Product Details

Selegiline

Selegiline HCl
5 mg
Tablet

DIN/PIN/NPN

02230641

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1997-08-28

Unit Price

0.5021

Amount MOH Pays

0.5021

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

92:00:00 Unclassified Therapeutic Agents

Therapeutic Note

NO

ATC Code

N04BD01

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02068087	Teva-Selegiline	0.5021	0.5021
02230641	Selegiline	0.5021	0.5021
02123312	Eldepryl	NA	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph