I get mine free from the company through patient assistance. I technically don't qualify (I have Medicare and might make too much barely) but I just send a note with the application and they have given it to me without question for years now. They seem to be extra nice about this because of not having a generic out there and no other drug like it either. (Although I've never had trouble getting assistance for any drug). But if you don't have insurance I'm pretty certain they will help you. Applying took about 5 minutes and my dr has to fill out a quick form and then they start sending it to the dr. In fact they have actually sent i so promptly that most years they've sent a batch before 12 months is up and so I have a lot of extra. I dread it going generic because I'll have to stop it then if I can't get it free anymore; it costs about $500/month out of pocket.

Oh, something I just remembered.....when you are learning to apply patches sometimes one will not stick well. For me medical tape will not tape it down. My pharmacy back when I started it gave me tegaderm patches to go over the Emsam to hold it down so I didn't have to throw patches out every time they didn't stick. So you may want to pick up a box of somethig like that (clear bandages that go completely over the patch).