Emsam Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Emsam medication with our help.Get started today
- Secure: Your personal and medical information is safe with us
- Convenient: We manage the whole process and we’re here to assist you
- Ongoing refills: We request your medication refills on your behalf
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
An introduction to NiceRx(01:52)
Next steps after qualifying(00:38)
Uploading documents and billing(00:50)
SSN & billing information(00:33)
Medication delivery time(00:41)
How it works
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.
Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.
Your monthly Emsam cost savings if eligible
With our assistance, you could access the Emsam patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.
Am I eligible for Emsam patient assistance?
We review each Emsam enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and the factors considered by most programs are:
- I am a permanent, legal resident of the United States or Puerto Rico
- I am uninsured or my insurance doesn’t cover my medication
- I meet certain income eligibility requirements
How do I apply for the Emsam patient assistance program?
Our process makes it as easy as possible to apply for the Emsam patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Emsam, your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.
We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.
Is NiceRx an Emsam coupons provider?
NiceRx is not an Emsam coupon, Emsam discount card, or Emsam copay card provider. We do not offer Emsam manufacturer coupons, Emsam discounts, rebates, Emsam savings cards, trial offers, or free Emsam samples. We are a service provider that helps eligible individuals access their medication directly from the U.S. pharmaceutical company.
Can NiceRx help me if I have insurance?
NiceRx may be able to help you if:
- You have a high copay or coinsurance responsibility for Emsam
- Your insurance company will not pay for your Emsam prescription
- Your healthcare plan does not cover your medication
- You do not have insurance
Please apply online to find out if we can help you.
How much does Emsam cost without insurance?
Without insurance, Emsam costs will vary depending on where you buy the medication as prices will vary by retailer. As a guide, Emsam transdermal film, extended-release (6 mg/24 hr) will cost around $1,900 for 30 films.
How much does Emsam cost with insurance?
The copay for Emsam will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.
What is Emsam?
Emsam is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Somerset Pharmaceuticals, Inc. The Emsam patch (selegiline transdermal system) is an antidepressant monoamine oxidase inhibitor (MAO inhibitor, MAOI) indicated for the treatment of major depressive disorder (MDD).
What doses of Emsam are available?
Emsam is available as a transdermal patch, in the following doses: 6 mg per 24 hours, 9 mg per 24 hours, and 12 mg per 24 hours.
The patch should be applied to dry, intact skin on the upper torso (below the neck and above the waist), upper thigh, or the outer surface of the upper arm once every 24 hours. The recommended starting dose is 6 mg per 24 hours. Dose increases should occur in steps of 3 mg per 24 hours (up to a maximum dose of 12 mg per 24 hours) at intervals of no less than 2 weeks. The recommended dose for elderly patients (65 years and older) is 6 mg per 24 hours daily. Tyramine-rich foods and beverages should be avoided, beginning on the first day of Emsam 9 mg per 24 hours or 12 mg per 24 hours treatment, and should continue to be avoided for 2 weeks after a dose reduction to 6 mg per 24 hours or following the discontinuation of Emsam 9 mg per 24 hours or 12 mg per 24 hours.
Please read the full medication guide and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Emsam active ingredients
The active ingredient of Emsam is selegiline.
Emsam side effects
The most common side effects of Emsam in clinical trials include:
- Application site reaction
- Dry mouth
- Pharyngitis, sinusitis
In rare instances, Emsam can cause more serious side effects. These can include:
- Tyramine-induced hypertensive crisis
- Blood pressure elevation related to concomitant medication – monitor blood pressure if used with buspirone, amphetamines, or decongestants products or weight loss preparations that contain sympathomimetic amines (pseudoephedrine, phenylephrine, phenylpropanolamine, and ephedrine)
- Activation of mania/hypomania
- Avoid exposing the Emsam application site to external sources of direct heat, such as heating pads or electric blankets, heat lamps, saunas, hot tubs, heated water beds, and prolonged direct sunlight
- Worsening and the emergence of suicidal thoughts and behaviors
- High blood pressure, sudden severe headaches, confusion, vision problems, chest pain, pounding in your neck or ears, clammy skin, vomiting, neck stiffness, irregular heartbeats, or dilated pupils
Your doctor will assess the benefits of using Emsam against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Emsam to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Emsam drug interactions
Emsam can interact with other medications. These include:
- Selective serotonin reuptake inhibitors (SSRIs) – fluoxetine, sertraline, and paroxetine
- Selective serotonin-norepinephrine reuptake inhibitors (SNRIs) – duloxetine, venlafaxine
- Tricyclic antidepressants – clomipramine, imipramine
- Antitussives – dextromethorphan should not be used because of a risk of serotonin syndrome
- Opiate analgesics – tramadol, methadone, meperidine, pentazocine, and propoxyphene
- Other antidepressants – bupropion maprotiline, mirtazapine
- St. John’s Wort
- Tyramine rich foods and beverages – aged cheeses, red wine, caviar, herring, canned figs, fermented meats, fava beans, yeast extracts, miso, avocado
This list is not exhaustive and other prescription drugs may interact with Emsam. Tell your healthcare provider about all the medicines you take including prescription and over-the-counter medicines, vitamins, and herbal supplements.
You should not use Emsam if you:
- Are allergic to the active ingredient selegiline
- Are allergic to any of the other ingredients in Emsam
- Have pheochromocytoma
- Are an adolescent or young adult 12 to 17 years of age
- Are pregnant or are planning to become pregnant – may cause fetal harm
Talk to your doctor before using Emsam if you:
- Are taking any of the medications that could interact with Emsam
- Are breastfeeding or are planning to breastfeed
- Have heart disease, or high blood pressure
- Have epilepsy
- Have bipolar disorder
Emsam is the trademark brand name for selegiline manufactured by Somerset Pharmaceuticals, Inc. A generic version of selegiline is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Emsam savings through NiceRx.
*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.
Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.
**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).
To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.
The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.