Accounts Receivable and Income Tax Refunds Receivable - Schedule of Accounts Receivable (Details) - USD ($)	Mar. 31, 2021	Dec. 31, 2020
Receivables [Abstract]
Accounts receivable, gross	$ 13,544,708	$ 16,922,576
Less: Allowance for contractual obligations	(8,388,166)	(13,185,843)
Less: Allowance for implicit price concessions	(4,235,507)	(1,513,827)
Less: Accounts receivable owed under sales agreements	(921,035)	(1,723,452)
Accounts receivable, net		$ 499,454

Amount, after allowance for credit loss, of right to consideration from customer for product sold and service rendered in normal course of business, classified as current.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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