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Commitments and Contingencies - Additional Information (Detail)
€ in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Dec. 27, 2023
USD ($)
ConsecutiveMonth
Feb. 28, 2023
USD ($)
Jun. 30, 2022
USD ($)
Nov. 30, 2021
USD ($)
Mar. 31, 2024
USD ($)
Mar. 31, 2023
USD ($)
Dec. 31, 2023
USD ($)
Mar. 31, 2024
EUR (€)
Jul. 01, 2013
USD ($)
Commitments And Contingencies [Line Items]                  
Operating lease costs         $ 348,000 $ 422,000      
Financing liability         104,100,000   $ 104,100,000    
Financing liability, long term         94,207,000   94,319,000    
Financing liability, short term         $ 9,872,000   9,809,000    
Supply Agreement expiration period         Dec. 31, 2034        
Supply Agreement renewal period         2 years        
Milestone liabilities         $ 3,452,000   3,452,000    
Returns reserve for acquired product [1]         $ 1,633,000   601,000    
Effective interest rate         11.10%        
Cash paid for interest on financing liability         $ 2,400,000 $ 2,400,000      
Loss on purchase commitments | €               € 58.9  
Insulin                  
Commitments And Contingencies [Line Items]                  
Loss on purchase commitments         62,700,000   64,800,000    
Tyvaso DPI                  
Commitments And Contingencies [Line Items]                  
Royalty commencement date Oct. 01, 2023                
Royalty termination date Dec. 31, 2042                
Equipment | V-Go                  
Commitments And Contingencies [Line Items]                  
Lease Cost     $ 14,370            
Master Lease Agreement with Enterprise | Vehicle Leases                  
Commitments And Contingencies [Line Items]                  
Operating lease rent expenses         100,000        
Marlborough Lease | Buildings                  
Commitments And Contingencies [Line Items]                  
Operating lease rent expenses     $ 28,895            
Percentage of annual increase in lease payment     3.00%            
Casper L L C                  
Commitments And Contingencies [Line Items]                  
Sale price       $ 102,300,000          
Lease initial term       20 years          
Lease renewal options       renewal options of five years          
Lessee,option to extend [true false]       true          
Operating lease costs       $ 9,500,000          
Lease, description       The total annual rent under the Lease starts at approximately $9.5 million per year, subject to a 50% rent abatement during the first year of the Lease, and will increase annually by (i) 2.5% in the second through fifth year of the Lease and (ii) 3% in the sixth and each subsequent year of the Lease, including any renewal term.          
Security deposit       $ 2,000,000.0          
Lease repurchase description       the Company has four options to repurchase the Property, in 2026, 2031, 2036 and 2041, for the greater of (i) $102.3 million and (ii) the fair market value of the Property.          
Accrued Expenses And Other Current Liabilities                  
Commitments And Contingencies [Line Items]                  
Returns reserve for acquired product         1,200,000        
Minimum | Casper L L C                  
Commitments And Contingencies [Line Items]                  
Lease repurchase, amount       $ 102,300,000          
Deerfield | Milestone Rights Liability                  
Commitments And Contingencies [Line Items]                  
Contingent liability remain payable                 $ 55,000,000
Remaining milestone rights liability         3,900,000   3,900,000    
Milestone rights liability, current         800,000   800,000    
Milestone liabilities         $ 3,100,000   3,100,000    
Deerfield | Milestone Rights Liability | Maximum                  
Commitments And Contingencies [Line Items]                  
Contingent liability for milestone payments                 $ 90,000,000
Russell Ranch Road II LLC | Office Lease                  
Commitments And Contingencies [Line Items]                  
Operating lease rent expenses   $ 79,543              
Percentage of annual increase in lease payment   3.00%              
Description of right to extension of lease term         The Company has no further right to extend the lease term beyond July 31, 2028.        
Russell Ranch Road II LLC | Maximum | Office Lease                  
Commitments And Contingencies [Line Items]                  
Reimbursement for tenant improvements   $ 900,000              
Additional base rent concession   $ 700,000              
Sagard                  
Commitments And Contingencies [Line Items]                  
Upfront proceeds $ 150,000,000                
Reimbursements $ 400,000                
Percentage of royalty on future net sales 1.00%                
Sagard | Tyvaso DPI                  
Commitments And Contingencies [Line Items]                  
Purchase price $ 200,000,000                
Sagard | Net Sales Threshold A | Tyvaso DPI                  
Commitments And Contingencies [Line Items]                  
Milestone payment 50,000,000                
Net sales 1,900,000,000                
Sagard | Net Sales Threshold B | Tyvaso DPI                  
Commitments And Contingencies [Line Items]                  
Milestone payment 45,000,000                
Net sales $ 2,300,000,000                
Number of consecutive months | ConsecutiveMonth 12                
Sagard | Net Sales Thresholds A and B | Tyvaso DPI                  
Commitments And Contingencies [Line Items]                  
Net sales $ 3,500,000,000                
Sagard | Remainder of Year                  
Commitments And Contingencies [Line Items]                  
Royalties $ 0                
Sagard | Royalty Liability                  
Commitments And Contingencies [Line Items]                  
Royalty rights 1.00%                
Transaction costs $ 4,400,000                
Percentage of Future Royalty Revenues 10.00%                
Effective interest rate         1110.00%        
Non-cash interest expense         $ 4,200,000        
Non-cash revenue recognized         2,300,000   $ 2,100,000    
Amortization of transaction costs         $ 100,000        
[1] See Note 14 Commitments and Contingencies.