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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Goodwill and Intangible Assets    
Cost $ 951,170 $ 951,170
Accumulated Amortization (598,494) (529,462)
Carrying Amount 352,676 421,708
Belbuca    
Goodwill and Intangible Assets    
Cost 360,000 360,000
Accumulated Amortization (171,517) (133,821)
Carrying Amount 188,483 226,179
Nucynta Products    
Goodwill and Intangible Assets    
Cost 521,170 521,170
Accumulated Amortization (410,400) (382,710)
Carrying Amount 110,770 138,460
Symproic    
Goodwill and Intangible Assets    
Cost 70,000 70,000
Accumulated Amortization (16,577) (12,931)
Carrying Amount $ 53,423 $ 57,069