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Commitments and Contingencies - Censa agreement (Details) - USD ($) $ in Thousands |  | 3 Months Ended | 9 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | --- | ---
Aug. 05, 2025 | Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Aug. 31, 2025 | Jul. 31, 2025 | Dec. 31, 2024 | May 05, 2020
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Revenue |  | $ 211,007 | $ 196,786 | $ 1,565,978 | $ 593,608 |  |  |  |
Milestone Payable |  | 32,500 | 50,000 | 32,500 | 50,000 |  |  | $ 11,025 |
Product |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Revenue |  | 130,956 | $ 135,421 | 402,711 | $ 446,245 |  |  |  |
Rights Satisfaction Agreement |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Payment of upfront consideration | $ 225,100 |  |  |  |  |  |  |  |
Additional milestone obligated to be paid | 90,000 |  |  |  |  |  |  |  |
Maximum amount of upfront consideration | 250,000 |  |  |  |  | $ 225,100 |  |  |
Maximum amount of additional milestone payable | 100,000 |  |  |  |  |  |  |  |
Additional milestone payable for right holders | $ 500,000 |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | Annual net sales less than or equal to $250 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Percentage on annual net sales | 8.00% |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | Annual net sales greater than $250 million but less than $500 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Percentage on annual net sales | 10.00% |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | Annual net sales greater than $500 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Percentage on annual net sales | 12.00% |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | First occurrence of a three or fewer consecutive calendar year period |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Threshold consecutive calendar period | 3 years |  |  |  |  |  |  |  |
Amount of net sales of product | $ 3,000,000 |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | First occurrence of a five or fewer consecutive calendar year period |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Threshold consecutive calendar period | 5 years |  |  |  |  |  |  |  |
Amount of net sales of product | $ 5,000,000 |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | First occurrence of a seven or fewer consecutive calendar year period |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Threshold consecutive calendar period | 7 years |  |  |  |  |  |  |  |
Amount of net sales of product | $ 7,000,000 |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | First occurrence of a nine or fewer consecutive calendar year period |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Threshold consecutive calendar period | 9 years |  |  |  |  |  |  |  |
Amount of net sales of product | $ 9,000,000 |  |  |  |  |  |  |  |
Rights Satisfaction Agreement | First occurrence of a eleven or fewer consecutive calendar year period |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Threshold consecutive calendar period | 11 years |  |  |  |  |  |  |  |
Amount of net sales of product | $ 11,000,000 |  |  |  |  |  |  |  |
Minimum | Rights Satisfaction Agreement | Product | Annual net sales greater than $250 million but less than $500 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Revenue | 250,000 |  |  |  |  |  |  |  |
Minimum | Rights Satisfaction Agreement | Product | Annual net sales greater than $500 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Revenue | 500,000 |  |  |  |  |  |  |  |
Maximum | Rights Satisfaction Agreement | Product | Annual net sales less than or equal to $250 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Revenue | 250,000 |  |  |  |  |  |  |  |
Maximum | Rights Satisfaction Agreement | Product | Annual net sales greater than $250 million but less than $500 million |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Revenue | $ 500,000 |  |  |  |  |  |  |  |
Censa |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Asset acquisition, development and regulatory milestones |  |  |  |  |  |  |  |  | $ 109,000
Censa | Censa Merger Agreement |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Milestone Payable |  | $ 32,500 |  | 32,500 |  |  | $ 32,500 |  |
Censa | Maximum |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Asset acquisition, milestone, amount |  |  |  |  |  |  |  |  | 217,500
Asset acquisition, net sales milestone |  |  |  |  |  |  |  |  | $ 160,000
Former Censa Securityholders | Development and Regulatory Milestones |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Milestone obligation payments made |  |  |  | 120,000 |  |  |  |  |
Potential milestone payments due |  |  |  | $ 217,500 |  |  |  |  |
Former Censa Securityholders | Rights Satisfaction Agreement |  |  |  |  |  |  |  |  |
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] |  |  |  |  |  |  |  |  |
Ownership percentage prior to merger | 90.00% |  |  |  |  |  |  |  |

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