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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
Jun. 30, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
Goodwill $ 133,857 $ 133,695
Cost 951,170 956,170
Accumulated Amortization (458,631) (388,702)
Carrying Amount $ 492,539 567,468
Nucynta Products    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 8 years  
Cost $ 521,170 521,170
Accumulated Amortization (353,219) (319,628)
Carrying Amount $ 167,951 201,542
Belbuca    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 4 years 9 months 18 days  
Cost $ 360,000 360,000
Accumulated Amortization (96,123) (58,428)
Carrying Amount $ 263,877 301,572
Symproic    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 9 years 7 months 6 days  
Cost $ 70,000 70,000
Accumulated Amortization (9,289) (5,646)
Carrying Amount $ 60,711 64,354
Elyxyb    
Finite-Lived Intangible Assets [Line Items]    
Cost   5,000
Accumulated Amortization   $ (5,000)