Kesimpta (MS) (ofatumumab)
Patient Assistance Program Guide — Novartis Patient Assistance Foundation (NPAF)
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Uninsured, underinsured, or Medicare Part D patients who meet financial criteria and lack coverage for the medication.
Residency
U.S. resident, Puerto Rico, or U.S. Virgin Islands
Income Limits (500% FPL)
Income thresholds calculated at 500% FPL for 2025. NPAF may review cases individually for financial hardship.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Kesimpta (Ofatumumab) at No Cost Through the Novartis Patient Assistance Foundation (NPAF)
Who Qualifies for the Novartis Patient Assistance Foundation (NPAF)?
If you have been prescribed Kesimpta for multiple sclerosis but cannot afford it, you may be able to get it at no cost through the Novartis Patient Assistance Foundation (NPAF). This program provides free medication to patients who meet financial and insurance requirements. For a single-person household, your annual income must be at or below $75,300 to qualify. To be eligible, you must be uninsured, underinsured, or enrolled in Medicare Part D and lack adequate coverage for Kesimpta. If you meet these criteria, the NPAF may ship your medication directly to your home at no charge.
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About Kesimpta (MS) (Ofatumumab)
Kesimpta (ofatumumab) is a prescription medication approved by the FDA to treat relapsing forms of multiple sclerosis (RMS) in adults. This includes clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. It belongs to a drug class called CD20-directed cytolytic antibodies and is administered as a self-injection under the skin. Without insurance or financial assistance, Kesimpta can cost tens of thousands of dollars per year, placing it out of reach for many patients. The NPAF program exists specifically to help patients access this medication when cost is a barrier.
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Income Eligibility: Full Breakdown
The NPAF uses income thresholds set at 500% of the Federal Poverty Level (FPL) for 2025. The limits by household size are:
| Household Size | Max Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
Your income is typically verified using your most recent federal tax return, W-2, 1099 forms, or three months of recent pay stubs. If your income sources are irregular — for example, if you are self-employed or have seasonal work — multiple documents may be needed to give a complete picture.
If your income is slightly above these limits, do not assume you are automatically disqualified. NPAF has the ability to review individual cases for financial hardship, meaning extraordinary medical expenses or other factors may be considered. It is worth applying or calling (800) 277-2254 to discuss your situation before giving up. Households larger than four people may also contact NPAF directly, as the income scale continues beyond the four-person threshold shown here.
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Insurance Requirements Explained
Your insurance status plays a key role in whether you qualify. Here is how each situation is handled:
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Step-by-Step: How to Apply
1. Gather your documents before you start. You will need: proof of income (tax return, W-2, 1099, or pay stubs from the last three months), a valid prescription for Kesimpta, and a signed patient authorization form.
2. Choose your application method. You can apply online, by phone, or by fax.
- Online: Visit https://www.novartis.com/us-en/patients-and-caregivers/patient-assistance/novartis-patient-assistance-foundation-inc to access the application portal.
- By phone: Call (800) 277-2254 to speak with a program representative who can guide you through the process.
- By fax: Submit completed forms to (866) 817-1528.
3. Complete the prescriber section. Your doctor or their office staff must fill out and sign the prescriber portion of the application. Many offices are familiar with this process — ask your neurologist's office to assist you.
4. Sign the patient authorization form. This gives NPAF permission to verify your information and process your request. Without this signature, your application cannot move forward.
5. Submit everything together. Incomplete applications cause delays. Double-check that all sections are filled in and all documents are included before submitting.
6. Wait for a decision. NPAF typically completes its review within two business days. You or your prescriber's office will be notified of the outcome.
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What to Expect: Timeline and Delivery
Once your application is approved, NPAF typically processes the review within two business days. After approval, your Kesimpta will be shipped directly to your home — you do not need to pick it up at a pharmacy or your doctor's office. Make sure your mailing address on the application is current and that someone will be available to receive temperature-sensitive medication if required.
Reauthorization is required once per year. Before your approval period ends, you will need to resubmit income documentation and a current prescription to continue receiving free medication. Watch for renewal reminders and plan ahead so you do not experience a gap in your supply.
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Alternatives If You Don't Qualify
If you do not meet the NPAF's requirements, there are still options worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Kesimpta (ofatumumab). This may change in the future, but at this time, no lower-cost biosimilar version is available.
2. Manufacturer savings card: If you have commercial or private insurance, Novartis offers a co-pay savings program for Kesimpta. This can significantly reduce your out-of-pocket costs. Visit https://www.kesimpta.com/co-pay-savings-support to learn more and enroll.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states operate their own drug assistance programs, particularly for older adults or people with disabilities. Search your state's health department website or ask your doctor's office for a referral.
4. NeedyMeds.org: This free, independent database at www.needymeds.org lists hundreds of patient assistance programs, co-pay cards, and disease-specific funds. It is a useful starting point if you need to explore multiple avenues.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Novartis. Program terms may change — verify current requirements at [https://www.kesimpta.com/support/financial-support](https://www.kesimpta.com/support/financial-support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Novartis offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Yes. The Novartis Patient Assistance Foundation (NPAF) does accept Medicare Part D patients, which is different from many other manufacturer assistance programs. You must still meet the income requirements and demonstrate that your Medicare plan does not adequately cover Kesimpta.
NPAF typically completes its application review within two business days. After approval, your Kesimpta is shipped directly to your home. The total time from application to delivery can vary, so apply as early as possible to avoid running out of medication.
You will need proof of income (such as a recent tax return, W-2, 1099, or three months of pay stubs), a valid Kesimpta prescription, a completed prescriber section signed by your doctor, and a signed patient authorization form. Submitting all documents together helps avoid delays.
You must reapply each year to continue receiving free Kesimpta through NPAF. This means submitting updated income documentation and a current prescription. It is a good idea to start the renewal process several weeks before your approval expires so there is no interruption in your supply.
Do not assume you are automatically disqualified. NPAF has the ability to review cases individually for financial hardship. If you have high medical expenses or other financial pressures, it may be worth calling (800) 277-2254 to explain your situation before deciding not to apply.
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