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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Finite-Lived Intangible Assets [Line Items]        
Amortization expense $ 37,463 $ 37,501 $ 74,929 $ 56,424
Nucynta Products        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense 16,795 16,796 33,591 33,591
Belbuca        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense 18,846 18,796 37,695 20,733
Symproic        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense $ 1,822 1,821 $ 3,643 2,003
Elyxyb        
Finite-Lived Intangible Assets [Line Items]        
Amortization expense   $ 88   $ 97