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Goodwill and Intangible Assets - Future Amortization Expense (Details) - USD ($)
$ in Thousands
Mar. 31, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
2023 $ 112,393  
2024 149,859  
2025 149,858  
2026 82,678  
2027 7,285  
Thereafter 27,929  
Intangible asset, net 530,002 $ 567,468
Nucynta Products    
Finite-Lived Intangible Assets [Line Items]    
2023 50,385  
2024 67,181  
2025 67,180  
Intangible asset, net 184,746 201,542
Belbuca    
Finite-Lived Intangible Assets [Line Items]    
2023 56,544  
2024 75,393  
2025 75,393  
2026 75,393  
Intangible asset, net 282,723 301,572
Symproic    
Finite-Lived Intangible Assets [Line Items]    
2023 5,464  
2024 7,285  
2025 7,285  
2026 7,285  
2027 7,285  
Thereafter 27,929  
Intangible asset, net $ 62,533 $ 64,354