SELEGILINE
selegiline hydrochloride 5 mg tablet, 100
SELEGILINE (14430L)
14430L
Body System:
Manner of administration:Oral
Restriction
Indication: Late stage Parkinson disease
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 200 | # of repeats: 5 | DPMQ: $94.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Eldepryl | |||||
