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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
Mar. 31, 2023
Mar. 31, 2022
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance $ 100,503 $ 109,723
Provision related to sales made in:    
Current period 121,509 146,294
Prior period 390 (3,146)
Payments and customer credits issued (131,968) (154,281)
Activities and reserve balance, ending balance 90,434 98,590
Chargebacks and Discounts for Prompt Payment    
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance 42,677 29,665
Provision related to sales made in:    
Current period 93,906 105,737
Prior period (738) (1,081)
Payments and customer credits issued (101,108) (107,625)
Activities and reserve balance, ending balance 34,737 26,696
Rebates    
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance 38,713 54,004
Provision related to sales made in:    
Current period 13,000 20,269
Prior period (701) (1,721)
Payments and customer credits issued (14,243) (24,216)
Activities and reserve balance, ending balance 36,769 48,336
Other Fees, Co-pay Assistance and Returns    
Accounts Notes And Loans Receivable    
Activities and reserve balance, beginning balance 19,113 26,054
Provision related to sales made in:    
Current period 14,603 20,288
Prior period 1,829 (344)
Payments and customer credits issued (16,617) (22,440)
Activities and reserve balance, ending balance $ 18,928 $ 23,558