Royalty Financing Obligations - Schedule of Royalty Financing Obligations (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($)
Royalty Montizations [Roll Forward]
Balance	$ 531,599
Non-cash Interest expense on Royalty financing obligations	14,187
Royalty revenues paid and payable	(15,212)
Balance	530,574
2020 RPI Royalty Agreement
Royalty Montizations [Roll Forward]
Balance	174,480
Non-cash Interest expense on Royalty financing obligations	9,916
Royalty revenues paid and payable	(7,842)
Balance	$ 176,554
Effective interest rate	22.30%
2021 RPI Royalty Agreement
Royalty Montizations [Roll Forward]
Balance	$ 185,345
Non-cash Interest expense on Royalty financing obligations	0
Royalty revenues paid and payable	(679)
Balance	$ 184,666
Effective interest rate	0.00%
OMERS Royalty Agreement
Royalty Montizations [Roll Forward]
Balance	$ 171,774
Non-cash Interest expense on Royalty financing obligations	4,271
Royalty revenues paid and payable	(6,691)
Balance	$ 169,354
Effective interest rate	9.80%