Summary of Significant Accounting Policies (Details 3) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Derivative [Line Items]
Product revenues	$ 2,069,225	$ 1,889,065	$ 1,848,399
Foreign currency exchange forward contracts | Maximum
Derivative [Line Items]
Maximum typical term of foreign currency forward exchange contracts (in days)	90 days