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Segment Information - Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2025
Jun. 30, 2024
Segment Reporting Information [Line Items]            
Product revenues, net $ 188,000   $ 145,276   $ 365,757 $ 290,199
Cost of product revenues (excluding intangible asset amortization) 24,143   19,955   49,103 38,905
Intangible asset amortization and impairment 55,473   34,515   110,946 69,032
Interest expense 20,463   15,587   41,253 32,926
Interest income (2,383)   (4,397)   (4,608) (8,884)
Loss on extinguishment of debt     7,184     7,184
Provision for income taxes 5,042   9,491   5,747 18,400
Net income 11,983 $ 2,417 19,606 $ 27,713 14,400 47,319
Segment            
Segment Reporting Information [Line Items]            
Product revenues, net 188,000   145,276   365,757 290,199
Cost of product revenues (excluding intangible asset amortization) 24,143   19,955   49,103 38,905
Intangible asset amortization and impairment 55,473   34,515   110,946 69,032
Commercial expenses 44,115   17,186   84,908 37,411
Corporate expenses 9,801   7,810   23,090 16,433
Medical expenses 7,832   4,807   15,865 10,021
Technical operations expenses 136   469   234 914
Stock-based compensation expense 10,818   10,012   22,342 17,487
Other segment items 577   3,051   2,477 3,051
Interest expense 20,463   15,587   41,253 32,926
Interest income (2,383)   (4,397)   (4,608) (8,884)
Loss on extinguishment of debt     7,184     7,184
Provision for income taxes 5,042   9,491   5,747 18,400
Net income $ 11,983   $ 19,606   $ 14,400 $ 47,319
Segment Reporting, Other Segment Item, Composition, Description Other segment items are primarily acquisition-related expenses, expenses related to the transition of certain of the Company’s executives, and fair value remeasurement of contingent consideration.   Other segment items are primarily acquisition-related expenses, expenses related to the transition of certain of the Company’s executives, and fair value remeasurement of contingent consideration.   Other segment items are primarily acquisition-related expenses, expenses related to the transition of certain of the Company’s executives, and fair value remeasurement of contingent consideration. Other segment items are primarily acquisition-related expenses, expenses related to the transition of certain of the Company’s executives, and fair value remeasurement of contingent consideration.