Multiple Sclerosis Drug Market Outlook:
Multiple Sclerosis Drug Market size was USD 27.8 billion in 2024 and is expected to reach USD 48.5 billion by the end of 2034, increasing at a CAGR of 6.2% during the forecast period, i.e., 2025-2034. In 2025, the industry size of multiple sclerosis drug is assessed at USD 29.3 billion.
The international patient pool in the global market is significantly exceeding the 2.9 million mark, with an estimated 1.2 million cases recorded in the U.S., as stated by the National Multiple Sclerosis Society (NMSS). Additionally, the occurrence rate is increasing gradually from 5% to 7% annually, which is attributed to environmental factors and improved diagnostics. Besides, the World Health Organization (WHO) has estimated that 75% to 85% of multiple sclerosis patients can depend on disease-modifying therapies (DMTs), developing a sustained need for immunosuppressants and immunomodulators. Therefore, all these factors are creating a positive impact on the overall market across different nations.
Moreover, investments to conduct research, development, and deployment (RDD) in the market are increasing by USD 3.5 billion every year, of which 62% has been provisioned for biologic therapies. Government-backed strategies, such as the NIH’s NeuroNext program, have escalated clinical trials for neuroprotection and remyelination therapies. Besides, Europe and the U.S. collectively dominate multiple sclerosis drug exports, accounting for almost 80% of the international trade, while developing nations, such as China, Brazil, and India, are enhancing their API manufacturing. According to the U.S. International Trade Commission (USITC) data report, the U.S. imported USD 1.3 billion of multiple sclerosis-based APIs as of 2023, and exported USD 2.9 billion of finished drugs, thus suitable for market upliftment.

Multiple Sclerosis Drug Market - Growth Drivers and Challenges
Growth Drivers
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Healthcare cost savings and early intervention: The aspect of early treatment in the market has clinically and economically proven to be impactful. As per the 2022 AHRQ clinical study, it has been discovered that early DMT utilization effectively diminished hospitalizations by nearly 32.5%, thereby saving USD 1.7 billion for two years. Besides, France’s Haute Autorité de Santé (HAS) has suggested that there is a correlation between destructive early treatment with a 50% reduction in relapse rates. Moreover, telemedicine is filling the barrier, with 70% of neurologists utilizing remote monitoring to track the development.
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Increase in disease and diagnosis: The international patient pool in the market has increased, with Europe and North America catering to at least 80% of cases. In the U.S., the prevalence increased by 3.4% over seven years, while Germany experienced a 4.5% growth. Besides, enhanced MRI awareness and diagnostic campaigns have readily diminished undiagnosed incidences in wealthy countries, but the Asia-Pacific region is lagging behind, with 45% of patients suffering from multiple sclerosis continuing to remain undiagnosed. Moreover, targeted screening in China and India can reveal approximately 500,200 new patients, thus driving the need for cost-effective generics.
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Transition toward generics and biosimilars: The existence of biosimilars and generics is effectively reshaping the market by reducing expenses. In this regard, the FDA has successfully accepted 5 MS-based biosimilars as of 2024, which is expected to diminish the U.S. expenditure by USD 850 million by the end of 2027. Sandoz’s biosimilar interferon in Europe has effectively captured 25% of the market share within 12 months of the launch. Besides, education-based campaigns have highlighted that comparative results can escalate upgradation, thus denoting an optimistic outlook for the overall market growth across different countries.
