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Commitments and Contingencies - Additional Information (Detail)
€ in Millions
3 Months Ended 9 Months Ended 12 Months Ended
Jul. 31, 2014
EUR (€)
Jun. 30, 2016
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2016
EUR (€)
Dec. 31, 2015
USD ($)
Sep. 30, 2016
EUR (€)
Jul. 01, 2013
USD ($)
Commitments and Contingencies [Line Items]              
Purchase commitment amount under Insulin Supply Agreement | € € 120.1            
Purchase obligation | €           € 92.4  
Purchase obligation, due in 2016 | €           € 6.1  
Purchase commitment cancellation fees     $ 5,300,000        
Other commitments with other suppliers     900,000        
Foreign currency transaction loss     3,035,000        
Purchase obligation, purchased amount | €       € 6.1      
Loss on purchase commitments     71,600,000   $ 66,200,000    
Increase (decrease) in loss on purchase commitments     $ 5,400,000        
Supply Agreement expiration period     Dec. 31, 2019 Dec. 31, 2019      
Supply Agreement renewal period     2 years 2 years      
Insulin Put              
Commitments and Contingencies [Line Items]              
Purchase obligation     $ 50,000,000        
Increase (decrease) in loss on purchase commitments     9,200,000        
Proceeds from the exercise of the Insulin Put Option   $ 9,200,000          
Other Materials              
Commitments and Contingencies [Line Items]              
Increase (decrease) in loss on purchase commitments     $ (1,100,000)        
Deerfield | Milestone Rights Liability | Maximum              
Commitments and Contingencies [Line Items]              
Contingent liability for milestone payments             $ 90,000,000