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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]    
Goodwill $ 130,094  
Cost 956,170 $ 521,170
Accumulated Amortization (346,423) (252,447)
Carrying Amount $ 609,747 268,723
Nucynta Products    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 8 years  
Cost $ 521,170 521,170
Accumulated Amortization (302,833) (252,447)
Carrying Amount $ 218,337 $ 268,723
Belbuca    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 4 years 9 months 18 days  
Cost $ 360,000  
Accumulated Amortization (39,581)  
Carrying Amount $ 320,419  
Symproic    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 9 years 7 months 6 days  
Cost $ 70,000  
Accumulated Amortization (3,824)  
Carrying Amount $ 66,176  
Elyxyb    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 14 years 2 months 12 days  
Cost $ 5,000  
Accumulated Amortization (185)  
Carrying Amount $ 4,815