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Revenue - Activities and Ending Reserve Balances for Each Significant Category of Discounts and Allowances (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	$ 100,503	$ 109,723
Provision related to sales made in:
Current period	309,019	297,606
Prior period - increase (decrease)	3,509	(5,868)
Payments and customer credits issued	(278,464)	(305,348)
Activities and reserve balance, ending balance	134,567	96,113
Chargebacks and Discounts for Prompt Payment
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	42,677	29,665
Provision related to sales made in:
Current period	226,074	220,178
Prior period - increase (decrease)	(1,380)	(2,147)
Payments and customer credits issued	(217,014)	(216,130)
Activities and reserve balance, ending balance	50,357	31,566
Rebates
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	38,713	54,004
Provision related to sales made in:
Current period	45,009	38,075
Prior period - increase (decrease)	1,059	(3,165)
Payments and customer credits issued	(27,332)	(44,816)
Activities and reserve balance, ending balance	57,449	44,098
Other Fees, Co-pay Assistance and Returns
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	19,113	26,054
Provision related to sales made in:
Current period	37,936	39,353
Prior period - increase (decrease)	3,830	(556)
Payments and customer credits issued	(34,118)	(44,402)
Activities and reserve balance, ending balance	$ 26,761	$ 20,449