How to Save Money on Kesimpta in 2026: Coupons, Discounts, and Patient Assistance

Updated:

February 24, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Kesimpta costs up to $90,000/year without insurance. Learn about the Kesimpta Access Card, patient assistance programs, and other ways to save in 2026.

Kesimpta Is Expensive — But You May Not Have to Pay Full Price

Let's start with the number that keeps MS patients up at night: Kesimpta (Ofatumumab) has a list price of approximately $6,800 to $7,500 per monthly injection. That's roughly $82,000 to $90,000 per year.

If you've just seen that number for the first time, take a breath. The reality is that most patients don't pay anywhere near the list price — but only if they know where to look and what programs to use. This guide breaks down every major way to reduce your out-of-pocket cost for Kesimpta in 2026.

What Does Kesimpta Cost Without Insurance?

Without insurance or financial assistance, you'd be looking at the full list price:

  • Per dose: $6,800–$7,500 for a single 20 mg prefilled pen or syringe
  • Loading phase (first 3 weeks): Approximately $20,400–$22,500 for three doses at weeks 0, 1, and 2
  • First year (loading + monthly maintenance): Approximately $82,000–$90,000
  • Ongoing annual cost: Approximately $82,000–$90,000 (12 monthly doses)

These are among the highest costs in the MS treatment landscape. However, very few patients actually pay the list price thanks to insurance coverage and financial assistance programs.

Kesimpta Access Card (Novartis Copay Assistance)

The single most impactful savings program for Kesimpta is the Kesimpta Access Card, offered directly by manufacturer Novartis.

How It Works

  • Provides up to $18,000 per year in copay assistance
  • 97% of commercially insured patients using the card pay $0 out of pocket (per Novartis 2024 data)
  • If your insurance initially denies coverage, you may receive free Kesimpta for up to 12 months while your appeal is processed
  • Renews annually — you'll need to re-enroll each year

Who Qualifies

  • Patients with commercial (private) insurance
  • Not valid for Medicare, Medicaid, TRICARE, or other federal/state government insurance programs

How to Enroll

Visit start.kesimpta.com or call 1-855-KESIMPTA (1-855-537-4678). Your neurologist's office can also help you enroll.

Novartis Patient Assistance Foundation (NPAF)

If you're uninsured or underinsured and can't afford Kesimpta, the Novartis Patient Assistance Foundation may provide the medication at no cost.

Eligibility

  • U.S. residents without adequate insurance coverage for Kesimpta
  • Must meet income criteria (financial hardship)
  • Must have a valid prescription from a licensed healthcare provider

How to Apply

  • Call 1-800-277-2254
  • Visit patient.novartis.com
  • Your neurologist's office can submit an application on your behalf

Coupons and Discount Cards

Because Kesimpta is a specialty biologic without a generic equivalent, traditional pharmacy discount cards (like GoodRx or SingleCare) have limited utility. Here's the reality:

  • GoodRx, SingleCare, RxSaver, and similar services: May show Kesimpta pricing but typically cannot provide meaningful discounts on specialty biologics. The list price is set by the manufacturer, and these cards work best for generic medications at retail pharmacies.
  • Specialty pharmacy negotiated rates: Your specialty pharmacy may have contracted rates with your insurer that reduce costs, but this happens through your insurance benefit, not through a coupon card.

The bottom line: for Kesimpta, the Kesimpta Access Card from Novartis is far more valuable than any third-party discount card.

Patient Assistance Programs Beyond Novartis

In addition to the manufacturer programs, several independent organizations may be able to help with MS medication costs:

  • National MS Society: Offers financial assistance programs and can connect you with resources for medication access. Visit nationalmssociety.org or call 1-800-344-4867.
  • Patient Access Network (PAN) Foundation: Provides copay assistance for underinsured patients with MS. Check eligibility at panfoundation.org.
  • The Assistance Fund (TAF): Offers copay assistance for commercially insured patients with MS. Visit tafcares.org.
  • HealthWell Foundation: Provides financial assistance for insurance premiums and copays for MS patients. Visit healthwellfoundation.org.
  • NeedyMeds: A comprehensive database of patient assistance programs. Search for Kesimpta at needymeds.org.

Other Ways to Save on Kesimpta

Work with Your Neurologist's Office

Your neurologist's MS coordinator or patient navigator can be your best ally in reducing costs. They often know which programs have funding available, can complete applications on your behalf, and may have relationships with specialty pharmacies that offer additional support services.

Appeal Insurance Denials

If your insurance denies coverage for Kesimpta, don't give up. The appeals process often results in approval when supported by strong clinical documentation from your neurologist. While appealing, the Kesimpta Access Card's free medication program can keep you on therapy.

Check Medicare Extra Help / Low-Income Subsidy

If you're on Medicare, you may qualify for the Extra Help / Low-Income Subsidy (LIS) program, which reduces prescription drug costs under Part D. Visit ssa.gov/medicare/part-d-extra-help or call 1-800-772-1213.

Explore State Pharmaceutical Assistance Programs (SPAPs)

Many states offer pharmaceutical assistance programs that can help cover the cost of expensive medications. Your state's Department of Health or Aging can provide information on available programs.

Final Thoughts

Kesimpta's list price of $82,000–$90,000 per year is daunting, but the actual out-of-pocket cost for most patients is dramatically lower — and often $0 — when the right programs are used. The Kesimpta Access Card is the most important tool for commercially insured patients, while the Novartis Patient Assistance Foundation serves as a safety net for those without adequate coverage.

Don't navigate this alone. Your neurologist's office, the Novartis support team, and independent foundations like the National MS Society all exist to help you access the treatment you need at a cost you can manage.

If you're also having trouble finding Kesimpta in stock, check out our guide on how to find Kesimpta near you. And for the latest on availability, read our 2026 shortage update.

How much does Kesimpta cost per month without insurance?

Without insurance, Kesimpta costs approximately $6,800 to $7,500 per monthly 20 mg injection, or about $82,000 to $90,000 per year. Very few patients pay this amount thanks to insurance coverage and manufacturer financial assistance programs.

Can I get Kesimpta for free?

Potentially, yes. Commercially insured patients using the Kesimpta Access Card — 97% pay $0 out of pocket. Uninsured or underinsured patients may receive Kesimpta at no cost through the Novartis Patient Assistance Foundation (NPAF). Call 1-800-277-2254 to check eligibility.

Does the Kesimpta Access Card work with Medicare?

No. The Kesimpta Access Card is not valid for patients with Medicare, Medicaid, TRICARE, or other federal/state government insurance programs. Medicare patients should explore the Extra Help / Low-Income Subsidy program, state pharmaceutical assistance programs, and independent foundations like the PAN Foundation or HealthWell Foundation.

Is there a generic version of Kesimpta that costs less?

No. As of 2026, there is no generic or biosimilar version of Kesimpta available. Because Kesimpta is a biologic, any future lower-cost competitor would be a biosimilar rather than a traditional generic. No biosimilars for Kesimpta are currently approved or expected in the near term.

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