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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($) $ in Thousands | Sep. 30, 2024 | Dec. 31, 2023
--- | --- | ---
Goodwill and Intangible Assets |  |
Cost | $ 1,586,170 | $ 951,170
Accumulated Amortization | (639,295) | (529,462)
Carrying Amount | 946,875 | 421,708
Jornay PM |  |
Goodwill and Intangible Assets |  |
Cost | 635,000 |
Accumulated Amortization | (6,285) |
Carrying Amount | 628,715 |
Belbuca |  |
Goodwill and Intangible Assets |  |
Cost | 360,000 | 360,000
Accumulated Amortization | (190,366) | (133,821)
Carrying Amount | 169,634 | 226,179
Nucynta Products |  |
Goodwill and Intangible Assets |  |
Cost | 521,170 | 521,170
Accumulated Amortization | (424,247) | (382,710)
Carrying Amount | 96,923 | 138,460
Symproic |  |
Goodwill and Intangible Assets |  |
Cost | 70,000 | 70,000
Accumulated Amortization | (18,397) | (12,931)
Carrying Amount | $ 51,603 | $ 57,069

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