Royalty Financing Obligations - Schedule of Royalty Financing Obligations (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2025 USD ($)
Royalty Montizations [Roll Forward]
Balance	$ 513,729
Non-cash Interest expense on Royalty financing obligations	13,514
Royalty revenues paid and payable	(26,325)
Balance	500,918
2020 RPI Royalty Agreement
Royalty Montizations [Roll Forward]
Balance	180,413
Non-cash Interest expense on Royalty financing obligations	9,756
Royalty revenues paid and payable	(11,818)
Balance	$ 178,351
Effective interest rate	21.60%
2021 RPI Royalty Agreement
Royalty Montizations [Roll Forward]
Balance	$ 181,140
Non-cash Interest expense on Royalty financing obligations	0
Royalty revenues paid and payable	(1,021)
Balance	$ 180,119
Effective interest rate	0.00%
OMERS Royalty Agreement
Royalty Montizations [Roll Forward]
Balance	$ 152,176
Non-cash Interest expense on Royalty financing obligations	3,758
Royalty revenues paid and payable	(13,486)
Balance	$ 142,448
Effective interest rate	10.00%