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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2022 | Sep. 30, 2022 | Jun. 30, 2022 | Mar. 31, 2022 | Dec. 31, 2021 | Sep. 30, 2021 | Jun. 30, 2021 | Mar. 31, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |  |  |  |  |  |  |
Amortization and impairment expense | $ 42,279 | $ 37,552 | $ 37,501 | $ 18,923 | $ 16,795 | $ 16,796 | $ 16,795 | $ 16,795 | $ 136,255 | $ 67,181 | $ 60,680
Nucynta Products |  |  |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |  |  |  |  |  |  |
Amortization and impairment expense |  |  |  |  |  |  |  |  | 67,181 | $ 67,181 | $ 60,680
Belbuca |  |  |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |  |  |  |  |  |  |
Amortization and impairment expense |  |  |  |  |  |  |  |  | 58,428 |  |
Symproic |  |  |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |  |  |  |  |  |  |
Amortization and impairment expense |  |  |  |  |  |  |  |  | 5,646 |  |
Elyxyb |  |  |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |  |  |  |  |  |  |
Amortization and impairment expense |  |  |  |  |  |  |  |  | 5,000 |  |
Amortization expense |  |  |  |  |  |  |  |  | 214 |  |
Impairment expense |  |  |  |  |  |  |  |  | $ 4,786 |  |
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration] |  |  |  |  |  |  |  |  | Cost of Goods and Services Sold |  |

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- Definition The amount of intangible asset amortization and impairment. + References No definition available. + Details
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- Definition The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126954810&loc=d3e3602-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(2) -URI https://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 45 -Paragraph 2 -URI https://asc.fasb.org/extlink&oid=6388964&loc=d3e16225-109274 + Details
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- Definition Indicates line item in statement of income or comprehensive income that includes impairment of finite-lived intangible asset. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 3 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=66006027&loc=d3e16373-109275 + Details
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