Manufacturer Strategies Shaping the MS Drug Market Landscape
Revenue Potential for MS Drug Manufacturers (2023-2026)
Company |
Strategy |
Revenue Impact (USD) |
Biogen |
Launched Vumerity (oral DMT) |
1.3 billion additional revenue (2023) |
Roche |
Expanded Ocrevus to early-stage MS |
6.4 billion global sales (2023) |
Novartis |
Neuroprotection R&D (e.g., ofatumumab) |
2.1 billion projected (2026) |
Sanofi |
Aubagio generics in India |
320 million annual sales (2024-2026) |
Merck KGaA |
Evobrutinib (BTK inhibitor trial) |
1.6 billion peak sales potential |
Sources: NIH, FDA, WHO, CDSCO, EMA
Feasible Expansion Models Shaping the MS Drug Market Future
Feasibility Models for MS Market Expansion (2022-2024)
Model |
Region |
Impact |
Hospital Partnerships |
India |
12.8% revenue increase |
Medicare Expansion |
U.S. |
18.5% DMT access growth |
Biosimilar Mandates |
Germany |
€205 million annual savings |
Sources: CDSCO, CMS, G-BA
Challenges
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Increased gaps in patient cost-effectiveness: Increased expenses develop treatment barriers across different nations, which causes a hindrance in the market internationally. For instance, 30% of MS patients in the U.S. ration medicated drugs, owing to more than USD 5,500 yearly copayments. Likewise, the public health system in Brazil effectively covers only first-line interferons, thereby leaving behind 65,000 patients without the need for modernized DMTs. Besides, manufacturers experience risky choices for maintaining limited accessibility and premium pricing, thus negatively impacting the overall market globally.
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Resistance to biosimilars: This is another challenge that the market is witnessing internationally. The market, despite comprising potential savings, stakeholders are deliberately resisting the biosimilar integration. For instance, only 40% of MS patients in France utilize biosimilar interferons, owing to physicians' preference for originators. Similarly, in the U.S., payers need 6 to 8 prior authorization levels to switch towards biosimilars, thus developing administrative obstacles. Therefore, this resistance readily increases healthcare expenses by USD 1.9 billion every year, while safeguarding brand manufacturers from extreme competition.
Multiple Sclerosis Drug Market Size and Forecast:
Report Attribute | Details |
---|---|
Base Year |
2024 |
Forecast Year |
2025-2034 |
CAGR |
6.2% |
Base Year Market Size (2024) |
USD 27.8 billion |
Forecast Year Market Size (2034) |
USD 48.5 billion |
Regional Scope |
|
Multiple Sclerosis Drug Market Segmentation:
Disease Type Segment Analysis
The relapsing-remitting MS (RRMS) segment is projected to dominate the market, with the highest share of 69.5% by the end of 2034. The segment’s growth is highly fueled by an increase in the treatment integration rates, as well as an upsurge in the prevalence globally. This segment is considered the most common MS subtype, catering to 90% of diagnoses, and therefore, RRMS patients demand constant disease-based therapies to prevent delayed progression and relapses. In addition, the segment’s upliftment is also driven by cutting-edge monoclonal antibodies, such as Roche’s Ocrevus, along with oral therapy, thus demonstrating 55% to 65% reduction in relapse during clinical studies.
Drug Class Segment Analysis
The monoclonal antibodies segment is expected to hold the second-largest share of 40.5% in the multiple sclerosis drug market during the forecast duration. The segment’s growth is effectively driven by managing disability progression, along with superior efficiency in relapse prevention. Besides, anti-CD20 mAbs, including Novartis’ Kesimpta and Roche’s Ocrevus, collectively display 60% to 80% reduction in relapse rates, in comparison to conventional therapies. Besides, the segment also propels from stretched dosage intervals, constituting half a year for Ocrevus, and robust payer coverage, with Medicare Part B expenditure on MS mAbs increasing by USD 3.4 billion yearly.
Route of Administration Segment Analysis
The oral segment in the multiple sclerosis drug market is anticipated to account for the third-largest share of 33.7% by the end of the forecast timeline. This particular therapy is positively uplifting the overall market, owing to convenience and superior patient adherence, with the inclusion of notable agents, such as Biogen's Vumerity, to diminish yearly relapse rates by at least 45% to 60%. In addition, the segment readily benefits from an expansion in Medicare Part D coverage, with oral DMT medications increasing by 18.5% every year since 2022. Besides, advanced oral BTK inhibitors, such as Merck’s evobrutinib, provide targeted immunomodulation with regular dosage, thereby suitable for the overall segment.
