Accrued Expenses (Details) - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Other Income and Expenses [Abstract]
Payroll	$ 1,651	$ 2,872
Professional Fees	1,602	1,363
Medicaid and Medicare Rebates	1,485	1,616
Inventory and Supplies	1,333	3,055
Rebates	1,074	1,412
Wholesaler Fees	474	477
Royalties	258	302
Interest Expense	208	2,898
Other	678	718
Accrued expenses	$ 8,763	$ 14,713