Product Details

Eldepryl

Selegiline HCl
5 mg
Tablet


DIN/PIN/NPN

02123312

Manufacturer

Draxis Health Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a 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