% of people who can afford each DMT in the country of Interest World Bank category Lower middle income WHO region Americas Global results
Estimated % of people with MS who can afford each DMT
Alemtuzumab Data not known 13% 84% 65%
Azathioprine Data not known 98% 85% 84%
Cladribine (subcutaneous or IV) Data not known 34% 0% 40%
Cladribine (oral) Data not known 19% 58% 70%
Cyclophosphamide Data not known 83% 61% 77%
Dimethyl fumarate Data not known 76% 82% 90%
Diroximel fumarate Data not known 0% 0% 46%
Fingolimod Data not known 77% 87% 86%
Fludarabine Data not known 0% 0% 14%
Glatiramer acetate Data not known 44% 84% 83%
Interferon-beta 1a Data not known 57% 85% 86%
Interferon-beta 1b Data not known 53% 84% 85%
IV Immunoglobulin (IVIG) Data not known 37% 71% 62%
Leflunomide Data not known 19% 48% 14%
Methotrexate Data not known 54% 58% 70%
Minocycline Data not known 4% 49% 11%
Mitoxantrone Data not known 49% 61% 73%
Monomethyl fumarate Data not known 0% 0% 1%
Mycophenolate mofetil Data not known 81% 54% 31%
Natalizumab Data not known 28% 85% 77%
Ocrelizumab Data not known 44% 62% 76%
Ofatumumab Data not known 0% 53% 60%
Ozanimod Data not known 0% 5% 45%
Peginterferon-beta 1a Data not known 5% 57% 70%
Ponesimod Data not known 0% 0% 42%
Rituximab Data not known 72% 62% 81%
Siponimod Data not known 0% 53% 57%
Teriflunomide Data not known 76% 84% 88%

Please note only 61 countries were able to provide estimates for this question and the data is highly variable within World Bank categories and WHO regions, with many outliers.

What is the Atlas of MS?

The Atlas of MS is the most comprehensive worldwide study of the epidemiology of MS and the global availability and accessibility of resources for people with MS.

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Access the latest Atlas of MS reports, infographics, slides and datasets to support research, advocacy and policy development. Planning an analysis or publication? Contact the Atlas team at [email protected] for guidance on methodology, data interpretation and related work.

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The information in the Atlas of MS can be a powerful advocacy tool, shining a spotlight on MS and raising awareness of the lack of adequate resources available to diagnose, inform, treat, rehabilitate and support people with MS worldwide.

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The Atlas of MS relies on data supplied by MS organisations from around the world. We are most grateful to the country coordinators and their colleagues for taking the time and effort to gather the information and data.

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The Atlas of MS is one of the strongest examples of what the global MS movement can achieve through collaboration. By bringing together evidence from countries around the world, it helps inform policy, strengthen advocacy and guide future investment in research and healthcare. The Atlas also highlights the need for continued investment in surveillance, registries and data systems to strengthen our understanding of the true burden of MS. Better data lead to better decisions and, ultimately, better outcomes for people affected by MS worldwide.

Professor Mario Alberto Battaglia
Chair, MS International Federation (MSIF) and President of the Italian MS Society (Associazione Italiana Sclerosi Multipla [AISM])