Revenue Recognition (Tables)

9 Months Ended

Sep. 30, 2020

Revenue from Contract with Customer [Abstract]

Schedule of disaggregated of revenue

The following table provides information about disaggregated revenue by product for the three and nine months ended September 30, 2020 and 2019 (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Product sales, net
Feraheme	$	46,718	$	44,205	$	120,786	$	126,294
Makena	25,860		33,949		66,079		95,483
Intrarosa	37		5,607		4,423		14,898
Other	614		23		(586)		156
Total product sales, net	$	73,229	$	83,784	$	190,702	$	236,831

Total gross product sales were offset by product sales allowances and accruals for the three and nine months ended September 30, 2020 and 2019 as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Gross product sales	$	218,739	$	254,073	$	633,475	$	704,976
Provision for product sales allowances and accruals:
Contractual adjustments	129,966		144,108		383,003		381,633
Governmental rebates	15,544		26,181		59,770		86,512
Total	145,510		170,289		442,773		468,145
Product sales, net	$	73,229	$	83,784	$	190,702	$	236,831

Schedule of product revenue allowance and accrual activity

The following table summarizes the product revenue allowance and accrual activity for the three and nine months ended September 30, 2020 (in thousands):

	Contractual		Governmental
	Adjustments		Rebates		Total
Balance at December 31, 2019	$	95,221	$	47,623	$	142,844
Provisions related to current period sales	147,235		20,982		168,217
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	$	39,935	$	145,078
Provisions related to current period sales	111,508		21,904		133,412
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	$	38,064	$	121,776
Provisions related to current period sales	129,402		17,410		146,812
Adjustments related to prior period sales	565		(1,867)		(1,302)
Payments/returns relating to current period sales	(115,634)		(14,259)		(129,893)
Payments/returns relating to prior period sales	(5,803)		(830)		(6,633)
Balance at September 30, 2020	$	92,242	$	38,518	$	130,760