Multiple Sclerosis
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, causing a wide range of symptoms including vision problems, fatigue, difficulty walking, and cognitive issues. Most people are diagnosed with MS between the ages of 20 and 50, with women being 3 times more likely than men to develop the condition. Approximately 1 million people are living with MS in the US today. While the exact cause is unknown there are several factors that increase the risk of developing MS, including genetic and environmental factors.
Assistance Information
Dollar cap is shared across assistance types.
Other Insurance — Up to 500% FPL
| Assistance Type | Status | Max Amount |
|---|---|---|
| Copay | At Capacity | $10,000 |
| Medical Expenses | At Capacity | $10,000 |
| Travel Expense | At Capacity | $500 |
Private Insurance — Up to 500% FPL
| Assistance Type | Status | Max Amount |
|---|---|---|
| Copay | At Capacity | $10,000 |
| Medical Expenses | At Capacity | $10,000 |
| Premium | At Capacity | $10,000 |
| Travel Expense | At Capacity | $500 |
Diagnosis Codes
- G35 Multiple sclerosis
- G35.A Relapsing-remitting multiple sclerosis
- G35.B Primary progressive multiple sclerosis
- G35.B0 Primary progressive multiple sclerosis, unspecified
- G35.B1 Active primary progressive multiple sclerosis
- G35.B2 Non-active primary progressive multiple sclerosis
- G35.C Secondary progressive multiple sclerosis
- G35.C0 Secondary progressive multiple sclerosis, unspecified
- G35.C1 Active secondary progressive multiple sclerosis
- G35.C2 Non-active secondary progressive multiple sclerosis
- G35.D Multiple sclerosis, unspecified
Covered Medications
- mitoXANTRONE HCl
- Dexabliss
- dexAMETHasone Intensol
- dexAMETHasone
- Dexlyt
- Dxevo 11-Day
- Hemady
- HiDex 6-Day
- TaperDex 12-Day
- TaperDex 6-Day
- TaperDex 7-Day
- ZCORT 7-Day
- Medrol
- methylPREDNISolone
- DEPO-Medrol
- methylPREDNISolone Acetate
- methylPREDNISolone Na Suc (PF)
- methylPREDNISolone Sodium Succ
- SOLU-Medrol (PF)
- SOLU-Medrol
- Millipred
- prednisoLONE Anhydrous
- prednisoLONE
- Orapred ODT
- Pediapred
- prednisoLONE Sodium Phosphate
- predniSONE Intensol
- predniSONE
- Rayos
- Kenalog-10
- Kenalog-40
- Kenalog-80
- P-Care K40
- P-Care K80
- Pod-Care 100K
- Pro-C-Dure 5
- Pro-C-Dure 6
- Triamcinolone Acetonide
- Zilretta
- Triamcinolone Diacetate
- Beta 1 Kit
- Betamethasone Combo
- Betamethasone Sod Phos & Acet
- BSP 0820
- Celestone Soluspan
- Pod-Care 100C
- Acthar Gel
- Acthar
- Corticotropin Gel
- Corticotropin
- Cortrophin Gel
- Cortrophin
- Cladribine (10 Tabs)
- Cladribine (4 Tabs)
- Cladribine (5 Tabs)
- Cladribine (6 Tabs)
- Cladribine (7 Tabs)
- Cladribine (8 Tabs)
- Cladribine (9 Tabs)
- Mavenclad (10 Tabs)
- Mavenclad (4 Tabs)
- Mavenclad (5 Tabs)
- Mavenclad (6 Tabs)
- Mavenclad (7 Tabs)
- Mavenclad (8 Tabs)
- Mavenclad (9 Tabs)
- Ampyra
- Dalfampridine ER
- Copaxone
- Glatiramer Acetate
- Glatopa
- Avonex Pen
- Avonex Prefilled
- Interferon Beta-1a
- Rebif Rebidose Titration Pack
- Rebif Rebidose
- Rebif Titration Pack
- Rebif
- Betaseron
- Extavia
- Interferon Beta-1b
- Peginterferon Beta-1a
- Plegridy Starter Pack
- Plegridy
- Aubagio
- Teriflunomide
- Alemtuzumab
- Lemtrada
- Natalizumab
- Tysabri
- Ocrelizumab
- Ocrevus
- Kesimpta
- Ofatumumab
- Briumvi
- Ublituximab-xiiy
- Dimethyl Fumarate Starter Pack
