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Accrued and other liabilities Increase (Decrease) in Other Accrued Liabilities Schedule of Allowance Activity Included in Trade Receivables Includes Allowance for Doubtful Accounts, Prompt Pay Cash Discounts and Chargebacks Financing Receivable, Current, Allowance for Credit Loss [Table Text Block] Insider Trading Policies and Procedures Adopted Insider Trading Policies and Procedures Adopted [Flag] Capitalized research and patent costs Deferred Tax Assets Deferred Expense Capitalized Research And Development Costs Deferred tax assets deferred expense capitalized research and development costs. Issuance of common stock under incentive award plan (in shares) Issuance of common stock upon exercise of options (in shares) Options exercised (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period Finished goods Inventory Finished Goods Current And Noncurrent Inventory, finished goods, current and noncurrent. 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Document Type Document Type Deposits for clinical trials Deposits For Clinical Trials Deposits For Clinical Trials Commercial paper Commercial Paper [Member] Pension Benefits Adjustments, Footnote Pension Benefits Adjustments, Footnote [Text Block] Total Shareholder Return Vs Peer Group Total Shareholder Return Vs Peer Group [Text Block] Cost per share (in dollars per share) Shares Acquired, Average Cost Per Share Document Annual Report Document Annual Report Purchases of marketable securities Payments to Acquire Marketable Securities Weighted average remaining contractual life, Options exercisable Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term Short-term marketable securities Short Term Marketable Securities [Member] Short Term Marketable Securities [Member] Restricted stock vested (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period Amortized Cost Debt Securities, Available-for-Sale, Amortized Cost Risk-free interest rate Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate Maximum Maximum [Member] Preferred stock, par value $0.001 per share, 10,000 shares authorized and no shares outstanding as of December 31, 2024 and December 31, 2023 Preferred Stock, Value, Outstanding Equity Valuation Assumption Difference, Footnote Equity Valuation Assumption Difference, Footnote [Text Block] Antidilutive Securities Antidilutive Securities [Axis] Accounts payable Accounts Payable, Current Accounting Policies [Abstract] Accounting Policies [Abstract] State taxes: State and Local Income Tax Expense (Benefit), Continuing Operations [Abstract] Schedule of Weighted-Average Assumptions and Resultant Fair Value-Based Measurements for Options Granted to Employees and Directors Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block] Fair Value Measurements Fair Value Measurement, Policy [Policy Text Block] Current Fiscal Year End Date Current Fiscal Year End Date Less imputed interest Lessee, Operating Lease, Liability, Undiscounted Excess Amount Operating lease expense Lease, Cost Statistical Measurement [Axis] Statistical Measurement [Axis] PEO Name PEO Name Non-Rule 10b5-1 Arrangement Terminated Non-Rule 10b5-1 Arrangement Terminated [Flag] Income before income taxes Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest Non-PEO NEO Average Total Compensation Amount Non-PEO NEO Average Total Compensation Amount Equity Award Award Type [Domain] Name Outstanding Recovery, Individual Name Stock-based compensation costs Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-Based Compensation Cost Operating lease liability Deferred Tax Assets, Operating Lease Liability Deferred Tax Assets, Operating Lease Liability Compensation Actually Paid vs. Company Selected Measure Compensation Actually Paid vs. Company Selected Measure [Text Block] Deferred tax assets, net Deferred Income Tax Assets, Net Non-PEO NEO Non-PEO NEO [Member] Title and Position [Axis] Title and Position [Axis] Additional Paid-in Capital Additional Paid-in Capital [Member] Award Timing Predetermined Award Timing Predetermined [Flag] Shareholders Equity [Line Items] Class of Stock [Line Items] Recently Issued Accounting Pronouncements Not Yet Adopted , Recently Adopted Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Class of Stock [Axis] Class of Stock [Axis] Diluted net income per share (in dollars per share) Diluted (in dollars per share) Earnings Per Share, Diluted Title and Position [Domain] Title and Position [Domain] Net Product Revenue Revenue from Contract with Customer [Policy Text Block] Amortization of right-of-use asset Operating Lease, Right-of-Use Asset, Periodic Reduction Name Measure Name California State State and Local Jurisdiction [Member] Domestic Income (Loss) from Continuing Operations before Income Taxes, Domestic Entity Interactive Data Current Entity Interactive Data Current Chargebacks Chargebacks [Member] Chargebacks. 