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Goodwill and Intangible Assets - Intangible Assets (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]    
Cost $ 1,286,896 $ 1,200,535
Accumulated Amortization (361,665) (199,857)
Net 925,231 1,000,678
In-process research and development 379,395 382,075
Intangible assets, cost 1,666,291 1,582,610
Intangible assets, net 1,304,626 1,382,753
In-process research and development    
Finite-Lived Intangible Assets [Line Items]    
Accumulated Amortization $ 0 0
Product rights    
Finite-Lived Intangible Assets [Line Items]    
Weighted- Average Amortization Period (in years) 9 years  
Cost $ 1,153,096 1,197,535
Accumulated Amortization (328,587) (198,857)
Net $ 824,509 998,678
Other intangible assets    
Finite-Lived Intangible Assets [Line Items]    
Weighted- Average Amortization Period (in years) 5 years 8 months 12 days  
Cost $ 133,800 3,000
Accumulated Amortization (33,078) (1,000)
Net $ 100,722 $ 2,000