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Inventory (Details) - USD ($)
6 Months Ended
Jun. 30, 2019
Dec. 31, 2018
Inventory [Line Items]    
Raw Materials $ 3,361,556 $ 3,621,548
Work in Process 244,743 256,129
Finished Goods 1,811,338 1,798,101
Total 5,417,637 5,675,778
Inventory, Noncurrent 1,445,000 1,637,000
Inventory 3,972,637 4,038,778
Triferic Finished Goods    
Inventory [Line Items]    
Inventory, Noncurrent 1,400,000 1,600,000
Inventory 1,800,000  
finished goods sellable through 2020 400,000  
finished goods sellable through 2023 1,400,000  
Triferic Finished And Raw Goods [Member]    
Inventory [Line Items]    
Finished goods inventory 3,500,000 8,000,000
Inventory reserve $ 1,700,000 $ 5,800,000