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Note 6 - Royalty Monetizations - Schedule of Royalty Financing Obligations (Details)
$ in Thousands
 3 Months Ended
Mar. 31, 2022
USD ($)
Balance $ 449,375
Deferred financing costs (34)
Non-cash Interest expense on Royalty financing obligations 19,649
Royalty revenues paid and payable (4,765)
Balance 464,225
2020 RPI Royalty Agreement [Member]  
Balance 147,224
Non-cash Interest expense on Royalty financing obligations 10,165
Royalty revenues paid and payable (4,385)
Balance $ 153,004
Effective interest rate 27.30%
2021 RPI Royalty Agreement [Member]  
Deferred financing costs $ (34)
Non-cash Interest expense on Royalty financing obligations 6,327
Royalty revenues paid and payable (380)
Balance $ 159,290
Effective interest rate 16.50%
OMERS Royalty Agreement [Member]  
Non-cash Interest expense on Royalty financing obligations $ 3,157
Balance $ 151,931
Effective interest rate 8.50%