Frequently asked questions

Whether BAFIERTAM® (monomethyl fumarate) delayed-release capsules is your first treatment for relapsing multiple sclerosis (MS) or you're switching over from another medicine, you may have questions.

Not actual patient

BAFIERTAM is a disease-modifying therapy (DMT) used to treat relapsing forms of MS in adults. DMTs aren’t cures, they may delay the progression of disease and reduce the severity and frequency of symptoms.1

BAFIERTAM treats relapsing forms of MS by helping the body regulate the immune system in a way that has been shown to reduce MS symptoms with other fumarates. Dimethyl fumarate (DMF), for example, is absorbed in the gastrointestinal (GI) tract, where it’s converted to the active ingredient monomethyl fumarate (MMF), which treats MS. BAFIERTAM contains the active agent MMF, so it doesn’t need to be converted.2

BAFIERTAM has the same treatment efficacy as DMF, which was studied in two clinical trials and was shown to reduce the number of relapses, delay the progression of disability, and slow the development of brain lesions in MS.3,4

Learn more about the efficacy and safety of BAFIERTAM here.

BAFIERTAM is an oral therapy used to treat relapsing forms of MS that belongs to the fumarate class.5

Within the fumarate class, BAFIERTAM is the only option that delivers the active ingredient MMF directly into the body, giving you the same benefits without needing to be converted in the digestive tract.2

Learn more about what makes BAFIERTAM unique here.

Before starting BAFIERTAM, your healthcare provider will draw your blood to check your liver function and complete blood count. Additional blood tests are then needed during treatment. Six months after you start treatment, you will have another blood draw. From there, you should expect blood tests every six to 12 months. Even if you are already taking another fumarate, you may still need a blood test.6

Learn more about starting BAFIERTAM here.

If you switch from another therapy, BAFIERTAM may be initiated after you discontinue that treatment. Your healthcare provider will continue to monitor your lab results and any potential side effects to ensure the switch to BAFIERTAM was appropriate for you.

Follow the instructions you receive from your healthcare provider.

If BAFIERTAM is your first oral medicine for relapsing MS, you will begin treatment with half the dose—just one 95 mg capsule by mouth twice a day. After seven days, your healthcare provider may increase the dosage to two 95 mg capsules (190 mg) twice a day.6

If you are already taking another fumarate, your healthcare provider may start you on the full dose of BAFIERTAM.6

BAFIERTAM can be taken with or without food. Swallow BAFIERTAM capsules whole and intact. Do not crush, chew, or mix the contents with food.6

Learn more about taking BAFIERTAM here.

Like all medicines, BAFIERTAM may cause side effects. Some of the most common side effects of BAFIERTAM are flushing, redness, itching, or rash.6

GI side effects—such as nausea, vomiting, abdominal pain, and diarrhea—tend to occur more commonly during the first month of treatment.6

To help lessen GI side effects, it is recommended that you take BAFIERTAM without food. You can take BAFIERTAM with food if you wish. There is no need to avoid high-fat, high-calorie meals or snacks, as required with some other oral medicines.6

These are not all the possible side effects of BAFIERTAM. Call your doctor for medical advice about side effects. You are encouraged to report side effects or adverse events to the FDA at https://www.accessdata.fda.gov/scripts/medwatch/.

For more information, please see the Important Safety Information below.

If you are eligible,* Cycle Vita will provide individualized support such as financial and pharmacy support, as well as clinical education.

To find out more about eligibility criteria, or if you have further questions, please contact Cycle Vita at 888-360-8482 or hello@cyclevita.life. Our team would be happy to help.

MS is an autoimmune disease, which means the body’s immune system attacks itself. In this case, the immune system attacks the central nervous system (CNS), which is made up of the brain, the spinal cord, and the optic nerve in the back of each eye. In a person with MS, the protective coating around the nerve fibers in the CNS is damaged. People with relapsing forms of MS have attacks or flare-ups of new symptoms, or old symptoms may get worse.

BAFIERTAM treats all three forms of relapsing MS:

  • Clinically isolated syndrome (CIS): A first attack of MS symptoms, lasting for at least 24 hours.
  • Relapsing-remitting MS (RRMS): Flare-ups followed by times of remission or recovery; this is the most common type of relapsing MS.
  • Active secondary progressive MS (SPMS): Neurologic function gets worse over time, with consecutive relapses and worsening disability.6

Cycle Vita is our dedicated patient support program, which offers product and process support* at every step of your BAFIERTAM treatment.

Find out more about the support from Cycle Vita here.

As soon as Cycle Vita receives a completed enrollment form from your healthcare provider, we will get to work and reach out to you to take the next steps.

If you are eligible,* Cycle Vita will provide individualized support, including financial and pharmacy, as well as clinical and product support.

If you are a commercially insured eligible patient who has been prescribed BAFIERTAM, you may pay as little as $0 in co-pay.* To find out more about eligibility criteria, please contact Cycle Vita at 888-360-8482.

If you are eligible, Cycle Vita will provide you with a temporary free supply of BAFIERTAM while your insurance coverage is being determined through the Bridge Program.*

Find out more about the Bridge Program here.


If you have further questions about BAFIERTAM please reach out to us at hello@cyclevita.life where our team would be happy to help.

References

1. National MS Society. 2025. Oral Therapies. [online] National Multiple Sclerosis Society. Available at: https://www.nationalmssociety.org/article/oral-therapies. [Accessed: July 11 2025].