- Dimethyl Fumarate
- Tecfidera
- Diroximel Fumarate
- Vumerity
- Bafiertam
- Monomethyl Fumarate
- Fingolimod HCl
- Gilenya
- Fingolimod Lauryl Sulfate
- Tascenso ODT
- Ozanimod HCl Starter Pack
- Ozanimod HCl
- Zeposia 7-Day Starter Pack
- Zeposia Starter Kit
- Zeposia
- Ponesimod Starter Pack
- Ponesimod
- Ponvory Starter Pack
- Ponvory
- Mayzent Starter Pack
- Mayzent
- Siponimod Fumarate
- Ocrelizumab-Hyaluronidase-ocsq
- Ocrevus Zunovo
- diazePAM Intensol
- diazePAM
- Valium
- Chlorzoxazone
- Lorzone
- Amrix
- Cyclo
- Cyclobenzaprine HCl ER
- Cyclobenzaprine HCl
- Cyclophene RapidPaq
- EnovaRX-Cyclobenzaprine HCl
- Fexmid
- Orphenadrine Citrate ER
- Orphenadrine Citrate
- Carisoprodol-Aspirin-Codeine
- DermacinRX Diclolidol
- Diclofenac Sod-Lido HCl (Top)
- Diclofenac Sod-Lidocaine HCl
- Diclona
- Diclona+
- Ankle Sleeve Medicine Infused
- Arm Sleeve Medicine Infused
- Arthritis Pain Relieving
- Back Wrap Medicine Infused
- Capsaicin Arthritis Relief
- Capsaicin Heat Patch
- Capsaicin Hot Patch
- Capsaicin HP
- Capsaicin Pain Relief
- Capsaicin Topical Pain Patch
- Capsaicin
- Capsaid ES Arthritis Relief
- Capsimide
- Capzasin-HP
- Capzasin-P
- Capzasin
- Capzix
- Castiva Warming
- Circata
- CVS Capsaicin HP
- CVS Capsaicin
- CVS Medicated Heat Patch
- DermacinRx Capsaicin
- DermacinRx Circatrix
- DermacinRx Penetral
- DiabetAid Pain/Tingling Relief
- Elbow Sleeve Medicine Infused
- EQ Capsaicin Patch
- GNP Capsaicin Heat
- Guadalupano Pain Relieving
- Knee Sleeve Medicine Infused
- Leg Sleeve Medicine Infused
- Neck Wrap Medicine Infused
- QC Pain Relief Capsaicin
- RA Capsicum Hot Patch
- Salonpas-Hot
- Shin Sleeve Medicine Infused
- Sure Result SR Relief
- Wrist Sleeve Medicine Infused
- Zestama
- Zostrix HP
- Zostrix Natural Pain Relief
- AbobotulinumtoxinA
- Dysport
- Botox
- OnabotulinumtoxinA
- Ontralfy
- tiZANidine HCl
- Zanaflex
- Dantrium
- Dantrolene Sodium
- Revonto
- Ryanodex
- Baclofen (Bulk)
- Baclofen Refill Kit-SynchroMed
- Baclofen
- Fleqsuvy
- Gablofen
- Lioresal
- Lyvispah
- Ozobax DS
- Ozobax
- Anaspaz
- DermacinRx Digenyx
- Ed-Spaz
- Hyoscyamine Sulfate ER
- Hyoscyamine Sulfate SL
- Hyoscyamine Sulfate
- Hyosyne
- Levbid
- Levsin
- Levsin/SL
- NuLev
- Oscimin
- IncobotulinumtoxinA
- Xeomin
- Dexameth Sod Phos (PF) +RFID
- dexAMETHasone Sod Phos (PF)
- dexAMETHasone Sod Phos +RFID
- dexAMETHasone Sod Phosphate PF
- dexAMETHasone Sodium Phosphate
- Dexonto 0.4%
- DoubleDex
- Iontosone 0.4%
- MAS Care-Pak
- TopiDex
- Natalizumab-sztn
- Tyruko
Resources
Multiple Sclerosis Association of America
National Multiple Sclerosis Society
MS Cure Fund
Multiple Sclerosis Foundation
MS Coalition
Caregiver Resources
ARCH National Respite Network and Resource Center
National Alliance for Caregiving
Other Patient Assistance Organizations
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, causing a wide range of symptoms including vision problems, fatigue, difficulty walking, and cognitive issues. Most people are diagnosed with MS between the ages of 20 and 50, with women being 3 times more likely than men to develop the condition. Approximately 1 million people are living with MS in the US today. While the exact cause is unknown there are several factors that increase the risk of developing MS, including genetic and environmental factors.
