Royalty Financing Obligations - Schedule of Royalty Financing Obligations (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Royalties Monetizations [Line Items]
Beginning balance	$ 513,729	$ 531,599	$ 501,655
Non-cash interest expense on royalty financing obligations	53,163	55,969	70,356
Royalty revenues paid and payable	(85,704)	(73,839)	(40,412)
Payment of royalty release fees	(15,500)	0	0
Ending balance	465,688	513,729	531,599
2020 RPI Royalty Agreement
Royalties Monetizations [Line Items]
Beginning balance	180,413	174,480	164,981
Non-cash interest expense on royalty financing obligations	39,240	39,585	38,267
Royalty revenues paid and payable	(37,267)	(33,652)	(28,768)
Payment of royalty release fees	(12,827)
Ending balance	$ 169,559	180,413	174,480
Effective interest rate	23.40%
2021 RPI Royalty Agreement
Royalties Monetizations [Line Items]
Beginning balance	$ 181,140	185,345	173,651
Non-cash interest expense on royalty financing obligations	0	0	14,188
Royalty revenues paid and payable	(6,296)	(4,205)	(2,494)
Payment of royalty release fees	(2,173)
Ending balance	$ 172,671	181,140	185,345
Effective interest rate	0.00%
OMERS Royalty Agreement
Royalties Monetizations [Line Items]
Beginning balance	$ 152,176	171,774	163,023
Non-cash interest expense on royalty financing obligations	13,923	16,384	17,901
Royalty revenues paid and payable	(42,141)	(35,982)	(9,150)
Payment of royalty release fees	(500)
Ending balance	$ 123,458	$ 152,176	$ 171,774
Effective interest rate	10.30%