assets [Line Items]    
Cost 797,100 797,100
Accumulated Amortization 400,495 255,754
Impairments 319,246 319,246
Total 77,359 222,100
Makena auto-injector developed technology | Developed technology rights    
Finite-Lived Intangible Assets [Line Items]    
Cost 79,100 0
Accumulated Amortization 6,952 0
Impairments 0 0
Total 72,148 0
Intrarosa | Developed technology rights    
Finite-Lived Intangible Assets [Line Items]    
Cost 77,655 77,655
Accumulated Amortization 10,129 3,376
Impairments 0 0
Total 67,526 74,279
Makena IPR&D    
Indefinite-lived Intangible Assets [Line Items]    
Cost 0 79,100
Impairments 0 0
Net $ 0 $ 79,100