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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
Sep. 30, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
Cost $ 951,170 $ 956,170
Accumulated Amortization (494,948) (388,702)
Carrying Amount $ 456,222 567,468
Belbuca    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 4 years 9 months 18 days  
Cost $ 360,000 360,000
Accumulated Amortization (114,973) (58,428)
Carrying Amount $ 245,027 301,572
Nucynta Products (1)    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 8 years 6 months  
Cost $ 521,170 521,170
Accumulated Amortization (368,865) (319,628)
Carrying Amount $ 152,305 201,542
Symproic    
Finite-Lived Intangible Assets [Line Items]    
Amortization Period (Years) 9 years 7 months 6 days  
Cost $ 70,000 70,000
Accumulated Amortization (11,110) (5,646)
Carrying Amount $ 58,890 64,354
Elyxyb    
Finite-Lived Intangible Assets [Line Items]    
Cost   5,000
Accumulated Amortization   $ (5,000)