Quarterly report pursuant to Section 13 or 15(d)

Revenue Recognition - Schedule of Disaggregation of Revenue (Details)

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Revenue Recognition - Schedule of Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Disaggregation of Revenue [Line Items]        
Total gross Rayaldee sales $ 263,685 $ 292,601 $ 518,598 $ 558,981
Healthcare insurers        
Disaggregation of Revenue [Line Items]        
Total gross Rayaldee sales 92,033 104,366 192,986 217,062
Government payers        
Disaggregation of Revenue [Line Items]        
Total gross Rayaldee sales 72,459 80,037 139,595 157,090
Client payers        
Disaggregation of Revenue [Line Items]        
Total gross Rayaldee sales 45,828 42,961 83,357 76,900
Patients        
Disaggregation of Revenue [Line Items]        
Total gross Rayaldee sales 5,735 6,548 11,431 11,404
Services        
Disaggregation of Revenue [Line Items]        
Total gross Rayaldee sales $ 216,055 $ 233,912 $ 427,369 $ 462,456