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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2022
Income Tax Disclosure [Abstract]  
Schedule of Deferred Tax Assets and Liabilities The tax effect of temporary differences between the tax bases of assets and liabilities and their financial reporting amounts that give rise to the deferred tax assets and deferred tax liabilities as of December 31, 2022 and 2021 are as follows:
 December 31,
 20222021
Deferred tax assets:  
  Accounts receivable $177 $149 
  Inventory 449 100 
  Accrued expenses 1,063 309 
  NOL carryforwards 32,197 28,722 
  Interest limitation imposed by the TJCA10,667 9,022 
  Stock Compensation5,813 5,003 
  Other2,408 2,122 
Sale of Future Revenue17,139 16,595 
  Property and equipment2,576 2,566 
  Orphan Drug and R&D Tax Credits5,625 5,490 
  Accrued debt fees697 726 
  Intangible assets1,731 2,547 
  Section 174 R&D Capitalization3,770 — 
84,312 73,351 
Deferred tax liabilities:  
  481(a) adjustment— (14)
  Prepaid expenses(524)(807)
(524)(821)
Valuation Allowance(83,788)(72,530)
Net deferred tax asset/(liability)$— $— 
Schedule of Income Tax Benefit Reconciliation A reconciliation of income tax benefit and the amount computed by applying the statutory federal income tax rates of 21% to loss before taxes for the year ended December 31, 2022 and 2021, respectively, as follows:
 Year Ended December 31,
 20222021
Income taxes at statutory rate21.00 %21.00 %
Increase (decrease) resulting from:
  State income tax 4.23 5.28 
  Permanent differences (0.20)(0.15)
  Research & development credit 0.20 0.12 
  Return to provision0.11 (0.63)
  Valuation allowance(20.69)(22.37)
  State rate change(4.67)(2.63)
  Other— (0.74)
  Effective tax rate (0.02)%(0.12)%