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Recent Additions and Expected Return of Product Rights - Change in Consideration (Details) - Vibativ - USD ($) | 2 Months Ended | 9 Months Ended
--- | --- | ---
Dec. 31, 2018 | Dec. 31, 2018 | Sep. 30, 2019
Loss Contingency Accrual [Roll Forward] |  |  |
Beginning balance |  | $ 9,034,000 | $ 9,502,000
Adjustment to initial fair value of the contingent consideration liability |  |  | 148,000
Cash payment of royalty during the period |  |  | (908,347)
Change in fair value of contingent consideration included in operating expenses |  | (40,000) | (681,577)
Contingent consideration earned and accrued in operating expenses | $ 508,000 |  | 560,128
Ending balance | $ 9,502,000 | $ 9,502,000 | $ 8,620,204

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