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Accrued expenses and other current liabilities - Schedule of Accrued Expenses and Other Current Liabilities (Details) - USD ($) $ in Thousands | Mar. 31, 2026 | Dec. 31, 2025
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Payables and Accruals [Abstract] |  |
Rebates, chargebacks and returns | $ 144,524 | $ 132,780
Clinical accruals | 34,677 | 40,945
Employee related expenses | 5,229 | 16,542
Contract manufacturing | 11,138 | 17,143
Interest accruals | 1,677 | 4,193
Commercial services | 3,156 | 2,349
Other accruals | 6,987 | 5,792
Accrued expenses and other current liabilities | $ 207,388 | $ 219,744

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- Definition Carrying value as of the balance sheet date of obligations incurred and payable for Contract manufacturing. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). + References No definition available. + Details
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- Definition Carrying value as of the balance sheet date of obligations incurred and payable for clinical accruals. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). + References No definition available. + Details
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- Definition Total of the carrying values as of the balance sheet date of obligations incurred through that date and payable for obligations related to services received from employees, such as accrued salaries and bonuses, payroll taxes and fringe benefits. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 210 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(20)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1 + Details
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- Definition Carrying value as of the balance sheet date of [accrued] interest payable on all forms of debt, including trade payables, that has been incurred and is unpaid. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 210 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(20)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1 + Details
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