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REVENUE RECOGNITION (Tables)
 12 Months Ended
Dec. 31, 2019
Revenue from Contract with Customer [Abstract]  
Disaggregated revenue
The following table provides information about disaggregated revenue by product for the years ended December 31, 2019, 2018 and 2017 (in thousands):
 
Years Ended December 31,
 
2019
 
2018
 
2017
Product sales, net
 
 
 
 
 
Makena
$
122,064

 
$
322,265

 
$
387,158

Feraheme
167,947

 
135,001

 
105,930

Intrarosa
21,417

 
16,218

 
1,816

Other
(238
)
 
368

 
741

Total
$
311,190

 
$
473,852

 
$
495,645


Total gross product sales were offset by product sales allowances and accruals for the years ended December 31, 2019, 2018 and 2017 as follows (in thousands):
 
Years Ended December 31,
 
2019
 
2018
 
2017
Gross product sales
$
955,693

 
$
974,330

 
$
920,061

Provision for product sales allowances and accruals:
 
 
 
 
 
Contractual adjustments
530,645

 
387,540

 
310,588

Governmental rebates
113,858

 
112,938

 
113,828

Total
644,503

 
500,478

 
424,416

Product sales, net
$
311,190

 
$
473,852

 
$
495,645
Product revenue allowance and accrual activity

The following table summarizes the product revenue allowance and accrual activity for the years ended December 31, 2019, 2018 and 2017 (in thousands):
 
Contractual
 
Governmental
 
 
 
Adjustments
 
Rebates
 
Total
Balance at January 1, 2017
$
47,600

 
$
51,399

 
$
98,999

Current provisions relating to sales in current year
314,537

 
112,167

 
426,704

Adjustments relating to sales in prior years
(3,949
)
 
1,661

 
(2,288
)
Payments/returns relating to sales in current year
(253,545
)
 
(61,569
)
 
(315,114
)
Payments/returns relating to sales in prior years
(42,479
)
 
(53,060
)
 
(95,539
)
Balance at December 31, 2017
62,164

 
50,598

 
112,762

Current provisions relating to sales in current year
389,861

 
105,034

 
494,895

Adjustments relating to sales in prior years
(2,330
)
 
7,903

 
5,573

Payments/returns relating to sales in current year
(333,694
)
 
(75,920
)
 
(409,614
)
Payments/returns relating to sales in prior years
(58,802
)
 
(58,501
)
 
(117,303
)
Balance at December 31, 2018
57,199

 
29,114

 
86,313

Provisions related to current period sales
521,916

 
99,721

 
621,637

Adjustments related to prior period sales
8,774

 
14,137

 
22,911

Payments/returns relating to current period sales
(431,014
)
 
(60,218
)
 
(491,232
)
Payments/returns relating to prior period sales
(61,654
)
 
(41,435
)
 
(103,089
)
Balance at December 31, 2019
$
95,221

 
$
41,319

 
$
136,540