NLEM: New list of Essential Medicines: 39 new drugs added, 16 dropped

Download the NLEM list for the year, 2003, 2011 and 2015

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Last Updated on September 5, 2021 by The Health Master

Download the NLEM list for the year, 2003, 2011 and 2015

The government released the revised list of National List of Essential Medicines (NLEM), in which it has added 39 drugs, removed 16 drugs.

NLEM: New list of Essential Medicines

Most of the new drugs added to the list were anti-cancer like Azacitidine and Fludarabine antiretroviral such as Dolutegravir, Darunavir+Ritonavir, new generation TB medications such as Bedaquiline and Delamanid, anti-allergy Montelukast, anti diabetes drugs like Teneligliptin and Insulin Glargine, and tobacco cessation and addiction treatment drugs like nicotine replacement therapy (NRT), Buprenorphine ( opioid antagonists), Buprenorphine+Naloxone.

39 Drugs added

The 39 new drugs included
Amikacin (antibiotic),
Azacitidine (anti-cancer),
Bedaquiline (anti-TB),
Bendamustine Hydrochloride (anti-cancer),
Buprenorphine ( opioid antagonists),
Buprenorphine+Naloxone (opioid antagonists),
Cefuroxime (antibiotic),
Dabigatran (anticoagulant),
Daclatasvir (antiviral),

Darunavir+Ritonavir (antiretroviral),
Delamanid (anti-TB),
Dolutegravir (antiretroviral),
Fludarabine (anti-cancer),
Fludrocortisone (corticosteroid),
Fulvestrant (anti-cancer),
Insulin Glargine (anti-diabetes),
Irinotecan HCL Trihydrate (anti-cancer),
Itraconazole (antifungal),
Ivermectin (anti-parasitic),

Lamivudine (antiretroviral),
Latanoprost (treat ocular hypertension),
Lenalidomide (anti-cancer),
Montelukast (anti-allergy),
Mupirocin (topical antibiotic),
Nicotine replacement therapy,
Nitazoxanide (antibiotic),
Ormeloxifene (oral contraceptive),
Phenoxymethyl penicillin (antibiotic),
Procaine Benzylpenicillin (antibiotic),

Rotavirus vaccine (anti-microbial) ,
Secnidazole (anti-microbial),
Teneligliptin (anti-diabetes),
Tenofovir+Lamivudine+Dolutegravir (antiretroviral),
Tenofovir+Alafenamide Fumarate (TAF) (antiretroviral),
Terbinafine (antifungal), and
Valganiclovir (antiviral).

16 Drugs deleted

The 16 deleted drugs are
Alteplase (clot buster),
Atenolol (anti-hypertension),
Bleaching Powder,
Cetrimide (antiseptic),
Erythromycin (antibiotic),
Ethinylestradiol+Norethisterone (birth control),
Ganciclovir (antiviral),
Lamivudine+Nevirapine+Stavudine (antiretroviral),
Leflunomide (antirheumatic),

Nicotinamide (Vitamin-B),
Pegylated interferon alfa 2a,
Pegylated interferon alfa 2b (antiviral),
Pentamidine (antifungal),
Prilocaine+Lignocaine (anesthetic),
Rifabutin (antibiotic),
Stavudine+Lamivudine (antiretroviral), and
Sucralfate (anti-ulcer)

The Health Ministry prepares a list of drugs eligible for price regulation, following which the Department of Pharmaceuticals, which comes under the Ministry of Chemicals and Fertilizers, incorporates them into Schedule 1 of DPCO. The Standing Committee on Affordable Medicines and Health Products (SCAMHP) will advise the drug price regulator the National Pharmaceutical Pricing Authority (NPPA) on vetting the list.

The NPPA then fixes the prices of drugs in this Schedule.At present, around 374 medicines are part of NLEM which are subject to price controls. About 18 percent of the drugs sold in India are under price controls.

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