selegiline
| Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPSULE, ORAL | 5 mg | Nonformulary | ||||||||||
| FILM, EXTENDED RELEASE, TRANSDERMAL | 12 mg/24 hr | Nonformulary | ||||||||||
| TABLET, DISINTEGRATING, ORAL | 1.25 mg | Nonformulary | ||||||||||
| TABLET, ORAL | 5 mg |
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