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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]    
Goodwill $ 133,695  
Cost 956,170 $ 521,170
Accumulated Amortization (388,702) (252,447)
Carrying Amount $ 567,468 268,723
Nucynta Products    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 8 years  
Cost $ 521,170 521,170
Accumulated Amortization (319,628) (252,447)
Carrying Amount $ 201,542 $ 268,723
Belbuca    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 4 years 9 months 18 days  
Cost $ 360,000  
Accumulated Amortization (58,428)  
Carrying Amount $ 301,572  
Symproic    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 9 years 7 months 6 days  
Cost $ 70,000  
Accumulated Amortization (5,646)  
Carrying Amount 64,354  
Elyxyb    
Finite-Lived Intangible Assets [Line Items]    
Cost 5,000  
Accumulated Amortization $ (5,000)