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Inventories (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | 12 Months Ended
--- | --- | --- | ---
Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022 | Dec. 31, 2022
Raw materials and supplies |  | $ 55,180 |  | $ 47,607
Work in process |  | 28,293 |  | 37,090
Finished goods |  | 26,505 |  | 18,887
Total inventory, net |  | 109,978 |  | 103,584
Inventory adjustment to reflect net realizable value | $ 5,500 | $ 9,600 | $ 14,100 |
Enoxaparin |  |  |  |
Inventory, Firm Purchase Commitment, Loss |  |  | $ 700 | $ 2,700

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