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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

X

- Definition

Amount before valuation and LIFO reserves of completed merchandise or goods expected to be sold within one year or operating cycle, if longer.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 210
-SubTopic 10
-Name Accounting Standards Codification
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- Definition

Amount of loss recognized on firm purchase commitment for inventory.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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-SubTopic 10
-Topic 330
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- Definition

Amount after valuation and LIFO reserves of inventory expected to be sold, or consumed within one year or operating cycle, if longer.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 852
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Gross amount of unprocessed materials to be used in manufacturing or production process and supplies that will be consumed.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition

Amount before valuation and LIFO reserves of merchandise or goods in the production process expected to be completed within one year or operating cycle, if longer.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition

Amount of loss from reductions in inventory due to subsequent measurement adjustments, including, but not limited to, physical deterioration, obsolescence, or changes in price levels.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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