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Accounts payable and accrued expenses - Narrative (Details) - USD ($) $ in Thousands	Sep. 30, 2021	Dec. 31, 2020
Payables and Accruals [Abstract]
Employee compensation, benefits, and related accruals	$ 39,367	$ 53,291
Income tax payable		4,315
Consulting and contracted research	22,553	18,250
Professional fees	5,174	3,614
Sales allowance	60,980	54,327
Sales rebates	67,056	63,774
Royalties	27,928	16,575
Accounts payable	21,462	18,665
Other	7,809	9,357
Accounts payable and accrued expenses	$ 252,329	$ 242,168

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Sum of the carrying values as of the balance sheet date of obligations incurred through that date and due within one year (or the operating cycle, if longer), including liabilities incurred (and for which invoices have typically been received) and payable to vendors for goods and services received, taxes, interest, rent and utilities, accrued salaries and bonuses, payroll taxes and fringe benefits.

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Carrying value as of the balance sheet date of liabilities incurred (and for which invoices have typically been received) and payable to vendors for goods and services received that are used in an entity's business. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer).

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