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Goodwill and Intangible Assets - Cost, accumulated amortization, and carrying amount of intangible assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2025
Dec. 31, 2024
Goodwill and Intangible Assets    
Cost $ 1,586,170 $ 1,586,170
Accumulated Amortization (750,240) (694,768)
Carrying Amount 835,930 891,402
Jornay    
Goodwill and Intangible Assets    
Cost 635,000 635,000
Accumulated Amortization (48,199) (27,242)
Carrying Amount 586,801 607,758
Belbuca    
Goodwill and Intangible Assets    
Cost 360,000 360,000
Accumulated Amortization (228,063) (209,214)
Carrying Amount 131,937 150,786
Nucynta Products    
Goodwill and Intangible Assets    
Cost 521,170 521,170
Accumulated Amortization (451,940) (438,094)
Carrying Amount 69,230 83,076
Symproic    
Goodwill and Intangible Assets    
Cost 70,000 70,000
Accumulated Amortization (22,038) (20,218)
Carrying Amount $ 47,962 $ 49,782