Don’t let the high cost of brand transdermal MAOI antidepressant therapy disrupt your treatment. We help eligible patients access Emsam (selegiline transdermal) for as little as $69.95 per month through the manufacturer’s Patient Assistance Program.
Emsam PAP for MDD patients uninsured/underinsured.
Eligibility, psychiatry coordination, prior-auth.
AffordMyPrescriptions eliminates that burden. $69.95/month advocacy.
| Pharmacy(With Coupon) | PrIce (30-Day)* | You Save W/ Us |
|---|---|---|
| Walgreens (brand) | ~$680 | Save ~$610/mo |
| CVS Pharmacy (brand) | ~$700 | Save ~$630/mo |
| Walmart (brand) | ~$440 | Save ~$370/mo |
| Costco (brand) | ~$420 | Save ~$350/mo |
Specialty Pharmacy | ~$500 | Save ~$430/mo |
*Just a heads-up — retail prices are estimates based on public data and vary by pharmacy. AffordMyPrescriptions Advocacy Service bypasses this by using drug manufacturer programs to secure your medication directly at no cost or retail price.
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PAP at no cost if approved. Generic SSRIs/SNRIs much cheaper first-line.
Complete a simple eligibility form so our team can determine if you may qualify for medication assistance programs.
Our specialists help gather documentation, complete applications, and coordinate with program providers.
Once approved, you may receive your medication through the assistance program while we help manage ongoing paperwork and renewals.
Many patients try discount cards first. Here’s why the Patient Assistance Program through AffordMyPrescriptions is the better long-term solution for Emsam:
Still $400–$700 per month even with the best discount
Eligibility is generally determined by annual household income and insurance status. Most programs follow guidelines that include limits of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. Because requirements vary by program and household, we encourage you to contact AffordMyPrescriptions directly so we can review your specific situation and determine if you qualify for Emsam assistance.
Not sure if you qualify? Our pre-qualification check is completely free. If we can’t help, you won’t be charged.
Emsam is a transdermal patch delivering selegiline, a selective MAO-B inhibitor that at therapeutic depression doses also inhibits MAO-A. The transdermal route bypasses gut MAO-A — avoiding the dietary tyramine interactions that limit oral MAOIs (at the 6 mg/24 hour starting dose; dietary restrictions may apply at higher doses).
How Emsam Works:
MAO-A and MAO-B metabolize serotonin, norepinephrine, and dopamine. Inhibiting MAO raises monoamine neurotransmitter levels — antidepressant effect.
Oral MAOIs (phenelzine, tranylcypromine) inhibit MAO-A in the gut, allowing dietary tyramine to enter circulation and cause hypertensive crisis when tyramine-rich foods (aged cheeses, cured meats, etc.) are consumed. Transdermal selegiline bypasses gut MAO-A — at the 6 mg/24 hour dose, dietary restrictions are not required. At higher doses (9 and 12 mg/24 hours), some dietary restrictions are recommended.
Form and use:
Emsam is a transdermal patch applied once daily to dry intact skin on the upper torso, thigh, or upper arm. Available in 6, 9, and 12 mg/24 hour strengths. Start 6 mg/24 hour. Rotate sites. Avoid heat exposure to the patch (heating pads, saunas, hot tubs increase drug absorption).
Generic availability:
There is no generic Emsam. Oral selegiline (generic — for Parkinson’s, not depression) is much cheaper but different indication. First-line MDD therapy uses generic SSRIs (sertraline, escitalopram, citalopram, fluoxetine, paroxetine, fluvoxamine) and SNRIs (venlafaxine, duloxetine, desvenlafaxine — most generic) — all very cheap.
Warnings:
Emsam carries BOXED WARNING for increased suicidality in children, adolescents, and young adults (≤24 years) with MDD (and other psychiatric disorders) — class effect of all antidepressants. Other warnings: hypertensive crisis with tyramine-containing foods (at higher Emsam doses), serotonin syndrome (avoid SSRIs/SNRIs and many other serotonergic drugs — wait 14 days after stopping Emsam before starting; wait 5 weeks after fluoxetine before Emsam), hypotension (orthostatic), CNS depression, hypomania/mania in bipolar patients. Many drug-drug interactions (avoid sympathomimetics, opioids meperidine/tramadol/methadone, dextromethorphan, etc.).
Brand Emsam $400–$700/month. No generic Emsam. PAP at no cost; advocacy $69.95/month. Generic SSRIs/SNRIs much cheaper first-line.
Almost always yes. Generic SSRIs (sertraline, escitalopram, etc.) and SNRIs (venlafaxine, duloxetine) are first-line MDD therapy — very cheap and effective for most patients. Insurance plans typically require multiple failed SSRI/SNRI trials before approving Emsam.
Oral MAOIs require strict dietary restrictions (avoid aged cheese, cured meats, fermented foods, beer, wine, etc.) to prevent tyramine-induced hypertensive crisis. Transdermal selegiline at 6 mg/24 hour dose bypasses gut MAO-A — no dietary restrictions needed. At higher doses, some restrictions recommended.
Many — avoid SSRIs, SNRIs, other serotonergic drugs (5-HT syndrome), opioids meperidine/tramadol/methadone, sympathomimetics (decongestants like pseudoephedrine), dextromethorphan, St. John’s wort, many others. Tell every prescriber about Emsam. Wait 14 days after stopping Emsam before starting most other antidepressants
Black box warning for increased suicidality in patients ≤24 years. Monitor closely especially in first months and after dose changes.
Some skin irritation possible. Rotate sites. Avoid heat exposure to patch (heating pad, sauna, hot tub) which dramatically increases drug absorption.
Optimize generic SSRI/SNRI first. Manufacturer copay or NAMI may help.Use generic Rx azelastine + OTC fluticasone — much cheaper combined cost.
If struggling with Emsam cost, we can help — or consider generic SSRI/SNRI first-line. Check eligibility today.
Start free by filling out a simple online form.
Our specialist will contact you for a quick welcome call.
Our team handles everything, so you can focus on your health.