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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 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Accounts Notes And Loans Receivable        
Activities and reserve balance, beginning balance     $ 244,885 $ 100,503
Provision related to sales made in:        
Current period     676,006 309,019
Prior period - increase (decrease) $ 2,800 $ 3,100 4,066 3,509
Payments and customer credits issued     (673,859) (278,464)
Activities and reserve balance, ending balance 251,098 134,567 251,098 134,567
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     486,139 226,074
Prior period - increase (decrease)     (816) (1,380)
Payments and customer credits issued     (485,633) (217,014)
Activities and reserve balance, ending balance 73,643 50,357 73,643 50,357
Rebates        
Accounts Notes And Loans Receivable        
Activities and reserve balance, beginning balance     121,137 38,713
Provision related to sales made in:        
Current period     109,615 45,009
Prior period - increase (decrease)     6,145 1,059
Payments and customer credits issued     (105,986) (27,332)
Activities and reserve balance, ending balance 130,911 57,449 130,911 57,449
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     80,252 37,936
Prior period - increase (decrease)     (1,263) 3,830
Payments and customer credits issued     (82,240) (34,118)
Activities and reserve balance, ending balance $ 46,544 $ 26,761 $ 46,544 $ 26,761