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Accrued and Other Current Liabilities | 9 Months Ended
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Sep. 30, 2023
Payables and Accruals [Abstract] |
Accrued and Other Current Liabilities | Note 9. Accrued and Other Current Liabilities Accrued and other current liabilities consisted of the following (in thousands):
| September 30, 2023 |  | December 31, 2022
Royalties | $ | 354,947 |  | $ | 263,466
Clinical related costs | 100,282 |  | 130,570
Sales allowances | 231,885 |  | 192,133
Sales and marketing | 36,697 |  | 31,149
Construction in progress | 11 |  | 3,493
Operating lease liabilities | 6,181 |  | 8,195
Other current liabilities | 90,604 |  | 72,047
Total accrued and other current liabilities | $ | 820,607 |  | $ | 701,053

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