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Product Revenue, Net - Chargebacks, Discounts and Reserve Balances (Details)
$ in Thousands
 9 Months Ended
Sep. 30, 2023
USD ($)
Gross-to-net sales accruals and reserves  
Beginning balance $ 2,844
Provisions 20,817
Credits/payments (16,937)
Ending balance 6,724
Discounts and Chargebacks  
Gross-to-net sales accruals and reserves  
Beginning balance 142
Provisions 3,466
Credits/payments (3,262)
Ending balance 346
Rebates, Wholesaler and GPO Fees  
Gross-to-net sales accruals and reserves  
Beginning balance 1,444
Provisions 9,512
Credits/payments (7,610)
Ending balance 3,346
Copay and Returns  
Gross-to-net sales accruals and reserves  
Beginning balance 1,258
Provisions 7,839
Credits/payments (6,065)
Ending balance $ 3,032