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Note 14 - Distribution Agreements (Details Textual) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Revenue from Contract with Customer, Including Assessed Tax $ 2,631 $ 2,339  
Contract with Customer, Liability 745   $ 728
DERMAdoctor [Member] | Costco and Others [Member]      
Revenue from Contract with Customer, Including Assessed Tax 55 92  
Contract with Customer, Liability 700   $ 700
Avenova Direct [Member]      
Revenue from Contract with Customer, Including Assessed Tax $ 1,700 $ 1,600