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Note 2 - Summary of Significant Accounting Policies - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Product sales $ 15,126 $ 5,613 $ 9,966 $ 4,281 $ 3,238 $ 5,317 $ 3,878 $ 3,189 $ 34,986 $ 15,622 $ 11,698
AZEDRA Product Sales [Member                      
Product sales                 1,559
Royalty [Member]                      
Product sales                 16,970 14,908 10,965
License and Other [Member]                      
Product sales                 $ 16,457 $ 714 $ 733