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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2022
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Goodwill and Intangible Assets                      
Amortization and impairment expense $ 34,514 $ 36,317 $ 37,463 $ 37,466 $ 42,279 $ 37,552 $ 37,501 $ 18,923 $ 145,760 $ 136,255 $ 67,181
Increase in net income $ 31,940 $ 20,634 $ 13,007 $ (17,426) $ (7,199) $ 457 $ (5,191) $ (13,069) $ 48,155 $ (25,002) $ 71,517
Impact on earnings per share - basic $ 0.99 $ 0.61 $ 0.38 $ (0.51) $ (0.21) $ 0.01 $ (0.15) $ (0.39) $ 1.43 $ (0.74) $ 2.05
Impact on earnings per share - diluted $ 0.82 $ 0.53 $ 0.34 $ (0.51) $ (0.21) $ 0.01 $ (0.15) $ (0.39) $ 1.29 $ (0.74) $ 1.86
Belbuca                      
Goodwill and Intangible Assets                      
Amortization and impairment expense                 $ 75,393 $ 58,428  
Amortization period (years) 4 years 9 months 18 days               4 years 9 months 18 days    
Nucynta Products                      
Goodwill and Intangible Assets                      
Amortization and impairment expense                 $ 63,082 67,181 $ 67,181
Amortization period (years) 8 years 6 months               8 years 6 months    
Nucynta Products | Change in estimated useful life of the underlying intangible asset                      
Goodwill and Intangible Assets                      
Amortization period (years)   8 years 6 months 8 years                
Decrease of amortization expense                 $ 4,099    
Increase in net income                 $ 3,037    
Impact on earnings per share - basic                 $ 0.09    
Impact on earnings per share - diluted                 $ 0.07    
Symproic                      
Goodwill and Intangible Assets                      
Amortization and impairment expense                 $ 7,285 5,646  
Amortization period (years) 9 years 7 months 6 days               9 years 7 months 6 days    
Elyxyb                      
Goodwill and Intangible Assets                      
Amortization and impairment expense                   $ 5,000  
Amortization expense                 $ 214    
Impairment expense         $ 4,786       $ 4,786    
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration]                 Amortization and impairment expense    
Severance or employee benefit expense recognized         $ 0