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Activity Share-Based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block] Recognition of right-of-use asset in exchange for lease liability Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Underlying Security Market Price Change Underlying Security Market Price Change, Percent Individual: Individual [Axis] Common stock, par value $0.001 per share, 280,000 shares authorized and 137,753 issued and 105,113 outstanding as of December 31, 2024 and 134,344 shares issued and 103,405 outstanding as of December 31, 2023 Common Stock, Value, Outstanding Shares tendered to satisfy cost and statutory withholding requirements for net settlement of cashless option exercises and vesting of restricted stock Share-Based Payment Arrangement, Decrease for Tax Withholding Obligation Accumulated Other Comprehensive (Loss) Income AOCI Attributable to Parent [Member] Options canceled and forfeited (in dollars per share) Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price Expected term Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term Balance Sheet Related Disclosures [Abstract] Balance Sheet Related Disclosures [Abstract] Inventory Total inventory classified as current Inventory, Net U.S. government agency securities US Government Agencies Debt Securities [Member] Weighted-average assumptions for options granted: Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions and Methodology [Abstract] Entity Address, State or Province Entity Address, State or Province Statement [Line Items] Statement [Line Items] Erroneous Compensation Analysis Erroneous Compensation Analysis [Text Block] Compensation Actually Paid vs. Total Shareholder Return Compensation Actually Paid vs. Total Shareholder Return [Text Block] Financial Instruments Financial Instruments [Domain] 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Schedule of Prepaid Expenses and Other Current Assets Schedule of Other Current Assets [Table Text Block] Exercise Price Award Exercise Price Schedule of Significant Components of Deferred Tax Assets Schedule of Deferred Tax Assets and Liabilities [Table Text Block] Net Income Per Share Earnings Per Share [Text Block] Arrangement Duration Trading Arrangement Duration Net operating loss carryforwards Operating Loss Carryforwards Issuance of common stock under incentive award plan Stock Issued During Period, Value, Stock Options Exercised Operating expenses: Costs and Expenses [Abstract] Stockholders’ equity: Equity, Attributable to Parent [Abstract] Restricted stock granted (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value Income Taxes [Table] Income Taxes [Table] Income taxes. 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Other information that may be disclosed includes (1) the nature of any restrictions on the entity's use of its cash and cash equivalents, (2) whether the entity's cash and cash equivalents are insured or expose the entity to credit risk, (3) the classification of any negative balance accounts (overdrafts), and (4) the carrying basis of cash equivalents (for example, at cost) and whether the carrying amount of cash equivalents approximates fair value. Number of RSAs granted for each share purchased (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Non-Option Equity Instruments, Granted Entity Public Float Entity Public Float Gross Unrealized Gains Debt Securities, Available-for-Sale, Accumulated Gross Unrealized Gain, before Tax Proceeds from stock option exercises, net of issuance costs Proceeds, Issuance of Shares, Share-Based Payment Arrangement, Including Option Exercised Treasury stock; at cost; 32,640 shares of common stock as of December 31, 2024 and 30,938 shares of common stock as of December 31, 2023 Treasury Stock, Common, Value Awards Close in Time to MNPI Disclosures, Table Awards Close in Time to MNPI Disclosures [Table Text Block] Other Effective Income Tax Rate Reconciliation, Nondeductible Expense, Other, Amount Number of series of selective cortisol modulators Number Of Series Of Selective Cortisol Modulators Number Of Series Of Selective Cortisol Modulators Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table] Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table] Shares available for future issuance (in shares) Common Stock, Capital Shares Reserved for Future Issuance Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year [Member] Aggregate Erroneous Compensation Amount Aggregate Erroneous Compensation Amount Long-term marketable securities Long Term Marketable Securities [Member] Long Term Marketable Securities [Member] Local Phone Number Local Phone Number Valuation allowance Deferred Tax Assets, Valuation Allowance Aggregate Erroneous