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Segment Information - Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting Information [Line Items]                      
Product revenues, net $ 181,949 $ 159,301 $ 145,276 $ 144,923 $ 149,745 $ 136,709 $ 135,546 $ 144,767 $ 631,449 $ 566,767 $ 463,933
Cost of product revenues (excluding intangible asset amortization) 28,190 21,706 19,955 18,950 20,601 20,081 24,257 29,899 88,801 94,838 118,190
Intangible asset amortization and impairment 55,471 40,801 34,515 34,517 34,514 36,317 37,463 37,466 165,304 145,760 136,255
Total stock-based compensation expense                 32,400 27,136 22,874
Interest expense 22,654 18,394 15,587 17,339 19,281 20,768 21,863 21,427 73,974 83,339 63,213
Interest income (1,812) (3,280) (4,397) (4,487) (4,303) (4,538) (4,027) (2,747) (13,976) (15,615) (1,047)
Loss on extinguishment of debt   4,145 7,184         (23,504) 11,329 23,504  
Provision for (benefit from) income taxes 4,733 6,245 9,491 8,909 14,770 8,149 4,790 (131) 29,378 27,578 (3,845)
Net income (loss) $ 12,536 $ 9,335 $ 19,606 $ 27,713 $ 31,940 $ 20,634 $ 13,007 $ (17,426) $ 69,190 $ 48,155 $ (25,002)
Segment Reporting, Other Segment Item, Composition, Description                 Other segment expenses are primarily acquisition-related expenses, expenses related to the Company’s CEO transition, litigation settlements, and fair value remeasurement of contingent consideration. Other segment expenses are primarily acquisition-related expenses, expenses related to the Company’s CEO transition, litigation settlements, and fair value remeasurement of contingent consideration. Other segment expenses are primarily acquisition-related expenses, expenses related to the Company’s CEO transition, litigation settlements, and fair value remeasurement of contingent consideration.
Segment                      
Segment Reporting Information [Line Items]                      
Product revenues, net                 $ 631,449 $ 566,767 $ 463,933
Cost of product revenues (excluding intangible asset amortization)                 88,801 94,838 118,190
Intangible asset amortization and impairment                 165,304 145,760 136,255
Commercial expenses                 91,225 68,513 68,831
Corporate expenses                 33,702 32,322 33,915
Medical expenses                 23,905 20,737 16,991
Technical operations expenses                 1,751 2,000 2,261
Total stock-based compensation expense                 32,400 27,136 22,874
Other segment items                 24,466 8,500 31,297
Interest expense                 73,974 83,339 63,213
Interest income                 (13,976) (15,615) (1,047)
Loss on extinguishment of debt                 11,329 23,504  
Provision for (benefit from) income taxes                 29,378 27,578 (3,845)
Net income (loss)                 $ 69,190 $ 48,155 $ (25,002)