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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 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 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     995,147 539,609
Prior period - increase (decrease) $ 300 $ 1,100 4,364 4,634
Payments and customer credits issued     (1,028,139) (476,854)
Activities and reserve balance, ending balance 216,257 167,892 216,257 167,892
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     727,028 387,238
Prior period - increase (decrease)     (969) (1,375)
Payments and customer credits issued     (747,070) (379,076)
Activities and reserve balance, ending balance 52,942 49,464 52,942 49,464
Rebates        
Accounts Notes And Loans Receivable        
Activities and reserve balance, beginning balance     121,137 38,713
Provision related to sales made in:        
Current period     150,820 83,009
Prior period - increase (decrease)     6,343 1,540
Payments and customer credits issued     (159,737) (42,097)
Activities and reserve balance, ending balance 118,563 81,165 118,563 81,165
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     117,299 69,362
Prior period - increase (decrease)     (1,010) 4,469
Payments and customer credits issued     (121,332) (55,681)
Activities and reserve balance, ending balance $ 44,752 $ 37,263 $ 44,752 $ 37,263