Revenue - Chargebacks, Discounts and Reserve Balances (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023
Gross-to-net sales accruals and reserves
Beginning balance	$ 8,628	$ 2,844
Provisions	109,857	31,335
Credits/payments	(91,197)	(25,551)
Ending balance	27,288	8,628
Discounts and chargebacks
Gross-to-net sales accruals and reserves
Beginning balance	478	142
Provisions	15,099	5,341
Credits/payments	(13,934)	(5,005)
Ending balance	1,643	478
Rebates, wholesaler and GPO fees
Gross-to-net sales accruals and reserves
Beginning balance	4,234	1,444
Provisions	65,833	15,365
Credits/payments	(55,592)	(12,575)
Ending balance	14,475	4,234
Copay assistance and returns
Gross-to-net sales accruals and reserves
Beginning balance	3,916	1,258
Provisions	28,925	10,629
Credits/payments	(21,671)	(7,971)
Ending balance	$ 11,170	$ 3,916