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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
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Dec. 31, 2024 | Dec. 31, 2023
Accounts Notes And Loans Receivable |  |
Activities and reserve balance, beginning balance | $ 244,885 | $ 100,503
Provision related to sales made in: |  |
Current period | 1,246,921 | 844,325
Prior period - increase (decrease) | 3,830 | 3,807
Payments and customer credits issued | (1,219,991) | (703,750)
Activities and reserve balance, ending balance | 275,645 | 244,885
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 | 912,079 | 590,772
Prior period - increase (decrease) | (990) | (1,361)
Payments and customer credits issued | (874,264) | (558,135)
Activities and reserve balance, ending balance | 110,778 | 73,953
Rebates |  |
Accounts Notes And Loans Receivable |  |
Activities and reserve balance, beginning balance | 121,137 | 38,713
Provision related to sales made in: |  |
Current period | 189,309 | 143,370
Prior period - increase (decrease) | 7,391 | 1,424
Payments and customer credits issued | (194,099) | (62,370)
Activities and reserve balance, ending balance | 123,738 | 121,137
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 | 145,533 | 110,183
Prior period - increase (decrease) | (2,571) | 3,744
Payments and customer credits issued | (151,628) | (83,245)
Activities and reserve balance, ending balance | $ 41,129 | $ 49,795

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