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Revenue - Activities and Ending Reserve Balances for Each Significant Category of Discounts and Allowances (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance $ 244,885 $ 100,503
Provision related to sales made in:    
Current period 322,410 121,509
Prior period - increase (decrease) 1,305 390
Payments and customer credits issued (344,035) (131,968)
Activities and reserve balance, ending balance 224,565 90,434
Chargebacks and Discounts for Prompt Payment    
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance 73,953 42,677
Provision related to sales made in:    
Current period 223,619 93,906
Prior period - increase (decrease) (504) (738)
Payments and customer credits issued (228,278) (101,108)
Activities and reserve balance, ending balance 68,790 34,737
Rebates    
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance 121,137 38,713
Provision related to sales made in:    
Current period 56,432 13,000
Prior period - increase (decrease) 1,399 (701)
Payments and customer credits issued (74,958) (14,243)
Activities and reserve balance, ending balance 104,010 36,769
Other Fees, Co-pay Assistance and Returns    
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance 49,795 19,113
Provision related to sales made in:    
Current period 42,359 14,603
Prior period - increase (decrease) 410 1,829
Payments and customer credits issued (40,799) (16,617)
Activities and reserve balance, ending balance $ 51,765 $ 18,928