Assistance Information
Dollar cap is shared across assistance types.
Public Insurance — Up to 500% FPL
| Assistance Type | Status | Max Amount |
|---|---|---|
| Copay | At Capacity | $7,500 |
| Medical Expenses | At Capacity | $7,500 |
| Premium | At Capacity | $7,500 |
| Travel Expense | At Capacity | $500 |
Diagnosis Codes
- G35 Multiple sclerosis
- G35.A Relapsing-remitting multiple sclerosis
- G35.B Primary progressive multiple sclerosis
- G35.B0 Primary progressive multiple sclerosis, unspecified
- G35.B1 Active primary progressive multiple sclerosis
- G35.B2 Non-active primary progressive multiple sclerosis
- G35.C Secondary progressive multiple sclerosis
- G35.C0 Secondary progressive multiple sclerosis, unspecified
- G35.C1 Active secondary progressive multiple sclerosis
- G35.C2 Non-active secondary progressive multiple sclerosis
- G35.D Multiple sclerosis, unspecified
Covered Medications
- mitoXANTRONE HCl
- Dexabliss
- dexAMETHasone Intensol
- dexAMETHasone
- Dexlyt
- Dxevo 11-Day
- Hemady
- HiDex 6-Day
- TaperDex 12-Day
- TaperDex 6-Day
- TaperDex 7-Day
- ZCORT 7-Day
- Medrol
- methylPREDNISolone
- DEPO-Medrol
- methylPREDNISolone Acetate
- methylPREDNISolone Na Suc (PF)
- methylPREDNISolone Sodium Succ
- SOLU-Medrol (PF)
- SOLU-Medrol
- Millipred
- prednisoLONE Anhydrous
- prednisoLONE
- Orapred ODT
- Pediapred
- prednisoLONE Sodium Phosphate
- predniSONE Intensol
- predniSONE
- Rayos
- Kenalog-10
- Kenalog-40
- Kenalog-80
- P-Care K40
- P-Care K80
- Pod-Care 100K
- Pro-C-Dure 5
- Pro-C-Dure 6
- Triamcinolone Acetonide
- Zilretta
- Triamcinolone Diacetate
- Beta 1 Kit
- Betamethasone Combo
- Betamethasone Sod Phos & Acet
- BSP 0820
- Celestone Soluspan
- Pod-Care 100C
- Acthar Gel
- Acthar
- Corticotropin Gel
- Corticotropin
- Cortrophin Gel
- Cortrophin
- Cladribine (10 Tabs)
- Cladribine (4 Tabs)
- Cladribine (5 Tabs)
- Cladribine (6 Tabs)
- Cladribine (7 Tabs)
- Cladribine (8 Tabs)
- Cladribine (9 Tabs)
- Mavenclad (10 Tabs)
- Mavenclad (4 Tabs)
- Mavenclad (5 Tabs)
- Mavenclad (6 Tabs)
- Mavenclad (7 Tabs)
- Mavenclad (8 Tabs)
- Mavenclad (9 Tabs)
- Ampyra
- Dalfampridine ER
- Copaxone
- Glatiramer Acetate
- Glatopa
- Avonex Pen
- Avonex Prefilled
- Interferon Beta-1a
- Rebif Rebidose Titration Pack
- Rebif Rebidose
- Rebif Titration Pack
- Rebif
- Betaseron
- Extavia
- Interferon Beta-1b
- Peginterferon Beta-1a
- Plegridy Starter Pack
- Plegridy
- Aubagio
- Teriflunomide
- Alemtuzumab
- Lemtrada
- Natalizumab
- Tysabri
- Ocrelizumab
- Ocrevus
- Kesimpta
- Ofatumumab
- Briumvi
- Ublituximab-xiiy
- Dimethyl Fumarate Starter Pack
- Dimethyl Fumarate
- Tecfidera
- Diroximel Fumarate
- Vumerity
- Bafiertam
- Monomethyl Fumarate
