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Accrued and Other Current Liabilities (Tables) | 9 Months Ended
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Sep. 30, 2024
Payables and Accruals [Abstract] |
Schedule of Accrued and Other Current Liabilities | Accrued and other current liabilities consisted of the following (in thousands):
| September 30, 2024 |  | December 31, 2023
Royalties | $ | 491,054 |  | $ | 387,362
Clinical related costs | 120,560 |  | 109,618
Sales allowances | 381,695 |  | 279,914
Sales and marketing | 40,601 |  | 37,369
Accrued taxes | 33,150 |  | 42,295
Operating lease liabilities | 4,352 |  | 5,686
Other current liabilities | 56,539 |  | 73,325
Total accrued and other current liabilities | $ | 1,127,951 |  | $ | 935,569

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