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Revision of Prior Period Financial Statements - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 48 Months Ended 51 Months Ended
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Mar. 31, 2020
Jul. 01, 2020
Jan. 01, 2019
Error Corrections and Prior Period Adjustments Restatement [Line Items]                    
Royalty obligation $ 13,340     $ 21,105 $ 55,426 $ 63,871        
Increase to accumulated deficit $ 1,046,667 $ 1,056,369     $ 1,046,667   $ 1,015,201      
Revision of Prior Period, Error Correction, Adjustment                    
Error Corrections and Prior Period Adjustments Restatement [Line Items]                    
Governmental rebates   (2,800)         $ (6,300) $ (6,300)    
Royalty obligation   200 $ 200              
Increase to accumulated deficit   $ 5,216             $ 5,200 $ 5,100
Revision of Prior Period, Error Correction, Adjustment | Revision Period One                    
Error Corrections and Prior Period Adjustments Restatement [Line Items]                    
Governmental rebates     1,800              
Revision of Prior Period, Error Correction, Adjustment | Revision Period Two                    
Error Corrections and Prior Period Adjustments Restatement [Line Items]                    
Governmental rebates     $ (2,800)