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Goodwill and Intangible Assets - Amortization and impairment expense (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2022
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Goodwill and Intangible Assets                        
Amortization and impairment expense $ 55,471 $ 40,801 $ 34,515 $ 34,517 $ 34,514 $ 36,317 $ 37,463 $ 37,466   $ 165,304 $ 145,760 $ 136,255
Jornay                        
Goodwill and Intangible Assets                        
Amortization and impairment expense                   27,242    
Belbuca                        
Goodwill and Intangible Assets                        
Amortization and impairment expense                   75,393 75,393 58,428
Nucynta Products                        
Goodwill and Intangible Assets                        
Amortization and impairment expense                   55,384 $ 63,082 67,181
Nucynta Products | Change in estimated useful life of the underlying intangible asset                        
Goodwill and Intangible Assets                        
Amortization period (years)         8 years 6 months 8 years         8 years 6 months  
Symproic                        
Goodwill and Intangible Assets                        
Amortization and impairment expense                   $ 7,285 $ 7,285 5,646
Elyxyb                        
Goodwill and Intangible Assets                        
Amortization and impairment expense                       5,000
Amortization expense                       214
Impairment expense                 $ 4,786     $ 4,786
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration]                       Amortization and impairment expense