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Note 2 - Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2018
Notes Tables  
Schedules of Concentration of Risk, by Risk Factor [Table Text Block]
   
Net Product Sales
   
Accounts Receivable
 
   
Year Ended December 31
, 2018
   
As of December 31
, 2018
 
                 
Customer A
   
41.7
%    
38.7
%
Customer B
   
34.9
%    
46.1
%
Customer C
   
22.5
%    
14.8
%
Total
   
99.1
%    
99.6
%
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
   
December 31
,
 
   
2018
   
2017
   
2016
 
                         
Stock options outstanding
   
15,265
     
13,463
     
11,845
 
Warrants outstanding
   
640
     
620
     
600
 
Shares of common stock underlying Convertible Notes outstanding
   
8,473
     
7,983
     
7,521