Goodwill and Intangible Assets - Components of Other Intangible Assets (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Other intangible assets
Gross Carrying Amount	$ 23,743	$ 23,003
Accumulated Amortization	(6,803)	(6,958)
Intangible Assets, net	16,940	16,045
Indefinite-lived intangible assets	450	450
Trade name
Other intangible assets
Indefinite-lived intangible assets	$ 450	$ 450
Customer relationships
Other intangible assets
Average Amortization Period	11 years	11 years
Gross Carrying Amount	$ 9,540	$ 11,240
Accumulated Amortization	(3,846)	(3,486)
Intangible Assets, net	$ 5,694	$ 7,754
Trade name
Other intangible assets
Average Amortization Period	14 years	14 years
Gross Carrying Amount	$ 2,000	$ 5,800
Accumulated Amortization	(292)	(541)
Intangible Assets, net	$ 1,708	$ 5,259
Developed technology
Other intangible assets
Average Amortization Period	13 years	15 years
Gross Carrying Amount	$ 1,500	$ 3,000
Accumulated Amortization	(84)	(338)
Intangible Assets, net	$ 1,416	$ 2,662
Distributor relationships
Other intangible assets
Average Amortization Period		9 years
Gross Carrying Amount		$ 500
Accumulated Amortization		(130)
Intangible Assets, net		$ 370
Non-compete agreement
Other intangible assets
Average Amortization Period	2 years	2 years
Gross Carrying Amount	$ 80	$ 80
Accumulated Amortization	$ (80)	$ (80)
Regulatory approvals
Other intangible assets
Average Amortization Period	1 year	1 year
Gross Carrying Amount	$ 670	$ 670
Accumulated Amortization	$ (670)	$ (670)
Acquired FDA non-gel product approval
Other intangible assets
Average Amortization Period	11 years	11 years
Gross Carrying Amount	$ 1,713	$ 1,713
Accumulated Amortization	$ (1,713)	$ (1,713)
Manufacturing know-how
Other intangible assets
Average Amortization Period	19 years
Gross Carrying Amount	$ 8,240
Accumulated Amortization	(118)
Intangible Assets, net	$ 8,122