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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%