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Goodwill and Intangible Assets - Future Amortization Expense (Details) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]                  
2023 $ 34,514           $ 34,514    
2024 138,062           138,062    
2025 138,062           138,062    
2026 110,370           110,370    
2027 7,285           7,285    
Thereafter 27,929           27,929    
Remaining amortization expense 456,222           456,222   $ 567,468
Decrease of amortization expense 36,317     $ 37,552     111,246 $ 93,976  
Increase in net income $ 20,634 $ 13,007 $ (17,426) $ 457 $ (5,191) $ (13,069) $ 16,215 $ (17,803)  
Impact on Earnings per share - basic $ 0.61     $ 0.01     $ 0.47 $ (0.52)  
Impact on Earnings per share - diluted $ 0.53     $ 0.01     $ 0.46 $ (0.52)  
Belbuca                  
Finite-Lived Intangible Assets [Line Items]                  
2023 $ 18,848           $ 18,848    
2024 75,393           75,393    
2025 75,393           75,393    
2026 75,393           75,393    
Remaining amortization expense $ 245,027           $ 245,027   301,572
Amortization Period (Years) 4 years 9 months 18 days           4 years 9 months 18 days    
Nucynta Products (1)                  
Finite-Lived Intangible Assets [Line Items]                  
2023 $ 13,845           $ 13,845    
2024 55,384           55,384    
2025 55,384           55,384    
2026 27,692           27,692    
Remaining amortization expense $ 152,305           $ 152,305   201,542
Amortization Period (Years) 8 years 6 months           8 years 6 months    
Nucynta Products (1) | Change in estimated useful life of the underlying intangible asset                  
Finite-Lived Intangible Assets [Line Items]                  
Amortization Period (Years) 8 years 6 months 8 years         8 years 6 months    
Decrease of amortization expense $ (1,149)                
Increase in net income $ 855                
Impact on Earnings per share - basic $ 0.03                
Impact on Earnings per share - diluted $ 0.02                
Symproic                  
Finite-Lived Intangible Assets [Line Items]                  
2023 $ 1,821           $ 1,821    
2024 7,285           7,285    
2025 7,285           7,285    
2026 7,285           7,285    
2027 7,285           7,285    
Thereafter 27,929           27,929    
Remaining amortization expense $ 58,890           $ 58,890   $ 64,354
Amortization Period (Years) 9 years 7 months 6 days           9 years 7 months 6 days