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Gross-to-Net Product Sales - Reconciliation of Gross-to-Net Product Sales (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Revenue, Net [Abstract]        
Gross product sales $ 61,513 $ 44,713 $ 175,963 $ 160,111
Commercial rebates and government chargebacks (26,167) (12,515) (67,389) (44,364)
Data and distribution fees, GPO fees, and inventory management fees (4,234) (3,503) (10,235) (12,709)
Prompt pay discounts (300) (15) (380) (16)
Product returns allowance (540) (223) (1,558) (1,008)
Net product sales $ 30,272 $ 28,457 $ 96,401 $ 102,014