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Significant Accounting Policies and Concentrations of Risk (Details) - USD ($)
shares in Thousands
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Dec. 31, 2022
Significant Accounting Policies and Concentration of Risk [Line Items]      
Restricted cash $ 1,463,000   $ 1,472,000
Long-term investment maturity, minimum (in years) 12 months    
Inventory adjustments $ 236,000    
Inventory valuation reserves 1,413,000   1,177,000
Advertising expense 4,047,000 $ 3,984,000  
Interest expense, debt, total 27,396,000 23,837,000  
Amortization of debt financing costs and original issue discounts $ 898,000 $ (167,000)  
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 21,641 28,699  
Reclassification from accumulated other comprehensive income, current period, before tax $ 0 $ 0  
PhaRMA Notes | JPR Royalty Sub LLC      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Debt instrument, interest rate, stated percentage 14.00%    
Computer Equipment      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Property, plant and equipment, useful life (in years) 3 years    
Laboratory Equipment, Office Equipment and Software      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Property, plant and equipment, useful life (in years) 5 years    
Furniture and Fixtures      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Property, plant and equipment, useful life (in years) 7 years    
Maximum      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Maturity period of high quality marketable securities (in years) 3 years    
Average maturity period of high quality marketable securities (in months) 12 months    
Maturity period of short term investment (in months) 12 months    
Royalty Receivable      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Restricted cash $ 12,000   23,000
Collateral for Credit      
Significant Accounting Policies and Concentration of Risk [Line Items]      
Restricted cash $ 1,451,000   $ 1,449,000