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

1.7072

Amount MOH Pays

1.7072

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N04BD01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02230641 Selegiline 1.7072 1.7072
02123312 Eldepryl NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph