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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