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Revenue Recognition
6 Months Ended
Jun. 30, 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 product for the three and six months ended June 30, 2020 and 2019 (in thousands):
 Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Product sales, net  
Feraheme$29,635  $42,074  $74,068  $82,089  
Makena22,325  30,593  45,888  61,534  
Intrarosa1,216  4,877  4,385  9,291  
Other(447) 90  (1,199) 133  
Total product sales, net$52,729  $77,634  $123,142  $153,047  

Total gross product sales were offset by product sales allowances and accruals for the three and six months ended June 30, 2020 and 2019 as follows (in thousands):
 Three Months Ended June 30,Six Months Ended June 30,
 2020201920202019
Gross product sales$181,995  $239,185  $414,735  $450,904  
Provision for product sales allowances and accruals:    
Contractual adjustments109,861  128,641  253,036  237,526  
Governmental rebates19,405  32,910  38,557  60,331  
Total129,266  161,551  291,593  297,857  
Product sales, net$52,729  $77,634  $123,142  $153,047  
The following table summarizes the product revenue allowance and accrual activity for the three and six months ended June 30, 2020 (in thousands):
 ContractualGovernmental 
 AdjustmentsRebatesTotal
Balance at December 31, 2019$95,221  $47,623  $142,844  
Provisions related to current period sales147,235  18,175  165,410  
Adjustments related to prior period sales(4,060) 976  (3,084) 
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  $37,128  $142,271  
Provisions related to current period sales111,508  19,041  130,549  
Adjustments related to prior period sales(634) 378  (256) 
Payments/returns relating to current period sales(112,821) (13,913) (126,734) 
Payments/returns relating to prior period sales(19,484) (10,240) (29,724) 
Balance at June 30, 2020$83,712  $32,394  $116,106