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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Goodwill and Intangible Assets    
Cost $ 1,586,170 $ 951,170
Accumulated Amortization (694,768) (529,462)
Carrying Amount 891,402 421,708
Jornay    
Goodwill and Intangible Assets    
Cost 635,000  
Accumulated Amortization (27,242)  
Carrying Amount 607,758  
Belbuca    
Goodwill and Intangible Assets    
Cost 360,000 360,000
Accumulated Amortization (209,214) (133,821)
Carrying Amount 150,786 226,179
Nucynta Products    
Goodwill and Intangible Assets    
Cost 521,170 521,170
Accumulated Amortization (438,094) (382,710)
Carrying Amount 83,076 138,460
Symproic    
Goodwill and Intangible Assets    
Cost 70,000 70,000
Accumulated Amortization (20,218) (12,931)
Carrying Amount $ 49,782 $ 57,069