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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