Royalty Financing Obligations - Schedule of Royalty Financing Obligations (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Royalties Monetizations [Line Items]
Beginning balance	$ 531,599	$ 501,655	$ 449,375
Deferred financing costs			(34)
Non-cash Interest expense on Royalty financing obligations	55,969	70,356	76,482
Royalty revenues paid and payable	(73,839)	(40,412)	(24,168)
Ending balance	513,729	531,599	501,655
2020 RPI Royalty Agreement
Royalties Monetizations [Line Items]
Beginning balance	174,480	164,981	147,224
Deferred financing costs			0
Non-cash Interest expense on Royalty financing obligations	39,585	38,267	39,994
Royalty revenues paid and payable	(33,652)	(28,768)	(22,237)
Ending balance	$ 180,413	174,480	164,981
Effective interest rate	21.50%
2021 RPI Royalty Agreement
Royalties Monetizations [Line Items]
Beginning balance	$ 185,345	173,651	153,377
Deferred financing costs			(34)
Non-cash Interest expense on Royalty financing obligations	0	14,188	22,239
Royalty revenues paid and payable	(4,205)	(2,494)	(1,931)
Ending balance	$ 181,140	185,345	173,651
Effective interest rate	0.00%
OMERS Royalty Agreement
Royalties Monetizations [Line Items]
Beginning balance	$ 171,774	163,023	148,774
Deferred financing costs			0
Non-cash Interest expense on Royalty financing obligations	16,384	17,901	14,249
Royalty revenues paid and payable	(35,982)	(9,150)	0
Ending balance	$ 152,176	$ 171,774	$ 163,023
Effective interest rate	9.90%