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Goodwill and Intangible Assets - Amortization Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Goodwill and Intangible Assets        
Amortization expense $ 34,515 $ 37,463 $ 69,032 $ 74,929
Belbuca        
Goodwill and Intangible Assets        
Amortization expense 18,848 18,846 37,696 37,695
Nucynta Products        
Goodwill and Intangible Assets        
Amortization expense 13,845 16,795 27,690 33,591
Symproic        
Goodwill and Intangible Assets        
Amortization expense $ 1,822 $ 1,822 $ 3,646 $ 3,643