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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
Goodwill $ 133,857 $ 133,695
Cost 951,170 956,170
Accumulated Amortization (421,168) (388,702)
Carrying Amount $ 530,002 567,468
Nucynta Products    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 8 years  
Cost $ 521,170 521,170
Accumulated Amortization (336,424) (319,628)
Carrying Amount $ 184,746 201,542
Belbuca    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 4 years 9 months 18 days  
Cost $ 360,000 360,000
Accumulated Amortization (77,277) (58,428)
Carrying Amount $ 282,723 301,572
Symproic    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 9 years 7 months 6 days  
Cost $ 70,000 70,000
Accumulated Amortization (7,467) (5,646)
Carrying Amount $ 62,533 64,354
Elyxyb    
Finite-Lived Intangible Assets [Line Items]    
Cost   5,000
Accumulated Amortization   $ (5,000)