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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Goodwill and Intangible Assets        
Amortization expense $ 55,473 $ 34,515 $ 110,946 $ 69,032
Jornay PM        
Goodwill and Intangible Assets        
Amortization expense 20,957   41,914  
Belbuca        
Goodwill and Intangible Assets        
Amortization expense 18,849 18,848 37,697 37,696
Nucynta Products        
Goodwill and Intangible Assets        
Amortization expense 13,846 13,845 27,692 27,690
Symproic        
Goodwill and Intangible Assets        
Amortization expense $ 1,821 $ 1,822 $ 3,643 $ 3,646