Our in-depth analysis of the global market includes the following segments:
Segment |
Subsegments |
Disease Type |
|
Drug Class |
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Route of Administration |
|
Distribution Channel |
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Vishnu Nair
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Multiple Sclerosis Drug Market - Regional Analysis
North America Market Insights
North America multiple sclerosis drug market is anticipated to be the dominating region, with a projected highest share of 48.1% by the end of 2034. The market’s growth in the region is subject to the U.S., readily driving the majority of the demand, further backed by a strong presence of Medicaid and Medicare coverage, accounting for USD 6.5 billion in federal expenditure as of 2024, along with an increase in treatment implementation rates, constituting 75% of diagnosed patients. Besides, an expansion in telemedicine across rural areas, biosimilar adoption diminishing expenses, and the FDA’s fast track approvals of at least 7 new therapies by the end of 2026, are other drivers positively impacting the overall market in the region.
The multiple sclerosis drug market in the U.S. is significantly growing, highly fueled by an increase in the treatment services, catering to 80% of diagnosed patients, along with Medicaid and Medicare coverage extension. Additionally, there has been an increase in federal expenditure by USD 6.2 billion for MS therapies as of 2024, of which the NIH has made an allocation of USD 455 million for conducting neuroprotection research. Besides, Medicare Part B expenditure for monoclonal antibodies also surged by 20% every year, while expanded Medicaid services for DMT have enhanced accessibility to almost 500,250 patients as of 2024, thus effectively uplifting the overall market in the country.
The multiple sclerosis drug market in Canada is also projected to grow at a rate of 6.1%, which is propelled by provincial DMT subsidies and the presence of universal health and medical coverages. Besides, Health Canada has made the provision of USD 3.7 billion, of which 9.5% caters to the federal health budget for MS care facilities as of 2024. Meanwhile, Ontario’s Exceptional Access Program provides complete coverage of high-efficiency DMT expenses, which readily benefits more than 32,000 patients. Furthermore, biosimilar switching policies, indigenous health disparities, and early treatment initiation are other key trends that are skyrocketing the market in the country.
North America's MS drug trade and supply chain facilities (2022-2025)
Facility Type |
Location |
Key Activity (2022-2025) |
API Manufacturing |
Puerto Rico, U.S. |
Produces 45% of U.S. MS drug APIs (FDA-regulated) |
Biologics Production |
Montreal, Canada |
Sanofi's USD 360 million facility for interferon-beta-1a |
Fill-Finish Plants |
North Carolina, U.S. |
Catalent's sterile injectable production for DMTs |
Cold Chain Logistics |
Ontario, Canada |
McKesson's -25°C storage hub for MS biologics |
Biosimilar Facilities |
Texas, U.S. |
Biocon's USD 205 million plant for glatiramer acetate biosims |
R&D Centers |
Massachusetts, U.S. |
Novartis' neuroprotection research hub |
Sources: FDA Facility Registry, Health Canada, U.S. Dept of Commerce, Canada Biologics Network, Texas Economic Development, NIH Funding Reports
APAC Market Insights
Asia Pacific multiple sclerosis drug market is considered the fastest-growing region, with an expected share of 15.2% during the forecast period. The market’s development in the region is fueled by an increase in government healthcare policies, biosimilar implementation, and a surge in diagnosis volumes. China is positively impacting the region, with a valuation of USD 2.3 billion, owing to the 2023 reforms by the National Medical Products Administration (NMPA) for escalating 7 notable DMT acceptances. India is following closely, with a valuation of USD 920 million through the presence of localized generics and Ayushman Bharat coverage. Then there is a generous investment of USD 750 million by South Korea for conducting neuroprotection, while Malaysia expanded hospital and pharma collaborations through USD 380 million deals, thus suitable for market upliftment in the region.
