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Accrued and Other Current Liabilities | 3 Months Ended
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Mar. 31, 2024
Payables and Accruals [Abstract] |
Accrued and Other Current Liabilities | Note 10. Accrued and Other Current Liabilities Accrued and other current liabilities consisted of the following (in thousands):
| March 31, 2024 |  | December 31, 2023
Royalties | $ | 410,312 |  | $ | 387,362
Clinical related costs | 94,554 |  | 109,618
Sales allowances | 358,541 |  | 279,914
Sales and marketing | 41,971 |  | 37,369
Accrued Taxes | 126,762 |  | 42,295
Operating lease liabilities | 4,783 |  | 5,686
Other current liabilities | 65,345 |  | 73,325
Total accrued and other current liabilities | $ | 1,102,268 |  | $ | 935,569

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