Revenue - Chargebacks, Discounts and Reserve Balances (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($)
Gross-to-net sales accruals and reserves
Beginning balance	$ 8,628
Provisions	19,015
Credits/payments	(13,530)
Ending balance	14,113
Discounts and Chargebacks
Gross-to-net sales accruals and reserves
Beginning balance	478
Provisions	2,644
Credits/payments	(2,467)
Ending balance	655
Rebates, Wholesaler and GPO Fees
Gross-to-net sales accruals and reserves
Beginning balance	4,234
Provisions	9,525
Credits/payments	(7,211)
Ending balance	6,548
Copay and Returns
Gross-to-net sales accruals and reserves
Beginning balance	3,916
Provisions	6,846
Credits/payments	(3,852)
Ending balance	$ 6,910