2‌. Hoogendoorn, A., Avery, T. D., Li, J., et al. 2021. Emerging Therapeutic Applications for Fumarates. Trends in pharmacological sciences, 42(4), 239–254. doi: 10.1016/j.tips.2021.01.004.

3. Gold R, Kappos L, Arnold DL, et al. 2012. Placebo-controlled phase 3 study of oral BG-12 for relapsing multiple sclerosis. N Engl J Med. 367(12):1098-1107. doi:10.1056/NEJMoa1114287.

4. Fox RJ, Miller DH, Phillips JT, et al. 2012. Placebo-controlled phase 3 study of oral BG-12 or glatiramer in multiple sclerosis. N Engl J Med. 367(12):1087-1097. doi:10.1056/NEJMoa1206328.

5. National MS Society. 2025. Bafiertam. [online] National Multiple Sclerosis Society. Available at: https://www.nationalmssociety.org/article/bafiertam. [Accessed: July 11 2025].

6. BAFIERTAM. Prescribing Information. Banner Life Sciences LLC.

7. National Multiple Sclerosis Society (2024) What is MS? Available at: https://www.nationalmssociety.org/understanding-ms/what-is-ms. [Accessed: July 11 2025].

*Some areas of support may not be accessible to all patients. Eligibility criteria may apply to ensure compliance with all applicable federal and state requirements, and benefits may be limited to commercially insured patients only. For more detailed information about eligibility, terms and conditions, please contact the Cycle Vita team at 888-360-8482.

Indications

BAFIERTAM® (monomethyl fumarate) is a prescription medicine used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. It is not known if BAFIERTAM is safe and effective in children.

Important Safety Information

  • Do not take BAFIERTAM if you have had an allergic reaction (such as welts, hives, swelling of the face, lips, mouth or tongue, or difficulty breathing) to monomethyl fumarate, dimethyl fumarate, diroximel fumarate, or any of the ingredients in BAFIERTAM.
  • Do not take BAFIERTAM if you are taking dimethyl fumarate or diroximel fumarate.

Before taking and while you take BAFIERTAM, tell your Healthcare Provider about all your medical conditions, including if you:

  • have liver problems.
  • have or have had low white blood cell counts or an infection.
  • are pregnant or plan to become pregnant. It is not known if BAFIERTAM will harm your unborn baby.
  • are breastfeeding or plan to breastfeed. It is not known if BAFIERTAM passes into breast milk. Talk to your healthcare provider about the best way to feed your baby while using BAFIERTAM.

Tell your Healthcare Provider about all other medicines you take including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Serious Adverse Reactions:

BAFIERTAM may cause serious side effects, including:

Allergic reactions (such as welts, hives, swelling of the face, lips, mouth or tongue, or difficulty breathing). Stop taking BAFIERTAM and get emergency medical help right away if you get any of these symptoms.

PML (progressive multifocal leukoencephalopathy) a rare brain infection that usually leads to death or severe disability over a period of weeks or months. Contact your Healthcare provider right away if you if you notice new or worsening symptoms such as weakness on one side of the body, vision problems, trouble thinking, or changes in memory or personality. Your healthcare provider may stop BAFIERTAM if PML is suspected. Increased risk of serious infections, including shingles (herpes zoster) and central nervous system infections.

Decrease in your white blood cell count Your healthcare provider will do a blood test to check your white blood cell count before you start treatment with BAFIERTAM and while you are on therapy. You should have blood tests after 6 months of treatment and every 6 to 12 months after that.

Liver problems. BAFIERTAM may cause serious liver problems that may lead to liver failure, a liver transplant, or death. Blood tests will be done before and during treatment to check your liver. Tell your healthcare provider right away if you have symptoms such as unusual tiredness, loss of appetite, dark urine, yellowing of your skin or eyes, or stomach pain. BAFIERTAM may be stopped if liver injury is suspected.

Flushing: BAFIERTAM may cause flushing, which can feel like warmth, redness, itching, or a burning sensation, usually on the face or upper body. Flushing often starts soon after beginning treatment and usually improves or goes away over time. Most flushing reactions are mild to moderate, but some people have stopped treatment because of flushing.

Tell your healthcare provider if flushing is bothersome or does not improve.

Serious Stomach and Intestinal Problems: Serious stomach and intestinal problems have been reported with medicines like BAFIERTAM. These problems can include severe stomach pain, ulcers, bleeding, blockage, or tears in the stomach or intestines, and in rare cases can be fatal. Serious stomach problems have occurred most often within the first 6 months of treatment.

Call your healthcare provider right away if you have new or worsening severe stomach pain, vomiting, blood in your stool, black stools, or other severe stomach symptoms. Your healthcare provider may stop BAFIERTAM if serious stomach problems occur.

Common Adverse Reactions:

The most common side effects of BAFIERTAM include:

  • Flushing, which may feel like warmth, redness, itching, or a burning sensation.
  • Stomach‑related problems, such as nausea, vomiting, diarrhea, stomach pain, and indigestion.
  • Skin reactions, including rash or itching.

These side effects were most common early in treatment and often became less frequent over time.

Other side effects reported after the medicine became available include hair thinning or hair loss. These are not all the possible side effects of BAFIERTAM. Call your healthcare provider for medical advice about side effects.

For more detailed information, please refer to the full Prescribing Information here.

To report SUSPECTED ADVERSE REACTIONS, contact Banner Life Sciences toll free at phone: 1-866-MMF-95MG, or the FDA at: 1-800-FDA-1088 or www.fda.gov/medwatch.

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