Accrued Expenses (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Other Income and Expenses [Abstract]
Payroll	$ 2,194	$ 1,789
Professional Fees	1,616	1,881
Medicaid and Medicare Rebates	1,599	987
Interest Expense	1,123	1,539
Rebates	970	774
Wholesaler Fees	416	747
Clinical Studies	334	334
Royalties	326	377
Inventory and Supplies	150	250
Capital Expenditures	17	23
Other	491	584
Accrued expenses	$ 9,236	$ 9,285