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Revenue - Activities and Ending Reserve Balances for Each Significant Category of Discounts and Allowances (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance $ 109,723 $ 123,398 $ 87,147
Provision related to sales made in:      
Current period 578,699 679,199 692,564
Prior period (3,108) (11,407) (11,062)
Payments and customer credits issued (584,811) (681,467) (645,251)
Activities and reserve balance, ending balance 100,503 109,723 123,398
Chargebacks and Discounts for Prompt Payment      
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance 29,665 40,580 35,159
Provision related to sales made in:      
Current period 436,865 470,791 462,328
Prior period (2,090) (2,876) (1,336)
Payments and customer credits issued (421,763) (478,830) (455,571)
Activities and reserve balance, ending balance 42,677 29,665 40,580
Rebates      
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance 54,004 54,058 27,494
Provision related to sales made in:      
Current period 68,399 113,705 115,864
Prior period (1,050) (4,976) (3,438)
Payments and customer credits issued (82,640) (108,783) (85,862)
Activities and reserve balance, ending balance 38,713 54,004 54,058
Other Fees, Co-pay Assistance and Returns      
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance 26,054 28,760 24,494
Provision related to sales made in:      
Current period 73,435 94,703 114,372
Prior period 32 (3,555) (6,288)
Payments and customer credits issued (80,408) (93,854) (103,818)
Activities and reserve balance, ending balance $ 19,113 $ 26,054 $ 28,760