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Accrued and Other Current Liabilities (Tables)
9 Months Ended
Sep. 30, 2022
Payables and Accruals [Abstract]  
Schedule of accrued and other current liabilities
Accrued and other current liabilities consisted of the following (in thousands):
September 30,
2022
December 31,
2021
Royalties$248,455$168,412
Clinical related costs152,764109,486
Sales allowances186,112136,541
Sales and marketing31,00135,750
Construction in progress8,83627,098
Operating lease liabilities8,49210,554
Other current liabilities64,15445,754
Total accrued and other current liabilities$699,814$533,595