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Revenue Recognition (Analysis of the Chargeback Provision) (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Revenue $ 180,556 $ 120,129 $ 466,290 $ 363,964  
Beginning balance     26,606 20,167 $ 20,167
Provision for chargebacks and rebates     200,317 147,899  
Credits and payments issued to third parties     (201,650) (144,233)  
Ending balance 25,273 23,833 25,273 23,833 26,606
Research and development services | ANP          
Revenue $ 800 $ 800 2,100 $ 2,100  
Accounts Receivable, Net          
Provision for chargebacks and rebates     18,900   20,500
Accounts Payable and Accrued Liabilities          
Provision for chargebacks and rebates     $ 6,400   $ 6,100