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Revenue Recognition - Summarize Activity of the Net Product Revenue Allowance and Reserve Categories (Detail) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	$ 191,521	$ 282,197
Provision related to current period sales	613,701	584,945
Provision related to prior period sales	(15,257)	1,167
Credits/payments made for current period sales	(485,808)	(406,425)
Credits/payments made for prior period sales	(119,913)	(263,543)
Ending balance	184,244	198,341
Trade Allowances
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	44,626	86,636
Provision related to current period sales	67,003	71,164
Credits/payments made for current period sales	(30,450)	(26,746)
Credits/payments made for prior period sales	(42,389)	(83,398)
Ending balance	38,790	47,656
Rebates, Chargebacks and Discounts
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	136,093	184,726
Provision related to current period sales	531,700	490,995
Provision related to prior period sales	(15,113)	1,167
Credits/payments made for current period sales	(442,673)	(360,256)
Credits/payments made for prior period sales	(75,297)	(176,107)
Ending balance	134,710	140,525
Product Returns
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	8,746	8,090
Provision related to current period sales	1,634	1,738
Provision related to prior period sales	(250)
Credits/payments made for current period sales	(953)
Credits/payments made for prior period sales	(1,219)	(1,408)
Ending balance	7,958	8,420
Other Incentives
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	2,056	2,745
Provision related to current period sales	13,364	21,048
Provision related to prior period sales	106
Credits/payments made for current period sales	(11,732)	(19,423)
Credits/payments made for prior period sales	(1,008)	(2,630)
Ending balance	$ 2,786	$ 1,740