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RediTrex® and Vibativ® - Narrative (Details) - USD ($) shares in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | ---
Nov. 30, 2016 | Dec. 31, 2020 | Sep. 30, 2020 | Jun. 30, 2020 | Mar. 31, 2020 | Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2021
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue from Contract with Customer, Excluding Assessed Tax |  |  |  |  |  |  |  |  |  | $ 35,840,673 | $ 32,407,845 | $ 28,803,961 |
Other revenue, potential upfront payment related to product sales |  |  |  |  |  |  |  |  |  | 4,800,000 |  |  |
Payments to acquire businesses |  |  |  |  |  |  |  |  |  | 0 | 5,000,000 | 20,000,000 |
Net revenues from customers outside the United States |  | $ 10,261,534 | $ 9,250,689 | $ 9,598,177 | $ 8,330,734 | $ 9,305,553 | $ 6,935,439 | $ 9,417,443 | $ 8,729,860 | 37,441,134 | 34,388,295 | 29,344,894 |
Nordic Group B.V. |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Net revenues from customers outside the United States |  | 500,000 |  |  |  |  |  |  |  |  |  |  |
Methotrexate |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire businesses | $ 100,000 |  |  |  |  |  |  |  |  |  |  |  |
Liabilities incurred | $ 900,000 |  |  |  |  |  |  |  |  |  |  |  |
Stock issued during period, acquisitions |  |  |  |  |  |  |  |  |  | 900,000 |  |  |
Intellectual property amortizable intangible assets |  | $ 2,800,000 |  |  |  |  |  |  |  | 2,800,000 |  |  |
Methotrexate | Subsequent Event |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Liability to be paid |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,000,000.0
Omeclamox-Pak |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue from Contract with Customer, Excluding Assessed Tax |  |  |  |  |  |  |  |  |  | $ 257,088 | $ 837,829 | $ 623,297 |
Restricted Stock | Methotrexate |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Stock issued during period, acquisitions (in shares) | 180 |  |  |  |  |  |  |  |  |  |  |  |

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