Inventory (Details) - USD ($)	9 Months Ended
	Sep. 30, 2019	Dec. 31, 2018
Inventory [Line Items]
Raw Materials	$ 2,390,179	$ 3,621,548
Work in Process	209,940	256,129
Finished Goods	1,511,333	1,798,101
Total	4,111,452	5,675,778
Inventory, non-current	528,000	1,637,000
Inventory	3,583,452	4,038,778
Triferic Finished Goods
Inventory [Line Items]
Inventory, non-current	500,000	1,600,000
Inventory	700,000
finished goods sellable through 2020	100,000
finished goods sellable through 2023	600,000
Triferic Finished And Raw Goods
Inventory [Line Items]
Finished goods inventory	3,500,000	8,000,000
Inventory reserve	2,800,000	$ 5,800,000
Increase in inventory reserves	$ 1,100,000