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Prescription medicine

Ofatumumab Brand names: Kesimpta

Ofatumumab (Kesimpta) is a prescription medicine with an FDA approval on record since 2009. No generic is listed; pharmacies paid $24,369.37 per mL (Kesimpta 20 mg/0.4 mL pen) in the October 7, 2026 NADAC survey.

  • No generic listed

Check it at the source: the ofatumumab FDA label on DailyMed (effective April 1, 2026, Novartis Pharmaceuticals Corporation); the BLA 125326 record on Drugs@FDA; every ofatumumab label on DailyMed.

Highlights of the record

FDA label of April 1, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

KESIMPTA is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Forms and strengths

  • 20 mg/.4ml

Injection (solution).

On the market

Earliest approval on file
October 26, 2009 Kesimpta, Novartis; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$24,369.37 per mL Kesimpta 20 mg/0.4 mL pen
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
33,037 through July 30, 2026

What is ofatumumab used for?

From the label: indications and usage

KESIMPTA is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. KESIMPTA is a CD20-directed cytolytic antibody indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Conditions named in the indications of ofatumumab's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: CD20-directed Cytolytic Antibody.

Source: FDA drug label (KESIMPTA), Novartis Pharmaceuticals Corporation, effective April 1, 2026 (SPL set 6a8a3f53-2062-48ff-9dbe-b939df133ca3), via openFDA; the full label on DailyMed

What does the patient leaflet for ofatumumab say first?

The FDA-approved Medication Guide or Patient Information that comes with the medicine, in its own words.

From the patient leaflet: What is the most important information I should know about KESIMPTA?

KESIMPTA can cause serious side effects, including: Infections. Serious infections, which can be life-threatening or cause death, can happen during treatment with KESIMPTA. If you have an active infection, your healthcare provider should delay your treatment with KESIMPTA until your infection is gone. KESIMPTA taken before or after other medicines that weaken the immune system may increase your risk of getting infections. Tell your healthcare provider right away if you have any infections or get any symptoms, including painful and frequent urination, nasal congestion, runny nose, sore throat, fever, chills, cough, or body aches. Hepatitis B virus (HBV) reactivation. Before starting treatment with KESIMPTA, your healthcare provider will do blood tests to check for HBV. If you have ever had HBV infection, the HBV may become active again during or after treatment with KESIMPTA. Hepatitis B virus becoming active again (called reactivation) may cause serious liver problems, including liver failure or death. You should not receive KESIMPTA if you have active hepatitis B liver disease. Your healthcare provider will monitor you for HBV infection during and after you stop using KESIMPTA. Tell your healthcare provider right away if you get worsening tiredness or yellowing of your skin or white part of your eyes during treatment with KESIMPTA. Progressive Multifocal Leukoencephalopathy (PML). PML may happen with KESIMPTA. PML is a rare, serious brain infection caused by a virus that may get worse over days or weeks. PML can result in death or severe disability. Tell your healthcare provider right away if you have any new or worsening neurologic signs or symptoms. […]

From the patient leaflet: How should I store KESIMPTA?

Store KESIMPTA in a refrigerator between 36°F to 46°F (2°C to 8°C). Keep KESIMPTA in the original carton until ready for use to protect from light. If needed, KESIMPTA may be stored for up to 7 days at room temperature, up to 86°F (30°C). Write the date taken out of the refrigerator in the space provided on the carton. If stored below 86°F (30°C), unused KESIMPTA may be returned to the refrigerator and must be used within the next 7 days. If this KESIMPTA is not used within those 7 days, then discard the medicine. Do not freeze KESIMPTA. Do not shake KESIMPTA. Keep KESIMPTA and all medicines out of the reach of children.

Source: FDA drug label (KESIMPTA), Novartis Pharmaceuticals Corporation, effective April 1, 2026 (SPL set 6a8a3f53-2062-48ff-9dbe-b939df133ca3), via openFDA; the full label on DailyMed

Is there a generic for ofatumumab (Kesimpta)?

No generic ofatumumab is approved (Drugs@FDA, October 8, 2026).

  • 2009 earliest approval on file

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for ofatumumab (Kesimpta)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $24,369.37 per mL (Kesimpta 20 mg/0.4 mL pen), up 8% from $22,578.60 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Kesimpta 20 mg/0.4 mL pen (brand)
$24,459.32
$21,064.84
April 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Kesimpta 20 mg/0.4 mL penBrand$24,369.37 per mL$9,747.75 per single-dose pen+8%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What does the ofatumumab label say about other medicines?

The ofatumumab label names 2 other medicines in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Acetaminophenwarnings and precautionsOnly limited benefit of premedication with corticosteroids, antihistamines, or acetaminophen was observed in RMS clinical studies.
Teriflunomidewarnings and precautionsDecrease in immunoglobulin M (IgM) was reported in 7.7% of patients treated with KESIMPTA compared to 3.1% of patients treated with teriflunomide in RMS clinical trials [see Adverse Reactions (6.1)].

Check ofatumumab against other medicines

Source: FDA drug label (KESIMPTA), Novartis Pharmaceuticals Corporation, effective April 1, 2026 (SPL set 6a8a3f53-2062-48ff-9dbe-b939df133ca3), via openFDA; the full label on DailyMed

What do FAERS reports show for ofatumumab?

The FDA Adverse Event Reporting System holds 33,037 reports that list ofatumumab among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 762 are coded as a death and 4,565 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Reports rose sharply in 2023 (8,729, against a median of 680 a year): FAERS counts follow reporting, which news, litigation and label changes can drive, not how often a reaction happens.

Reports received each year

The most reported reactions

  • Fatigue (named in the label)5,534
  • Headache (named in the label)4,633
  • Pyrexia3,580
  • Pain3,564
  • Chills (named in the label)3,483
  • Influenza Like Illness2,900
  • Nausea (named in the label)1,815
  • Multiple Sclerosis Relapse1,705

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as ofatumumab?

4 other medicines are given the same way (subcutaneous) and in the same FDA class as ofatumumab or labeled mainly for the same use (multiple sclerosis), the same class first. Multiple sclerosis lists all 23 medicines labeled for it, by any route. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (subcutaneous)Pharmacy costShortage
GlatiramerMultiple sclerosis8 labelers$86.10 per mL 40 mg/mL syringeNo current entry
Interferon beta 1aMultiple sclerosisnone listed$1,848.67 per mL 44 mcg/0.5 mLNo current entry
Peginterferon beta 1aMultiple sclerosisnone listedn/aNo current entry
CorticotropinMultiple sclerosisnone listedn/aNo current entry

Every medicine labeled for the same conditions as ofatumumab

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

What next?

Alternatives to ofatumumab
4 medicines for the same use
Other cd20-directed cytolytic antibodys
the pharmacologic class, with prices and generics
Ofatumumab side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other