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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Finite-Lived Intangible Assets [Line Items]        
Amortization expense $ 37,552 $ 16,796 $ 93,976 $ 50,386
Nucynta Products        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense 16,795 $ 16,796 50,385 $ 50,386
Belbuca        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense 18,848   39,581  
Symproic        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense 1,821   3,825  
Elyxyb        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense $ 88   $ 185