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Consolidated Statements of Operations - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Revenues [Abstract]      
Product sales, net $ 50,037,106    
Revenue, Product and Service [Extensible Enumeration] us-gaap:ProductMember    
Operating expenses:      
Cost of product sales (excluding amortization and depreciation) $ 5,197,595    
Cost, Product and Service [Extensible Enumeration] us-gaap:ProductMember    
Research and development $ 57,947,447 $ 58,060,725 $ 70,244,579
Selling, general and administrative 159,253,661 66,646,205 28,896,749
Loss in fair value of contingent consideration 3,298,230    
Intangible asset amortization 4,139,228    
Total operating expenses 229,836,161 124,706,930 99,141,328
Loss from operations (179,799,055) (124,706,930) (99,141,328)
Interest expense, net (7,334,596) (5,696,062) (2,565,838)
Tax credit     53,578
Loss on extinguishment of debt     (1,247,012)
Net loss $ (187,133,651) $ (130,402,992) $ (102,900,600)
Net loss per common share, basic $ (4.60) $ (3.47) $ (2.77)
Net loss per common share, diluted $ (4.60) $ (3.47) $ (2.77)
Weighted average common shares outstanding, basic 40,655,941 37,618,599 37,206,928
Weighted average common shares outstanding, diluted 40,655,941 37,618,599 37,206,928