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Note 3 - Summary of Significant Accounting Policies (Details Textual) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2024
Oct. 31, 2023
Sep. 30, 2022
Nov. 30, 2021
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Accounts Receivable, Allowance for Credit Loss         $ 185   $ 185   $ 129
Inventory Valuation Reserves         72   72   76
Payments to Acquire Intangible Assets             1,868 $ (0)  
Finite-Lived Intangible Assets, Accumulated Amortization         1,772   1,772    
Amortization of Intangible Assets         267   487    
Impairment, Long-Lived Asset, Held-for-Use             0 0  
Finance Lease, Liability         0   0   0
Medicaid Liability         7,142   $ 7,142   $ 3,627
Percentage for Valuation Reserve Against Deferred Tax Assets             100.00%   100.00%
Income Tax Expense (Benefit)         54 $ 0 $ 54 $ 0  
Effective Income Tax Rate Reconciliation, Percent             1.80% 0.00%  
Unrecognized Tax Benefits         0   $ 0   $ 0
Income Tax Examination, Penalties and Interest Accrued         $ 0   0    
Income Tax Examination, Penalties and Interest Expense             $ 0   $ 0
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in shares)         6,636,723 4,887,018 6,284,721 4,887,018  
Revenue Benchmark [Member] | Customer Concentration Risk [Member] | AnovoRx [Member]                  
Concentration Risk, Percentage             95.90% 63.50%  
Accounts Receivable [Member] | Customer Concentration Risk [Member] | AnovoRx [Member]                  
Concentration Risk, Percentage             96.20%   97.40%
Carglumic Acid Product Rights [Member]                  
Payments to Acquire Intangible Assets       $ 3,250          
Finite-Lived Intangible Asset, Useful Life (Year)       10 years          
Betaine Anhydrous Product Rights [Member]                  
Payments to Acquire Intangible Assets     $ 2,125            
Finite-Lived Intangible Asset, Useful Life (Year)     5 years            
Nitisinone Product Rights [Member]                  
Payments to Acquire Intangible Assets   $ 650              
Finite-Lived Intangible Asset, Useful Life (Year)   5 years              
PKU GoLike [Member]                  
Payments to Acquire Intangible Assets $ 1,868                
Finite-Lived Intangible Asset, Useful Life (Year) 10 years                
Computer Equipment [Member]                  
Property, Plant and Equipment, Useful Life (Year)         3 years   3 years    
Furniture and Fixtures [Member]                  
Property, Plant and Equipment, Useful Life (Year)         5 years   5 years