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Revenues - Activities and Ending Reserve Balances for Significant Categories of Discounts and Allowances (Details)
$ in Thousands
 6 Months Ended
Jun. 30, 2023
USD ($)
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance at December 31, 2022 $ 77,231
Provision related to sales made in:  
Current period 314,765
Prior periods (3,316)
Payments and customer credits issued (315,961)
Balance at June 30, 2023 72,719
Chargebacks, Discounts for Prompt Payment and Other  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance at December 31, 2022 26,881
Provision related to sales made in:  
Current period 197,777
Prior periods 311
Payments and customer credits issued (204,736)
Balance at June 30, 2023 20,233
Other Customer Credits/Fees and Co-pay Assistance  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance at December 31, 2022 14,924
Provision related to sales made in:  
Current period 27,990
Prior periods (1,113)
Payments and customer credits issued (27,119)
Balance at June 30, 2023 14,682
Rebates  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance at December 31, 2022 35,426
Provision related to sales made in:  
Current period 88,998
Prior periods (2,514)
Payments and customer credits issued (84,106)
Balance at June 30, 2023 $ 37,804