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Intangible Assets - Additional Information (Details) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2022
Sep. 30, 2022
Dec. 31, 2022
Sep. 30, 2023
Dec. 31, 2021
Intangible Assets          
Carrying value of intangible assets     $ 12,244,484 $ 9,771,764 $ 25,293,149
Impairment charge of approximate $ 7,460,000 $ 7,460,000 7,460,000    
Stendra product          
Intangible Assets          
Estimated useful lives of intangible assets       10 years  
Carrying value of intangible assets     7,200,000 $ 5,500,000  
Impairment charge of approximate     7,500,000    
Timm Medical product          
Intangible Assets          
Estimated useful lives of intangible assets       12 years  
Carrying value of intangible assets     4,000,000.0 $ 3,400,000  
PTV product          
Intangible Assets          
Estimated useful lives of intangible assets       12 years  
Carrying value of intangible assets     $ 1,100,000 $ 900,000