Compensation Not Yet Determined Aggregate Erroneous Compensation Not Yet Determined [Text Block] Accrued settlement related to Melucci litigation Increase (Decrease) in Accrued Settlement Litigation Liabilities Increase (Decrease) in Accrued Settlement Litigation Liabilities Expected volatility of stock price Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate Repurchase of common stock (in shares) Repurchase of common stock (in shares) Stock Repurchased During Period, Shares Other assets Increase (Decrease) in Other Operating Assets Changes in operating assets and liabilities: Increase (Decrease) in Operating Capital [Abstract] PEO Total Compensation Amount PEO Total Compensation Amount Deferred Deferred Federal Income Tax Expense (Benefit) Schedule of Other Accrued Liabilities Schedule of Accrued Liabilities [Table Text Block] Statement of Income Location, Balance Statement of Income Location, Balance [Axis] Share Repurchase Program [Domain] Share Repurchase Program [Domain] Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] Accounting Policies [Table] Accounting Policies [Table] Accounting Policies [Table] Common Stock Common Stock [Member] Measure: Measure [Axis] Increase in tax positions for current year Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions Preferred stock, shares authorized (in shares) Preferred Stock, Shares Authorized Forgone Recovery due to Expense of Enforcement, Amount Forgone Recovery due to Expense of Enforcement, Amount Unrecognized tax benefits, accrued penalties Unrecognized Tax Benefits, Income Tax Penalties Accrued Entity Emerging Growth Company Entity Emerging Growth Company Employee and Director Stock Option Employee And Director Stock Option [Member] Employee and director stock option. Shares tendered to satisfy cost and statutory withholding requirements for net settlement of cashless option exercises (in shares) Share-Based Payment Arrangement, Shares Withheld for Tax Withholding Obligation Entity Central Index Key Entity Central Index Key Schedule of Composition of Inventory, Current Schedule of Inventory, Current [Table Text Block] Non-GAAP Measure Description Non-GAAP Measure Description [Text Block] Non-PEO NEO Average Compensation Actually Paid Amount Non-PEO NEO Average Compensation Actually Paid Amount Stockholders’ Equity Equity [Text Block] Award Timing, How MNPI Considered Award Timing, How MNPI Considered [Text Block] Equity Component [Domain] Equity Component [Domain] Preferred stock, par value (in dollars per share) Preferred Stock, Par or Stated Value Per Share Financial Instrument [Axis] Financial Instrument [Axis] Interest receivable, current Interest Receivable, Current Additional 402(v) Disclosure Additional 402(v) Disclosure [Text Block] Stock-based compensation APIC, Share-Based Payment Arrangement, Increase for Cost Recognition Restricted Stock Restricted Stock [Member] Entity Shell Company Entity Shell Company Measurement Basis [Axis] Measurement Basis [Axis] Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code Title Trading Arrangement, Individual Title Statement [Table] Statement [Table] Taxes payable Taxes Payable Schedule of Income (Loss) before Income Tax, Domestic and Foreign Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block] Beginning balance Ending balance Unrecognized Tax Benefits City Area Code City Area Code Current liabilities: Liabilities, Current [Abstract] Auditor Location Auditor Location Clinical deposits Clinical Deposits, Current Clinical Deposits, Current Insider Trading Policies and Procedures Not Adopted Insider Trading Policies and Procedures Not Adopted [Text Block] Level 1 Fair Value, Inputs, Level 1 [Member] Concentration Risk Benchmark Concentration Risk Benchmark [Axis] Foreign currency translation (loss) gain Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax Total current assets Assets, Current Statement of Cash Flows [Abstract] Statement of Cash Flows [Abstract] Number of financial institutions holding cash and short-term investments Concentration Risk, Number Of Financial Institutions Holding Cash And Short-Term Investments Concentration Risk, Number Of Financial Institutions Holding Cash And Short-Term Investments Long-term accrued income taxes Increase (Decrease) in Accrued Taxes Payable Repurchases of common stock in connection with Stock Repurchase Program Purchase price of stock repurchase Payments for Repurchase of Common Stock Options exercisable (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number Weighted-average grant date fair value-based measurement (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Weighted-Average Grant Date Fair Value Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Entity Well-known Seasoned Issuer Entity Well-known Seasoned Issuer Income Taxes Income Tax Disclosure [Text Block] 2028 Lessee, Operating Lease, Liability, to be Paid, Year Four Earnings Per Share [Abstract] Earnings Per Share [Abstract] Numerator: Net Income (Loss) Attributable to Parent [Abstract] Equity [Abstract] Equity [Abstract] Excise tax related to net share repurchases Treasury Stock, Value, Acquired, Excise Tax Expense (Benefit) Treasury Stock, Value, Acquired, Excise Tax Expense (Benefit) Retained earnings Retained Earnings (Accumulated Deficit) Legal fees Accrued Legal Fees Current Total of the carrying values as of the balance sheet date of obligations incurred through that date and payable for obligations related to legal services. