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Basis of Presentation and Summary of Significant Accounting Policies (Details ) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Provision for U.S. product sales allowances and accruals        
Gross U.S. product sales $ 136,589 $ 40,493 $ 262,106 $ 72,154
Contractual adjustments 39,251 17,801 74,385 31,774
Governmental Rebates 12,686 208 25,654 373
Total provision for U.S product sales allowances and accruals 51,937 18,009 100,039 32,147
U.S. products sales, net 84,652 $ 22,484 $ 162,067 $ 40,007
Medicaid reserves adjustments relating to Makena 4,000      
Chargeback reserves adjustments relating Makena $ 1,900