% of people who can afford each DMT in the country of Interest World Bank category High Income WHO region Eastern Mediterranean Global results
Estimated % of people with MS who can afford each DMT
Alemtuzumab 50% 83% 29% 65%
Azathioprine Data not known 79% 96% 84%
Cladribine (subcutaneous or IV) N/A - This DMT not available in the country or unable to be prescribed for MS 47% 68% 40%
Cladribine (oral) 50% 92% 39% 70%
Cyclophosphamide Data not known 80% 93% 77%
Dimethyl fumarate 80% 95% 90% 90%
Diroximel fumarate Data not known 66% 3% 46%
Fingolimod 100% 93% 93% 86%
Fludarabine Data not known 20% 3% 14%
Glatiramer acetate 90% 94% 54% 83%
Interferon-beta 1a 90% 94% 93% 86%
Interferon-beta 1b 90% 94% 93% 85%
IV Immunoglobulin (IVIG) 100% 70% 64% 62%
Leflunomide Data not known 14% 39% 14%
Methotrexate Data not known 79% 96% 70%
Minocycline Data not known 14% 8% 11%
Mitoxantrone Data not known 84% 90% 73%
Monomethyl fumarate Data not known 1% 3% 1%
Mycophenolate mofetil Data not known 18% 90% 31%
Natalizumab 80% 94% 56% 77%
Ocrelizumab 100% 91% 90% 76%
Ofatumumab 100% 85% 3% 60%
Ozanimod Data not known 64% 3% 45%
Peginterferon-beta 1a Data not known 91% 4% 70%
Ponesimod Data not known 60% 3% 42%
Rituximab 100% 89% 94% 81%
Siponimod Data not known 81% 3% 57%
Teriflunomide 80% 92% 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.

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])