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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Goodwill and Intangible Assets        
Amortization expense $ 40,801 $ 36,317 $ 109,833 $ 111,246
Jornay PM        
Goodwill and Intangible Assets        
Amortization expense 6,285   6,285  
Belbuca        
Goodwill and Intangible Assets        
Amortization expense 18,849 18,850 56,545 56,545
Nucynta Products        
Goodwill and Intangible Assets        
Amortization expense 13,847 15,646 41,537 49,237
Symproic        
Goodwill and Intangible Assets        
Amortization expense $ 1,820 $ 1,821 $ 5,466 $ 5,464