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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, 2023	Dec. 31, 2022	Dec. 31, 2021
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	$ 100,503	$ 109,723	$ 123,398
Provision related to sales made in:
Current period	844,325	578,699	679,199
Prior period - increase (decrease)	3,807	(3,108)	(11,407)
Payments and customer credits issued	(703,750)	(584,811)	(681,467)
Activities and reserve balance, ending balance	244,885	100,503	109,723
Chargebacks and Discounts for Prompt Payment
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	42,677	29,665	40,580
Provision related to sales made in:
Current period	590,772	436,865	470,791
Prior period - increase (decrease)	(1,361)	(2,090)	(2,876)
Payments and customer credits issued	(558,135)	(421,763)	(478,830)
Activities and reserve balance, ending balance	73,953	42,677	29,665
Rebates
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	38,713	54,004	54,058
Provision related to sales made in:
Current period	143,370	68,399	113,705
Prior period - increase (decrease)	1,424	(1,050)	(4,976)
Payments and customer credits issued	(62,370)	(82,640)	(108,783)
Activities and reserve balance, ending balance	121,137	38,713	54,004
Other Fees, Co-pay Assistance and Returns
Accounts Notes And Loans Receivable
Activities and reserve balance, beginning balance	19,113	26,054	28,760
Provision related to sales made in:
Current period	110,183	73,435	94,703
Prior period - increase (decrease)	3,744	32	(3,555)
Payments and customer credits issued	(83,245)	(80,408)	(93,854)
Activities and reserve balance, ending balance	$ 49,795	$ 19,113	$ 26,054