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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, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024
Accounts Notes And Loans Receivable |  |  |  |
Activities and reserve balance, beginning balance |  |  | $ 275,645 | $ 244,885
Provision related to sales made in: |  |  |  |
Current period |  |  | 271,602 | 995,147
Prior period - increase (decrease) | $ (8,700) | $ 300 | (13,877) | 4,364
Payments and customer credits issued |  |  | (463,544) | (1,028,139)
Activities and reserve balance, ending balance | 69,826 | 216,257 | 69,826 | 216,257
Chargebacks and Discounts for Prompt Payment |  |  |  |
Accounts Notes And Loans Receivable |  |  |  |
Activities and reserve balance, beginning balance |  |  | 110,778 | 73,953
Provision related to sales made in: |  |  |  |
Current period |  |  | 194,158 | 727,028
Prior period - increase (decrease) |  |  | (3,439) | (969)
Payments and customer credits issued |  |  | (298,681) | (747,070)
Activities and reserve balance, ending balance | 2,816 | 52,942 | 2,816 | 52,942
Rebates |  |  |  |
Accounts Notes And Loans Receivable |  |  |  |
Activities and reserve balance, beginning balance |  |  | 123,738 | 121,137
Provision related to sales made in: |  |  |  |
Current period |  |  | 45,607 | 150,820
Prior period - increase (decrease) |  |  | (8,908) | 6,343
Payments and customer credits issued |  |  | (106,627) | (159,737)
Activities and reserve balance, ending balance | 53,810 | 118,563 | 53,810 | 118,563
Other Fees, Co-pay Assistance and Returns |  |  |  |
Accounts Notes And Loans Receivable |  |  |  |
Activities and reserve balance, beginning balance |  |  | 41,129 | 49,795
Provision related to sales made in: |  |  |  |
Current period |  |  | 31,837 | 117,299
Prior period - increase (decrease) |  |  | (1,530) | (1,010)
Payments and customer credits issued |  |  | (58,236) | (121,332)
Activities and reserve balance, ending balance | $ 13,200 | $ 44,752 | $ 13,200 | $ 44,752

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