Revenue Recognition - Summarize Activity of the Net Product Revenue Allowance and Reserve Categories (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	$ 282,226	$ 190,824
Provision related to current period sales	802,115	852,420
Provision related to prior period sales	592	(2,034)
Credits/payments made for current period sales	(628,406)	(583,437)
Credits/payments made for prior period sales	(265,006)	(175,547)
Ending balance	191,521	282,226
Trade Allowances
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	86,636	36,242
Provision related to current period sales	96,340	121,378
Credits/payments made for current period sales	(54,952)	(36,473)
Credits/payments made for prior period sales	(83,398)	(34,511)
Ending balance	44,626	86,636
Rebates, Chargebacks and Discounts
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	184,756	141,200
Provision related to current period sales	676,816	684,010
Provision related to prior period sales	592	(2,034)
Credits/payments made for current period sales	(548,783)	(504,210)
Credits/payments made for prior period sales	(177,288)	(134,210)
Ending balance	136,093	184,756
Product Returns
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	8,089	7,798
Provision related to current period sales	2,347	1,531
Credits/payments made for prior period sales	(1,690)	(1,240)
Ending balance	8,746	8,089
Other Incentives
Valuation And Qualifying Accounts Disclosure [Line Items]
Beginning balance	2,745	5,584
Provision related to current period sales	26,612	45,501
Credits/payments made for current period sales	(24,671)	(42,754)
Credits/payments made for prior period sales	(2,630)	(5,586)
Ending balance	$ 2,056	$ 2,745