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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2021
Income Tax Disclosure [Abstract]  
Schedule of Deferred Tax Assets and Liabilities
The tax effect of temporary differences between the tax bases of assets and liabilities and their financial reporting amounts that give rise to the deferred tax assets and deferred tax liabilities as of December 31, 2021 and 2020 are as follows:

 December 31,
 20212020
Deferred tax assets:  
  Accounts receivable $149 $112 
  Inventory 100 
  Accrued expenses 309 353 
  NOL carryforwards 28,722 22,569 
  Interest limitation imposed by the TJCA9,022 7,235 
  Stock Compensation5,003 4,051 
  Other2,122 1,229 
Sale of Future Revenue16,595 14,444 
  Property and equipment2,566 2,380 
  Orphan Drug and R&D Tax Credits5,490 5,851 
  Accrued debt fees726 — 
  Intangible assets2,547 — 
73,351 58,228 
Deferred tax liabilities:  
  Intangible assets— (551)
  481(a) adjustment(14)— 
  Prepaid expenses(807)(908)
(821)(1,459)
Valuation Allowance(72,530)(56,769)
Net deferred tax asset/(liability)$— $— 
Schedule of Income Tax Benefit Reconciliation
A reconciliation of income tax benefit and the amount computed by applying the statutory federal income tax rates of 21% to loss before taxes for the year ended December 31, 2021 and 2020, respectively, as follows:

 Year Ended December 31,
 20212020
Income taxes at statutory rate21.00 %21.00 %
Increase (decrease) resulting from:
  State income tax 5.28 6.81 
  Permanent differences (0.15)(0.12)
  Research & development credit 0.12 2.35 
  Return to provision(0.63)— 
  Valuation allowance(22.37)(30.04)
  Other(3.37)— 
  Effective tax rate (0.12)%0.00 %