v3.26.3
Revenue Recognition - Schedule of Major Categories of Sales-Related Deductions (Details)
$ in Thousands
 9 Months Ended
Sep. 30, 2026
USD ($)
Contract Charge - Backs and Sales Volume Allowances  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance, beginning of period $ 801,186
Provision related to sales recorded in the period 3,161,376
Credits/payments issued during the period (3,427,057)
Balance, end of period 535,505
Cash Discount Allowances  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance, beginning of period 40,992
Provision related to sales recorded in the period 107,663
Credits/payments issued during the period (116,413)
Balance, end of period 32,242
Accrued Returns Allowance  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance, beginning of period 179,471
Provision related to sales recorded in the period 60,770
Credits/payments issued during the period (48,728)
Balance, end of period 191,513
Accrued Medicaid and Commercial Rebates  
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]  
Balance, beginning of period 119,486
Provision related to sales recorded in the period 135,010
Credits/payments issued during the period (184,184)
Balance, end of period $ 70,312