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Accrued and Other Current Liabilities (Details) - USD ($) $ in Thousands | Sep. 30, 2025 | Dec. 31, 2024
--- | --- | ---
Accrued and Other Current Liabilities |  |  |
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 | [1]
[1] | The condensed consolidated balance sheet at December 31, 2024 has been derived from the audited consolidated financial statements at that date.

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