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Revenue - Activities and Ending Reserve Balances for Each Significant Category of Discounts and Allowances (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	$ 109,723	$ 123,398
Provision related to sales made in:
Current period	426,962	520,917
Prior period	(7,300)	(8,715)
Payments and customer credits issued	(446,720)	(516,557)
Activities and reserve balance, ending balance	82,665	119,043
Chargebacks and Discounts for Prompt Payment
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	29,665	40,580
Provision related to sales made in:
Current period	321,056	356,663
Prior period	(2,055)	(2,859)
Payments and customer credits issued	(320,022)	(362,241)
Activities and reserve balance, ending balance	28,644	32,143
Rebates
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	54,004	54,058
Provision related to sales made in:
Current period	50,939	90,965
Prior period	(5,064)	(2,821)
Payments and customer credits issued	(64,869)	(78,600)
Activities and reserve balance, ending balance	35,010	63,602
Other Fees, Co-pay Assistance and Returns
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	26,054	28,760
Provision related to sales made in:
Current period	54,967	73,289
Prior period	(181)	(3,035)
Payments and customer credits issued	(61,829)	(75,716)
Activities and reserve balance, ending balance	$ 19,011	$ 23,298