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Accrued and Other Current Liabilities (Tables) | 9 Months Ended
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Sep. 30, 2025
Payables and Accruals [Abstract] |
Schedule of Accrued and Other Current Liabilities | Accrued and other current liabilities consisted of the following (in thousands):
| September 30, 2025 |  | December 31, 2024
Royalties | $ | 36,937 |  | $ | 519,881
Clinical related costs | 157,684 |  | 132,446
Sales allowances | 599,863 |  | 438,053
Sales and marketing | 48,912 |  | 33,439
Accrued taxes | 5,512 |  | 23,781
Operating lease liabilities | 5,895 |  | 5,583
Other current liabilities | 93,636 |  | 58,865
Total accrued and other current liabilities | $ | 948,439 |  | $ | 1,212,048

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