Table 2.

Reported reasons for the disease-modifying therapy (DMT) access issue.

Source of access issuea	Past issueb, n (%)	Current issuec, n (%)	Follow-upd, n (%)
Insurance required authorizing documentation	78 (42.9)	9 (21.4)	14 (58.3)
High out-of-pocket costs	54 (29.7)	13 (31.0)	8 (33.3)
Not covered by my insurance plan	20 (11.0)	8 (19.0)	2 (8.3)
I do not have insurance	17 (9.3)	3 (7.1)	N/Ae
Not at my desired pharmacy or infusion	14 (7.7)	2 (4.8)	N/A
Required to take one additional DMT	9 (4.9)	6 (14.3)	N/A
Otherf,g	37 (20.3)	8 (19.0)	N/A
I don’t know	12 (6.6)	6 (14.3)	N/A

^aAmong a validated sample of those with past or current difficulties, access reasons were only asked of those who received a DMT prescription from their doctor. Question text for current issue was: “What difficulties are you having accessing or retrieving your DMT medication? Check all that apply”; question text for past access issue was: “Thinking about your most recent MS DMT access issue, what difficulties did you have accessing or receiving your DMT medication? Check all that apply.”

^bPast issue, n=182.

^cCurrent issue, n=42.

^dFollow-up, n=24.

^eN/A: not applicable.

^fOther past reasons included administrative problems (n=9), provider changed or could not authorize (n=5), insurance or pharmacy denied drug or changed policies (n=5), insurance status change (n=4), appointment or prescription delay by the provider (n=4), paperwork issue (n=2), and other (n=5).

^gOther current reasons included insurance policy changes or coverage loss (n=2), doctor or hospital problems (n=2), administrative problems (n=1), and switched drug (n=1).