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Accrued and Other Current Liabilities (Tables) | 12 Months Ended
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Dec. 31, 2023
Payables and Accruals [Abstract] |
Schedule of accrued and other current liabilities | Accrued and other current liabilities consisted of the following (in thousands):
| December 31,
| 2023 |  | 2022
Royalties | $ | 387,362 |  | $ | 263,466
Clinical related costs | 109,618 |  | 130,570
Sales allowances | 279,914 |  | 192,133
Sales and marketing | 37,369 |  | 31,149
Accrued taxes | 42,295 |  | 7,108
Operating lease liabilities | 5,686 |  | 8,195
Other current liabilities | 73,325 |  | 68,432
Total accrued and other current liabilities | $ | 935,569 |  | $ | 701,053

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