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Goodwill and Intangible Assets - Future Amortization Expense (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Goodwill and Intangible Assets    
2024 $ 138,062  
2025 138,062  
2026 110,370  
2027 7,285  
2028 7,285  
Thereafter 20,644  
Carrying Amount 421,708 $ 567,468
Belbuca    
Goodwill and Intangible Assets    
2024 75,393  
2025 75,393  
2026 75,393  
Carrying Amount 226,179 301,572
Nucynta Products    
Goodwill and Intangible Assets    
2024 55,384  
2025 55,384  
2026 27,692  
Carrying Amount 138,460 201,542
Symproic    
Goodwill and Intangible Assets    
2024 7,285  
2025 7,285  
2026 7,285  
2027 7,285  
2028 7,285  
Thereafter 20,644  
Carrying Amount $ 57,069 $ 64,354