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Nature of the Business and Liquidity (Tables)
9 Months Ended
Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of Out of Period Adjustments
For the three and nine months ended September 30, 2018, the Company recorded the following adjustments (in thousands) related to prior periods. The net impact of the adjustments on all prior annual or interim periods financial statements were not significant.  There were no adjustments related to prior periods recorded for the three and nine months ended September 30, 2017.

Three months ended Nine months ended 
September 30, 2018September 30, 2018
Wholesale fees (Revenue) $— $1,218 
Chargebacks (Revenue) (455)(455)
Medicaid (Revenue) — 297 
Pricing and shipment adjustment (Revenue) — (502)
Sales return reserve (Revenue) — (577)
Inventory adjustments (Cost of revenues) — 95 
Capitalization of property, plant and equipment (Cost of revenues) — 263 
Bad debt expense (Selling, general and administrative expenses) — (578)
$(455)$(239)