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). Class of Stock [Domain] Class of Stock [Domain] Inventory Increase (Decrease) in Inventories Payment awarded to other party Litigation Settlement, Amount Awarded to Other Party Aggregate Available Trading Arrangement, Securities Aggregate Available Amount ESPP ESPP [Member] ESPP Equity Awards Adjustments Equity Awards Adjustments [Member] 2024 Equity Incentive Award Plan Stock Options Fiscal Twenty Twenty Four [Member] Stock options fiscal 2012 plan. Weighted-average discount rate Operating Lease, Weighted Average Discount Rate, Percent Present value of operating lease liabilities Operating Lease, Liability Net cash used in financing activities Net Cash Provided by (Used in) Financing Activities Accruals and Reserves Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals Underlying Securities Award Underlying Securities Amount Melucci Melucci [Member] Melucci Amendment Flag Amendment Flag Entity Registrant Name Entity Registrant Name Adjustment to Non-PEO NEO Compensation Footnote Adjustment to Non-PEO NEO Compensation Footnote [Text Block] Stock Appreciation Rights (SARs) Stock Appreciation Rights (SARs) [Member] Depreciation and amortization Depreciation, Depletion and Amortization Provision related to prior period sales Provision For Doubtful Accounts, Prior Period Sales Provision For Doubtful Accounts, Prior Period Sales Deferred Deferred State and Local Income Tax Expense (Benefit) Fair Value as of Grant Date Award Grant Date Fair Value Customer Concentration Risk Customer Concentration Risk [Member] Joseph K. Belanoff, M.D. [Member] Joseph K. 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shares repurchased for net settlement of cashless option exercises Shares Repurchased In Net Settlement Of Cashless Option Exercise Shares Repurchased In Net Settlement Of Cashless Option Exercise Cash flows from financing activities: Net Cash Provided by (Used in) Financing Activities [Abstract] Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested [Member] State income taxes, net of federal benefit Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Number of Options Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward] Total deferred tax liabilities Deferred Tax Liabilities, Gross Employee Stock Purchase Plan Employee Stock [Member] Fair Value Measurement [Domain] Fair Value Measurement [Domain] Basic net income per share (in dollars per share) Basic (in dollars per share) Earnings Per Share, Basic Accounts payable Increase (Decrease) in Accounts Payable Proceeds from purchases under the Employee Stock Purchase Program Proceeds from Stock Plans Cash paid for operating lease liabilities Operating Lease, Payments Adjustment To PEO Compensation, Footnote Adjustment To PEO Compensation, Footnote [Text Block] Award Timing MNPI Disclosure Award Timing MNPI Disclosure [Text Block] Accrued manufacturing costs Accrued Manufacturing Costs, Current Accrued Manufacturing Costs, Current Aggregate Pension Adjustments Service Cost Aggregate Pension Adjustments Service Cost [Member] Weighted-average remaining vesting period Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Outstanding, Weighted Average Remaining Contractual Terms Net income attributable to common stockholders, basic Net Income (Loss) Available to Common Stockholders, Basic Compensation Actually Paid vs. Other Measure Compensation Actually Paid vs. Other Measure [Text Block] Stock, Class of Stock [Table] Stock, Class of Stock [Table] Total current liabilities Liabilities, Current Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year [Member] Denominator: Weighted Average Number of Shares Outstanding, Diluted [Abstract] Share Repurchase Program [Axis] Share Repurchase Program [Axis] Total assets Assets Credit and Concentration Risks Concentration Risk, Credit Risk, Policy [Policy Text Block] Cost of sales Cost of Goods and Services Sold Restricted stock granted (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Forgone Recovery due to Violation of Home Country Law, Amount Forgone Recovery due to Violation of Home Country Law, Amount Total stock-based compensation 