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Gross-to-Net Product Sales - Reconciliation of Gross-to-Net Product Sales (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Revenue, Net [Abstract]        
Gross product sales $ 52,800 $ 68,329 $ 115,398 $ 129,828
Rebates and chargebacks (13,705) (17,772) (31,850) (34,721)
Data, distribution and GPO administrative fees (3,635) (4,920) (9,205) (9,416)
Prompt pay discount (1) (2) (1) (5)
Product returns allowance (315) 1,220 (785) 1,265
Product sales, net $ 35,144 $ 46,855 $ 73,557 $ 86,951