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Product Revenues, Net - Allowance for Credit Loss (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Contract With Customer, Asset, Allowance For Credit Loss [Roll Forward]    
Balance at beginning $ 19,796 $ 8,398
Allowances for current period sales 46,328 36,862
Allowances for prior period sales (118) 5,316
Payments and credits (40,347) (30,780)
Ending balance 25,659 19,796
Customer Credits, Fees and Discounts    
Contract With Customer, Asset, Allowance For Credit Loss [Roll Forward]    
Balance at beginning 14,232 3,122
Allowances for current period sales 12,494 13,125
Allowances for prior period sales 0 5,787
Payments and credits (11,244) (7,802)
Ending balance 15,482 14,232
Rebates, Chargebacks and Co-pay Assistance    
Contract With Customer, Asset, Allowance For Credit Loss [Roll Forward]    
Balance at beginning 5,564 5,276
Allowances for current period sales 33,834 23,737
Allowances for prior period sales (118) (471)
Payments and credits (29,103) (22,978)
Ending balance $ 10,177 $ 5,564