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stock-based compensation Share-Based Payment Arrangement, Expense Net income Net income Net Income (Loss) Attributable to Parent Trading Arrangement: Trading Arrangement [Axis] Options granted (in dollars per share) Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Pay vs Performance Disclosure, Table Pay vs Performance [Table Text Block] Restricted stock cancelled and forfeited (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period Equity Awards Adjustments, Excluding Value Reported in Compensation Table Equity Awards Adjustments, Excluding Value Reported in the Compensation Table [Member] Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year [Member] Entity File Number Entity File Number Operating lease right-of-use asset Deferred Tax Liabilities, Leasing Arrangements Insurance recovery related to Melucci litigation Insurance Recoveries Document Fiscal Year Focus Document Fiscal Year Focus Income Statement [Abstract] Entity Address, Address Line One Entity Address, Address Line One Current Current Federal Tax Expense (Benefit) Weighted-average shares outstanding used in computing net income per common share Weighted Average Number of Shares Outstanding Reconciliation [Abstract] Term of contract Lessee, Operating Lease, Term of Contract Other Other Accrued Liabilities, Current Name Forgone Recovery, Individual Name Foreign Income (Loss) from Continuing Operations before Income Taxes, Foreign Options exercisable Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value Weighted-average remaining lease term Operating Lease, Weighted Average Remaining Lease Term Document Period End Date Document 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Balance Sheet Grouping, Financial Statement Captions [Line Items] Other provisions for a loss contingency Loss Contingency Accrual, Provision, Other Loss Contingency Accrual, Provision, Other 2027 Lessee, Operating Lease, Liability, to be Paid, Year Three PEO Actually Paid Compensation Amount PEO Actually Paid Compensation Amount Accrued research and development expenses Accrued Research And Development Expenses, Current Accrued Research And Development Expenses, Current Adjustment to Compensation: Adjustment to Compensation [Axis] Prepaid expenses and other current assets Total prepaid expenses and other current assets Prepaid Expense and Other Assets, Current Document Transition Report Document Transition Report U.S. federal taxes: Federal Income Tax Expense (Benefit), Continuing Operations [Abstract] Purchase obligation Purchase Obligation Schedule of Changes in Balance of Gross Unrecognized Tax Benefits Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block] Optime Care, Inc. Optime Care Inc [Member] Optime Care, Inc. Commitment And Contingencies [Line Items] Commitment And Contingencies [Line Items] Commitment and contingencies. Litigation Case [Domain] Litigation Case [Domain] Customer [Domain] Customer [Domain] Accumulated other comprehensive (loss) income Accumulated Other Comprehensive Income (Loss), Net of Tax Entity Current Reporting Status Entity Current Reporting Status Retained Earnings Retained Earnings [Member] Pension Adjustments Service Cost Pension Adjustments Service Cost [Member] Litigation Status [Domain] Litigation Status [Domain] Settlement expense related to Melucci litigation Litigation Settlement, Fee Expense Non-deductible compensation Income Tax Reconciliation Nondeductible Expense Compensation Cost Income tax reconciliation nondeductible expense compensation cost. Basic (in shares) Weighted-average shares used to compute basic net income per common share (in shares) Weighted Average Number of Shares Outstanding, Basic Stock Price or TSR Estimation Method Stock Price or TSR Estimation Method [Text Block] Unrealized (loss) gain on marketable securities, tax OCI, Debt Securities, Available-for-Sale, Unrealized Holding Gain (Loss), before Adjustment, Tax Strategic inventory Less strategic inventory classified as non-current Inventory, Noncurrent Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Accounting and financial services fees Accrued Professional Fees, Current Executive Category: Executive Category [Axis] Name Awards Close in Time to MNPI Disclosures, Individual Name Maximum maturity period Marketable Securities Maximum Maturity Period Marketable securities maximum original maturity period. Sales Revenue, Net Revenue Benchmark [Member] Options canceled and forfeited (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period Schedule of Components of Income Tax (Benefit) Schedule of Components of Income Tax Expense (Benefit) [Table Text Block] Entity Filer Category Entity Filer Category Statement of Income Location, Balance Statement of Income Location, Balance [Domain] Company Selected Measure Name Company Selected Measure Name