Revenue - Chargebacks, Discounts and Reserve Balances (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024
Gross-to-net sales accruals and reserves
Beginning balance	$ 27,288	$ 8,628
Provisions	163,570	109,857
Credits/payments	(145,435)	(91,197)
Ending balance	45,423	27,288
Net favorable adjustment from changes in prior periods' estimates	4,400
Discounts and Chargebacks
Gross-to-net sales accruals and reserves
Beginning balance	1,643	478
Provisions	23,356	15,099
Credits/payments	(23,306)	(13,934)
Ending balance	1,693	1,643
Rebates, Wholesaler and GPO Fees
Gross-to-net sales accruals and reserves
Beginning balance	14,475	4,234
Provisions	108,547	65,833
Credits/payments	(88,566)	(55,592)
Ending balance	34,456	14,475
Copay Assistance and Returns
Gross-to-net sales accruals and reserves
Beginning balance	11,170	3,916
Provisions	31,667	28,925
Credits/payments	(33,563)	(21,671)
Ending balance	$ 9,274	$ 11,170