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Goodwill and Intangible Assets - Future Amortization Expense (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Goodwill and Intangible Assets    
2024 $ 103,545  
2025 138,062  
2026 110,370  
2027 7,285  
2028 7,285  
Thereafter 20,644  
Carrying Amount 387,191 $ 421,708
Belbuca    
Goodwill and Intangible Assets    
2024 56,545  
2025 75,393  
2026 75,393  
Carrying Amount 207,331 226,179
Nucynta Products    
Goodwill and Intangible Assets    
2024 41,539  
2025 55,384  
2026 27,692  
Carrying Amount 124,615 138,460
Symproic    
Goodwill and Intangible Assets    
2024 5,461  
2025 7,285  
2026 7,285  
2027 7,285  
2028 7,285  
Thereafter 20,644  
Carrying Amount $ 55,245 $ 57,069