The multiple sclerosis drug market in China is gaining increased exposure with a projected revenue share of 30.5% within the forecast duration, effectively propelled by administrative policies and enhanced diagnostic rates. The NMPA has readily escalated acceptances for 8 notable DMTs between 2023 and 2024, which include locally developed BTK inhibitors. Besides, there has been a surge in government expenditure by 17.5% on a yearly basis to cater to at least 1.7 million diagnosed patients in the country, of which 66% has been focused on urban locations. Companies in the region, such as Hengrui Pharma, are effectively investing more than USD 205 million in biosimilars, thus creating a huge opportunity for market growth.
The multiple sclerosis drug market in India is also simultaneously growing by an expected 15% of the regional share, which is propelled by administrative policies and generic manufacturing. The CDSCO has successfully approved at least 6 biosimilars as of 2023, which included Biocon’s glatiramer acetate, costing 82% lower than originators. Besides, government spending has increased by 22% since 2020 to an estimated USD 2.4 billion yearly, but out-of-pocket expenses still continue to consume 48% of household health budget for patients suffering from the disorder. Meanwhile, localized players, such as Dr. Reddy, is effectively dominating the market in the country with 62% of the share in generics, thus depicting a huge contribution.
Government Policies and Funding for MS drugs in Australia, Malaysia, and South Korea (2022-2025)
Country |
Initiative/Policy |
Funding/Impact (2022-2025) |
Australia |
MS Research Australia Funding |
AUD 17 million for neuroprotection trials |
|
PBS Listing Expansion |
Added 3 new DMTs (2024), covering 8,200+ patients |
Malaysia |
National Strategic Plan for Rare Diseases |
RM58 million for MS drug subsidies (2023-2025) |
|
Biosimilar Adoption Policy |
Saved RM35 million via glatiramer acetate biosimilars |
South Korea |
Rare Disease Management Act |
₩49 billion for MS patient support programs |
|
Fast-Track Approvals |
5 MS drugs expedited (2023-2025) |
Sources: MS Research Australia, PBS, MOH Malaysia, Pharmacy, MFDS, MFDS
Europe Market Insights
Europe multiple sclerosis drug market is expected to hold a considerable share of 30.2% by the end of the forecast period, catering to a 5.7% growth rate, highly fueled by biosimilar implementation as well as the increased prevalence of the disease. Germany is deliberately leading in the region, with the €4.7 billion in spending as of 2024, which is further driven by AMNOG pricing policies, along with an increase in the yearly growth in demand by 13%. This is followed by the UK allocating 9% of its healthcare budget for MS therapies, along with NICE accepting 8 new DMTs since 2022. In addition, France has provided 7.5% of its budget to support early high-efficiency, thus suitable for the overall market in the region.
The multiple sclerosis drug market in Germany is dominating the region, with a 35% revenue share, accounting for over € 6.5 billion by the end of 2034, which is propelled by an increase in biosimilar adoption and the existence of a value-specific AMNOG pricing system. Besides, the Federal Ministry of Health made the provision of a generous fund that has prioritized early high-efficiency DMTs such as Kesimpta and Ocrevus, further diminishing relapses by 52% in clinical practice. Meanwhile, the EMA’s PRIME scheme has accelerated acceptances for 7 neuroprotection therapies between 2023 and 2025, including Merck’s evobrutinib, thus creating an optimistic outlook for the overall market.
The multiple sclerosis drug market in the UK is also growing, with a projected 25% of the region’s MS drug revenue, accounting for £4.8 billion by the end of the forecast timeline, effectively backed by the NHS universal coverage, as well as NICE’s advanced DMT acceptances. For instance, almost 8.5% of the healthcare budget, which is £2.3 billion as of 2024, has been allocated for MS therapies, including ofatumumab for more than 16,000 patients in the country. Besides, the MHRA’s Innovative Licensing Pathway has reduced approval duration by almost 43%, particularly for drugs such as BTK inhibitors, thus suitable for propelling the overall market.

