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Accrued and Other Current Liabilities (Details) - USD ($) $ in Thousands | Sep. 30, 2024 | Dec. 31, 2023
--- | --- | ---
Accrued and Other Current Liabilities |  |  |
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 | [1]
[1] | The condensed consolidated balance sheet at December 31, 2023 has been derived from the audited consolidated financial statements at that date.

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