% of people who can afford each DMT in the country of Interest World Bank category Upper middle income WHO region Eastern Mediterranean Global results
Estimated % of people with MS who can afford each DMT
Alemtuzumab N/A - This DMT not available in the country or unable to be prescribed for MS 45% 29% 65%
Azathioprine N/A - This DMT not available in the country or unable to be prescribed for MS 87% 96% 84%
Cladribine (subcutaneous or IV) N/A - This DMT not available in the country or unable to be prescribed for MS 0% 68% 40%
Cladribine (oral) N/A - This DMT not available in the country or unable to be prescribed for MS 23% 39% 70%
Cyclophosphamide N/A - This DMT not available in the country or unable to be prescribed for MS 46% 93% 77%
Dimethyl fumarate N/A - This DMT not available in the country or unable to be prescribed for MS 82% 90% 90%
Diroximel fumarate N/A - This DMT not available in the country or unable to be prescribed for MS 0% 3% 46%
Fingolimod 100% 61% 93% 86%
Fludarabine N/A - This DMT not available in the country or unable to be prescribed for MS 0% 3% 14%
Glatiramer acetate N/A - This DMT not available in the country or unable to be prescribed for MS 90% 54% 83%
Interferon-beta 1a 100% 97% 93% 86%
Interferon-beta 1b 100% 95% 93% 85%
IV Immunoglobulin (IVIG) N/A - This DMT not available in the country or unable to be prescribed for MS 56% 64% 62%
Leflunomide N/A - This DMT not available in the country or unable to be prescribed for MS 6% 39% 14%
Methotrexate N/A - This DMT not available in the country or unable to be prescribed for MS 35% 96% 70%
Minocycline N/A - This DMT not available in the country or unable to be prescribed for MS 3% 8% 11%
Mitoxantrone N/A - This DMT not available in the country or unable to be prescribed for MS 45% 90% 73%
Monomethyl fumarate N/A - This DMT not available in the country or unable to be prescribed for MS 0% 3% 1%
Mycophenolate mofetil N/A - This DMT not available in the country or unable to be prescribed for MS 15% 90% 31%
Natalizumab 100% 58% 56% 77%
Ocrelizumab N/A - This DMT not available in the country or unable to be prescribed for MS 34% 90% 76%
Ofatumumab N/A - This DMT not available in the country or unable to be prescribed for MS 8% 3% 60%
Ozanimod N/A - This DMT not available in the country or unable to be prescribed for MS 6% 3% 45%
Peginterferon-beta 1a N/A - This DMT not available in the country or unable to be prescribed for MS 53% 4% 70%
Ponesimod N/A - This DMT not available in the country or unable to be prescribed for MS 0% 3% 42%
Rituximab 100% 43% 94% 81%
Siponimod N/A - This DMT not available in the country or unable to be prescribed for MS 11% 3% 57%
Teriflunomide N/A - This DMT not available in the country or unable to be prescribed for MS 84% 91% 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.

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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])