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Inventory (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Inventory [Line Items]          
Raw Materials $ 4,122,432   $ 4,122,432   $ 10,604,232
Work in Process 203,498   203,498   212,505
Finished Goods 2,186,426   2,186,426   2,807,399
Total 6,512,356   6,512,356   13,624,136
Inventory, Noncurrent 1,865,834   1,865,834   5,986,752
Increase in inventory reserves 100,000 $ 700,000 7,800,000 $ 800,000  
Triferic Finished Goods          
Inventory [Line Items]          
Finished goods inventory 9,467,795   9,467,795   13,424,779
Inventory reserves $ 6,900,000   $ 6,900,000   $ 3,460,801