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Summary of Significant Accounting Policies (Details)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
USD ($)
item
Dec. 31, 2024
USD ($)
item
Dec. 31, 2023
USD ($)
Mar. 31, 2021
USD ($)
Summary of Significant Accounting Policies        
Number of financial institutions holding cash, cash equivalents and short-term investments | item 2 2    
Revenue recognition        
Cost of goods sold $ 77,673 $ 60,910 $ 33,407  
Intangible assets        
Intangible asset, net 15,250 16,250   $ 20,000
Estimated life       20 years
Impairment of Long-Lived Assets        
Asset Impairment Charges 0      
Selling, General and Administrative Expense        
Advertising costs $ 12,061 $ 11,433 9,066  
Income Taxes        
Bermuda statutory income tax rate 25.00% 25.00%    
Net operating loss carryforwards - Bermuda $ 0      
Bermuda        
Income Taxes        
Bermuda statutory income tax rate 0.00%      
Net operating loss carryforwards - Bermuda $ 0      
Clinical supply agreement        
Revenue recognition        
Cost of goods sold $ 11,704 $ 15,849 $ 3,265