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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Goodwill and Intangible Assets    
Amortization expense $ 55,473 $ 34,517
Jornay PM    
Goodwill and Intangible Assets    
Amortization expense 20,957  
Belbuca    
Goodwill and Intangible Assets    
Amortization expense 18,849 18,848
Nucynta Products    
Goodwill and Intangible Assets    
Amortization expense 13,846 13,845
Symproic    
Goodwill and Intangible Assets    
Amortization expense $ 1,821 $ 1,824