Emsam Patch
NDC Package 49502-902-30

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Emsam (selegiline) patches is selegiline is an antidepressant (monoamine oxidase inhibitor) that treats depression by restoring the balance of certain natural substances (neurotransmitters) in the brain. This formulation utilizes a patch delivery system. Marketed by Viatris Specialty Llc, this product is identified by NDC 49502-902 and is authorized under FDA application NDA021336.

Identification & Billing

NDC Package Code
49502-902-30
Package Description
30 POUCH in 1 CARTON / 1 PATCH in 1 POUCH (49502-902-01) / 24 h in 1 PATCH
Product Code
49502-902
11-Digit Billing Format
49502090230
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Emsam
Non-Proprietary Name
Selegiline
Substance Name
Selegiline
Dosage Form
Patch - A drug delivery system that often contains an adhesive backing that is usually applied to an external site on the body. Its ingredients either passively diffuse from, or are actively transported from, some portion of the patch. Depending upon the patch, the ingredients are either delivered to the outer surface of the body or into the body. A patch is sometimes synonymous with the terms ‘extended release film’ and ‘system’.
Administration Route
Transdermal - Administration through the dermal layer of the skin to the systemic circulation by diffusion.
Active Ingredient(s)
SELEGILINE 12 mg/24h
Pharmacologic Class
Usage Information
Selegiline is an antidepressant (monoamine oxidase inhibitor) that treats depression by restoring the balance of certain natural substances (neurotransmitters) in the brain. Selegiline can improve your mood and feelings of well-being. This medication is a patch for use on the skin.

Regulatory & Marketing

Labeler Name
Viatris Specialty Llc
Product Type
Human Prescription Drug
FDA Application #
NDA021336
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
02-27-2006
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 49502-902-30 identifies a specific commercial package of 30 pouch in 1 carton / 1 patch in 1 pouch (49502-902-01) / 24 h in 1 patch of Emsam, a human prescription drug labeled by Viatris Specialty Llc. This patch is formulated for transdermal use and contains selegiline as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Viatris Specialty Llc on February 27, 2006. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

Selegiline is an antidepressant (monoamine oxidase inhibitor) that treats depression by restoring the balance of certain natural substances (neurotransmitters) in the brain. Selegiline can improve your mood and feelings of well-being. This medication is a patch for use on the skin.

How is this Viatris Specialty Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49502090230. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
49502-902-30
11-Digit CMS (5-4-2)
49502-0902-30

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.