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Summary of Significant Accounting Policies - Additional Information (Detail)
12 Months Ended 223 Months Ended
Aug. 16, 2022
Aug. 09, 2022
Dec. 31, 2023
USD ($)
segment
installment
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2023
Dec. 31, 2020
shares
Dec. 31, 2019
shares
Significant Accounting Policies [Line Items]                
Number of operating segments | segment     1          
Impairment losses recognized     $ 0          
Effective tax rate     (0.50%) 0.00% 0.00%      
Percentage of investment qualified for investment tax credit (as a percent) 15.00% 25.00%            
Average annual adjusted income     $ 1,000,000,000          
Assumed expected dividend rate     0.00% 0.00% 0.00%      
RSUs                
Significant Accounting Policies [Line Items]                
Service period (in years)     3 years          
Number of equal installments | installment     3          
2018 Equity Incentive Plan                
Significant Accounting Policies [Line Items]                
Additional shares of common stock reserved for future equity grants (in shares) | shares             6,500,000  
CAPLYTA                
Significant Accounting Policies [Line Items]                
Advertising costs     $ 92,200,000 $ 85,800,000 $ 82,500,000      
Three Major Industry Wholesalers | Accounts Receivable | Customer Concentration Risk                
Significant Accounting Policies [Line Items]                
Concentration risk (as a percent)     97.00% 97.00%        
Customer One | Accounts Receivable | Customer Concentration Risk                
Significant Accounting Policies [Line Items]                
Concentration risk (as a percent)     36.00% 39.00%        
Customer Two | Accounts Receivable | Customer Concentration Risk                
Significant Accounting Policies [Line Items]                
Concentration risk (as a percent)     32.00% 30.00%        
Customer Three | Accounts Receivable | Customer Concentration Risk                
Significant Accounting Policies [Line Items]                
Concentration risk (as a percent)     29.00% 28.00%        
Minimum                
Significant Accounting Policies [Line Items]                
Property and equipment, estimated useful life (in years)     3 years     3 years    
Minimum | Product | Bristol-Myers Squibb Company                
Significant Accounting Policies [Line Items]                
Royalty payment (as a percent)     5.00%     5.00%    
Maximum                
Significant Accounting Policies [Line Items]                
Property and equipment, estimated useful life (in years)     5 years     5 years    
Maximum | Inducement Award Plan                
Significant Accounting Policies [Line Items]                
Issuance of shares, inducement award plan (in shares) | shares               1,000,000
Maximum | Product | Bristol-Myers Squibb Company                
Significant Accounting Policies [Line Items]                
Royalty payment (as a percent)     9.00%     9.00%