- Fingolimod HCl
- Gilenya
- Fingolimod Lauryl Sulfate
- Tascenso ODT
- Ozanimod HCl Starter Pack
- Ozanimod HCl
- Zeposia 7-Day Starter Pack
- Zeposia Starter Kit
- Zeposia
- Ponesimod Starter Pack
- Ponesimod
- Ponvory Starter Pack
- Ponvory
- Mayzent Starter Pack
- Mayzent
- Siponimod Fumarate
- Ocrelizumab-Hyaluronidase-ocsq
- Ocrevus Zunovo
- diazePAM Intensol
- diazePAM
- Valium
- Chlorzoxazone
- Lorzone
- Amrix
- Cyclo
- Cyclobenzaprine HCl ER
- Cyclobenzaprine HCl
- Cyclophene RapidPaq
- EnovaRX-Cyclobenzaprine HCl
- Fexmid
- Orphenadrine Citrate ER
- Orphenadrine Citrate
- Carisoprodol-Aspirin-Codeine
- DermacinRX Diclolidol
- Diclofenac Sod-Lido HCl (Top)
- Diclofenac Sod-Lidocaine HCl
- Diclona
- Diclona+
- Ankle Sleeve Medicine Infused
- Arm Sleeve Medicine Infused
- Arthritis Pain Relieving
- Back Wrap Medicine Infused
- Capsaicin Arthritis Relief
- Capsaicin Heat Patch
- Capsaicin Hot Patch
- Capsaicin HP
- Capsaicin Pain Relief
- Capsaicin Topical Pain Patch
- Capsaicin
- Capsaid ES Arthritis Relief
- Capsimide
- Capzasin-HP
- Capzasin-P
- Capzasin
- Capzix
- Castiva Warming
- Circata
- CVS Capsaicin HP
- CVS Capsaicin
- CVS Medicated Heat Patch
- DermacinRx Capsaicin
- DermacinRx Circatrix
- DermacinRx Penetral
- DiabetAid Pain/Tingling Relief
- Elbow Sleeve Medicine Infused
- EQ Capsaicin Patch
- GNP Capsaicin Heat
- Guadalupano Pain Relieving
- Knee Sleeve Medicine Infused
- Leg Sleeve Medicine Infused
- Neck Wrap Medicine Infused
- QC Pain Relief Capsaicin
- RA Capsicum Hot Patch
- Salonpas-Hot
- Shin Sleeve Medicine Infused
- Sure Result SR Relief
- Wrist Sleeve Medicine Infused
- Zestama
- Zostrix HP
- Zostrix Natural Pain Relief
- AbobotulinumtoxinA
- Dysport
- Botox
- OnabotulinumtoxinA
- Ontralfy
- tiZANidine HCl
- Zanaflex
- Dantrium
- Dantrolene Sodium
- Revonto
- Ryanodex
- Baclofen (Bulk)
- Baclofen Refill Kit-SynchroMed
- Baclofen
- Fleqsuvy
- Gablofen
- Lioresal
- Lyvispah
- Ozobax DS
- Ozobax
- Anaspaz
- DermacinRx Digenyx
- Ed-Spaz
- Hyoscyamine Sulfate ER
- Hyoscyamine Sulfate SL
- Hyoscyamine Sulfate
- Hyosyne
- Levbid
- Levsin
- Levsin/SL
- NuLev
- Oscimin
- IncobotulinumtoxinA
- Xeomin
- Dexameth Sod Phos (PF) +RFID
- dexAMETHasone Sod Phos (PF)
- dexAMETHasone Sod Phos +RFID
- dexAMETHasone Sod Phosphate PF
- dexAMETHasone Sodium Phosphate
- Dexonto 0.4%
- DoubleDex
- Iontosone 0.4%
- MAS Care-Pak
- TopiDex
- Natalizumab-sztn
- Tyruko
Resources
Multiple Sclerosis Association of America
National Multiple Sclerosis Society
MS Cure Fund
Multiple Sclerosis Foundation
MS Coalition
Caregiver Resources
ARCH National Respite Network and Resource Center
National Alliance for Caregiving
Other Patient Assistance Organizations
