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Segment Information - Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Sep. 30, 2025
Sep. 30, 2024
Segment Reporting Information [Line Items]                
Product revenues, net $ 209,361     $ 159,301     $ 575,118 $ 449,500
Cost of product revenues (excluding intangible asset amortization) 24,717     21,706     73,820 60,611
Intangible asset amortization and impairment 55,473     40,801     166,419 109,833
Interest expense 21,767     18,394     63,020 51,320
Interest income (3,116)     (3,280)     (7,724) (12,164)
Loss on extinguishment of debt       4,145       11,329
Provision for income taxes 11,929     6,245     17,676 24,645
Net income 31,507 $ 11,983 $ 2,417 9,335 $ 19,606 $ 27,713 45,907 56,654
Segment                
Segment Reporting Information [Line Items]                
Product revenues, net 209,361     159,301     575,118 449,500
Cost of product revenues (excluding intangible asset amortization) 24,717     21,706     73,820 60,611
Intangible asset amortization and impairment 55,473     40,801     166,419 109,833
Commercial expenses 36,931     20,076     121,839 57,487
Corporate expenses 10,905     7,796     33,995 24,229
Medical expenses 7,775     6,516     23,640 16,537
Technical operations expenses 129     364     363 1,278
Stock-based compensation expense 9,811     7,317     32,153 24,804
Other segment items 1,533     19,886     4,010 22,937
Interest expense 21,767     18,394     63,020 51,320
Interest income (3,116)     (3,280)     (7,724) (12,164)
Loss on extinguishment of debt       4,145       11,329
Provision for income taxes 11,929     6,245     17,676 24,645
Net income $ 31,507     $ 9,335     $ 45,907 $ 56,654
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.