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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Goodwill and Intangible Assets        
Amortization expense $ 55,473 $ 40,801 $ 166,419 $ 109,833
Jornay PM        
Goodwill and Intangible Assets        
Amortization expense 20,957 6,285 62,872 6,285
Belbuca        
Goodwill and Intangible Assets        
Amortization expense 18,849 18,849 56,544 56,545
Nucynta Products        
Goodwill and Intangible Assets        
Amortization expense 13,847 13,847 41,538 41,537
Symproic        
Goodwill and Intangible Assets        
Amortization expense $ 1,820 $ 1,820 $ 5,465 $ 5,466