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Revenues, Recognition and Allowances (Details Textual)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
USD ($)
transaction_type
segment
Sep. 30, 2017
USD ($)
Sep. 30, 2018
USD ($)
transaction_type
Sep. 30, 2018
USD ($)
transaction_type
product
Sep. 30, 2018
USD ($)
transaction_type
Sep. 30, 2018
USD ($)
transaction_type
segment
Sep. 30, 2018
USD ($)
transaction_type
Sep. 30, 2018
USD ($)
transaction_type
drug
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Disaggregation of Revenue [Line Items]                    
Types of transactions | transaction_type 3   3 3 3 3 3 3    
Segments | segment 1         1        
Accounts receivable   $ 21,226             $ 21,226 $ 12,742
Allowance for doubtful accounts $ 2,787 2,200 $ 2,787 $ 2,787 $ 2,787 $ 2,787 $ 2,787 $ 2,787 2,200 2,185
Allowance for doubtful accounts related to one customer 1,700   $ 1,700 1,700 1,700 1,700 $ 1,700 1,700    
Accounts receivable, terms of customer credit     100 days              
Percentage of net sales for royalty             40.00%      
Royalties 613 600 $ 613 $ 613 613 613 $ 613 $ 613 600 $ 856
Royalty expense 500 600     2,000       1,400  
United States                    
Disaggregation of Revenue [Line Items]                    
Products which the company pays royalties       5       5    
Products manufactured, marketed and distributed | drug               32    
Net Of SRA Balance                    
Disaggregation of Revenue [Line Items]                    
Accounts receivable $ 20,500 $ 31,800 $ 20,500 $ 20,500 $ 20,500 $ 20,500 $ 20,500 $ 20,500 $ 31,800