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Revenue Recognition
3 Months Ended
Mar. 31, 2020
Revenue from Contract with Customer [Abstract]  
Revenue Recognition REVENUE RECOGNITION
Product Revenue and Allowances and Accruals

The following table provides information about disaggregated revenue by products for the three months ended March 31, 2020 and 2019 (in thousands):
 Three Months Ended March 31,
20202019
Product sales, net
Feraheme$44,433  $40,015  
Makena21,777  31,257  
Intrarosa3,169  4,414  
Other(751) 43  
Total product sales, net$68,628  $75,729  

Total gross product sales were offset by product sales allowances and accruals for the three months ended March 31, 2020 and 2019 as follows (in thousands):
 Three Months Ended March 31,
 20202019
Gross product sales$232,741  $211,718  
Provision for product sales allowances and accruals:  
Contractual adjustments143,175  108,884  
Governmental rebates20,938  27,105  
Total164,113  135,989  
Product sales, net$68,628  $75,729  

The following table summarizes the product revenue allowance and accrual activity for the three months ended March 31, 2020 (in thousands):
 ContractualGovernmental 
 AdjustmentsRebatesTotal
Balance at December 31, 2019$95,221  $41,319  $136,540  
Provisions related to current period sales147,235  18,175  165,410  
Adjustments related to prior period sales(4,060) 2,762  (1,298) 
Payments/returns relating to current period sales(95,284) —  (95,284) 
Payments/returns relating to prior period sales(37,969) (29,646) (67,615) 
Balance at March 31, 2020$105,143  $32,610  $137,753