Key Multiple Sclerosis Drug Market Players:
- Company Overview
- Business Strategy
- Key Product Offerings
- Financial Performance
- Key Performance Indicators
- Risk Analysis
- Recent Development
- Regional Presence
- SWOT Analysis
The international market is extremely unified, with the presence of notable key players, such as Biogen, Novartis, and Roche, collectively dominating with 65% of the market share through oral DMTs and monoclonal antibodies. These companies have readily implemented tactical initiatives, including transition to neuroprotection and approved administrative products. For instance, Biogen witnessed a sudden shift towards neuroprotection with USD 1.1 billion in research and development-based investment. Besides, Novartis’s Kesimpta gained 23% of the share with self-administered convenience, while Roche’s Ocrevus achieved 27% of the share through pediatric acceptances and expanded dosage, thus suitable for the market development.
Here is a list of key players operating in the global market:
Company Name |
Country |
Industry Focus |
Market Share (2024) |
Roche |
Switzerland |
Leader in monoclonal antibodies (Ocrevus) for RRMS and PPMS |
22.5% |
Novartis |
Switzerland |
Focus on oral DMTs (Gilenya, Kesimpta) and next-gen BTK inhibitors |
18.2% |
Biogen |
U.S. |
Pioneered interferons (Avonex) and fumarates (Tecfidera, Vumerity) |
15.4% |
Merck KGaA |
Germany |
Specializes in cladribine (Mavenclad) and evobrutinib (BTK inhibitor) |
10.6% |
Sanofi |
France |
Aubagio (teriflunomide) and emerging remyelination therapies |
9.1% |
Teva Pharmaceutical |
Israel |
Largest producer of glatiramer acetate generics (Copaxone) |
xx% |
Bristol-Myers Squibb |
U.S. |
Developing S1P modulators (Zeposia) for active RRMS |
xx% |
Pfizer |
U.S. |
Co-marketing agreement with Merck KGaA for MAVENCLAD in Europe |
xx% |
Mylan (Viatris) |
U.S. |
Biosimilars for interferons (e.g., Glatopa) |
xx% |
Dr. Reddy’s Laboratories |
India |
Affordable biosimilars (e.g., glatiramer acetate) for emerging markets |
xx% |
Hetero Drugs |
India |
Leading generic MS drug supplier (interferon-beta-1a) |
xx% |
Biocon |
India |
Biosimilars (e.g., peginterferon beta-1a) for Asia-Pacific markets |
xx% |
Celltrion |
South Korea |
Biosimilar rituximab (Truxima) for off-label MS use in some regions |
xx% |
CSL Limited |
Australia |
Investing in neuroprotection therapies for progressive MS |
xx% |
Hikma Pharmaceuticals |
UK |
Generic DMTs for Middle East and North Africa |
xx% |
Sources: Roche, Novartis Pipeline, Biogen Investors, Merck KGaA, Sanofi R&D, Teva Global, BMS Pipeline, Pfizer, Viatris Biosimilars, Dr. Reddy’s, Hetero, Biocon, Celltrion, CSL Behring, Hikma, Takeda Japan, Eisai, Daiichi Sankyo, Mitsubishi Tanabe, Ono Pharma
Below are the areas covered for each company in the global market:
Recent Developments
- In April 2024, Novartis AG declared that it achieved the FDA acceptance for Kesimpta, which is an ofatumumab, suitable as a first-line monotherapy for RMS, which has the capability to expand its market by more than 30,500 patients in the U.S. market.
- In January 2024, Sanofi, based in France, effectively entered into a partnership with SwanBio Therapeutics on a USD 1.5 billion gene therapy-based deal that targeted advanced MS with an IND submission projected to be achieved by the end of 2025.
- Report ID: 1986
- Published Date: Jul 30, 2025
- Report Format: PDF, PPT
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Multiple Sclerosis Drug Market Report Scope
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