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Revenue Recognition - Schedule of Product Sales Allowances and Accruals (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Allowance for Doubtful Accounts Receivable [Roll Forward]    
Provision related to current period sales $ 900 $ 100
Rayaldee    
Allowance for Doubtful Accounts Receivable [Roll Forward]    
Beginning balance 0  
Provision related to current period sales 3,413  
Credits or payments made (2,395)  
Ending balance 1,018 0
Total gross Rayaldee sales $ 12,482  
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales 27.00%  
Chargebacks, discounts, rebates and fees | Rayaldee    
Allowance for Doubtful Accounts Receivable [Roll Forward]    
Beginning balance $ 0  
Provision related to current period sales 1,591  
Credits or payments made (1,358)  
Ending balance 233 0
Governmental | Rayaldee    
Allowance for Doubtful Accounts Receivable [Roll Forward]    
Beginning balance 0  
Provision related to current period sales 1,332  
Credits or payments made (984)  
Ending balance 348 0
Returns | Rayaldee    
Allowance for Doubtful Accounts Receivable [Roll Forward]    
Beginning balance 0  
Provision related to current period sales 490  
Credits or payments made (53)  
Ending balance $ 437 $ 0