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Intangible Assets - Additional Information (Details) - USD ($)
12 Months Ended
Dec. 31, 2022
Jun. 30, 2023
Dec. 31, 2021
Intangible Assets      
Carrying value of intangible assets $ 12,244,484 $ 10,596,004 $ 25,293,149
Impairment charge of approximate 7,460,000    
Stendra product      
Intangible Assets      
Estimated useful lives of intangible assets   10 years  
Carrying value of intangible assets 7,200,000 $ 6,000,000.0  
Impairment charge of approximate 7,500,000    
Timm Medical product      
Intangible Assets      
Estimated useful lives of intangible assets   12 years  
Carrying value of intangible assets 4,000,000.0 $ 3,600,000  
PTV product      
Intangible Assets      
Estimated useful lives of intangible assets   12 years  
Carrying value of intangible assets $ 1,100,000 $ 1,000,000.0