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Organization and Significant Accounting Policies - Cost of Goods Sold (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Nov. 04, 2019
Jul. 01, 2019
May 02, 2019
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Cost of Goods Sold              
Royalty payment term   5 years          
Inventory write-offs, net       $ 26,000 $ 26,000 $ 5,133 $ 2,171
Bioeq IP AG              
Cost of Goods Sold              
Percentage of gross profits shared 50.00%   50.00%