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Significant Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Revenue Recognition        
Increase in Net product sales $ 3,725   $ 5,965  
Selling, marketing and administrative expenses 41,825 $ 39,300 115,783 $ 114,656
Shipping and Handling        
Revenue Recognition        
Selling, marketing and administrative expenses $ 15,442 $ 17,997 $ 42,897 $ 49,662