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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
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