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Note 14 - Distribution Agreements (Details Textual) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended 15 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Dec. 31, 2022
Revenue from Contract with Customer, Including Assessed Tax $ 4,610 $ 3,662 $ 7,734 $ 6,935    
Cost of Goods and Services Sold 2,304 1,824 3,492 3,283    
Avenova Direct [Member]            
Revenue from Contract with Customer, Including Assessed Tax 1,300   2,900 3,500 $ 1,700  
DERMAdoctor [Member]            
Revenue from Contract with Customer, Including Assessed Tax 1,076 752 1,861 1,795    
Contract with Customer, Liability           $ 200
McKesson Corporation [Member] | Avenova Product [Member]            
Revenue from Contract with Customer, Including Assessed Tax 195 142 287      
Cost of Goods and Services Sold       57    
McKesson Corporation [Member] | Avenova Product [Member] | Accounts Payable and Accrued Liabilities [Member]            
Contract with Customer, Liability           1,600
McKesson Corporation [Member] | Avenova Product [Member] | Prepaid Expenses and Other Current Assets [Member]            
Contract with Customer, Rebate Liability, Current 35   35   $ 35 $ 0
Costco and Others [Member] | DERMAdoctor [Member]            
Revenue from Contract with Customer, Including Assessed Tax $ 100   $ 200 $ 100    
Cost of Goods and Services Sold   $ 200