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selegiline
selegiline
Brand names: Emsam, Selegiline HYDROCHLORIDE, Zelapar
| Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPSULE, ORAL | 5 mg | capsule is non formulary | ||||||||||
| FILM, EXTENDED RELEASE, TRANSDERMAL | 12 mg/24 hr | Patch is non formulary | ||||||||||
| TABLET, DISINTEGRATING, ORAL | 1.25 mg | ODT is non formulary | ||||||||||
| TABLET, ORAL | 5 mg | tablet is formulary |
Last updated: Nov. 28, 2023
- Black Box Warning: Suicidal ideation
Selegiline (as of 11/2023)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
ERX
Dose and Frequency
Selegiline
Eldepryl
Capsule
17280
5mg BID w/food
Selegiline
Tablet
11340
5mg BID w/ food