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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, 2024
Dec. 31, 2023
Dec. 31, 2022
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance $ 244,885 $ 100,503 $ 109,723
Provision related to sales made in:      
Current period 1,246,921 844,325 578,699
Prior period - increase (decrease) 3,830 3,807 (3,108)
Payments and customer credits issued (1,219,991) (703,750) (584,811)
Activities and reserve balance, ending balance 275,645 244,885 100,503
Chargebacks and Discounts for Prompt Payment      
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance 73,953 42,677 29,665
Provision related to sales made in:      
Current period 912,079 590,772 436,865
Prior period - increase (decrease) (990) (1,361) (2,090)
Payments and customer credits issued (874,264) (558,135) (421,763)
Activities and reserve balance, ending balance 110,778 73,953 42,677
Rebates      
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance 121,137 38,713 54,004
Provision related to sales made in:      
Current period 189,309 143,370 68,399
Prior period - increase (decrease) 7,391 1,424 (1,050)
Payments and customer credits issued (194,099) (62,370) (82,640)
Activities and reserve balance, ending balance 123,738 121,137 38,713
Other Fees, Co-pay Assistance and Returns      
Accounts Notes And Loans Receivable      
Activities and reserve balance, beginning balance 49,795 19,113 26,054
Provision related to sales made in:      
Current period 145,533 110,183 73,435
Prior period - increase (decrease) (2,571) 3,744 32
Payments and customer credits issued (151,628) (83,245) (80,408)
Activities and reserve balance, ending balance $ 41,129 $ 49,795 $ 19,113