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Summary of Significant Accounting Policies - Schedule of Provisions for Sales and Allowances (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Summary Of Significant Accounting Policies [Line Items] |  |  |  |
Beginning balance |  | $ 314,332 | $ 290,520 | $ 267,808
Current provisions relating to sales in current year |  | 1,060,276 | 941,506 | 790,090
Adjustments relating to prior years |  | (24,262) | (6,080) | (18,725)
Payments/credits relating to sales in current year |  | (794,250) | (658,362) | (539,251)
Payments/credits relating to sales in prior years |  | (219,669) | (253,252) | (209,402)
Ending Balance |  | 336,427 | 314,332 | 290,520
Contractual Adjustments |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |
Beginning balance | [1] | 234,414 | 226,741 | 209,760
Current provisions relating to sales in current year | [1] | 557,651 | 509,780 | 434,143
Adjustments relating to prior years | [1] | (20,562) | (8,921) | (22,019)
Payments/credits relating to sales in current year | [1] | (369,869) | (308,353) | (237,521)
Payments/credits relating to sales in prior years | [1] | (172,656) | (184,833) | (157,622)
Ending Balance | [1] | 228,978 | 234,414 | 226,741
Discounts |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |
Beginning balance | [2] | 28,690 | 26,175 | 24,150
Current provisions relating to sales in current year | [2] | 386,625 | 326,860 | 281,308
Payments/credits relating to sales in current year | [2] | (353,629) | (293,785) | (252,896)
Payments/credits relating to sales in prior years | [2] | (18,041) | (30,560) | (26,387)
Ending Balance | [2] | 43,645 | 28,690 | 26,175
Product Returns |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |
Beginning balance |  | 41,064 | 29,666 | 24,313
Current provisions relating to sales in current year |  | 28,627 | 33,417 | 15,851
Adjustments relating to prior years |  | (3,700) | 2,841 | 3,294
Payments/credits relating to sales in prior years |  | (15,484) | (24,860) | (13,792)
Ending Balance |  | 50,507 | 41,064 | 29,666
Other |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |
Beginning balance |  | 10,164 | 7,938 | 9,585
Current provisions relating to sales in current year |  | 87,373 | 71,449 | 58,788
Payments/credits relating to sales in current year |  | (70,752) | (56,224) | (48,834)
Payments/credits relating to sales in prior years |  | (13,488) | (12,999) | (11,601)
Ending Balance |  | $ 13,297 | $ 10,164 | $ 7,938
[1] | “Contractual Adjustments” include “Medicaid Rebates” and “Medicare Part D” accruals
[2] | “Discounts” in clude “Chargebacks” and “Product Discounts”

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