The Government of Nepal provides essential medicines free of charge through government health facilities to ensure equitable access to basic healthcare services across the country.
According to the Standard Treatment Protocol (STP) For Basic Health Services (BHS) Package, 2078, a total of 98 types of essential medicines are included in the free medicine list. These medicines are intended to be available 24 hours a day at designated government health institutions.
Previously, the government provided 35 types of medicines through health posts, 58 through primary health care centres and 70 through district hospitals. The updated list has expanded to include medicines for non-communicable diseases (NCDs), mental health conditions and other common health problems, while some previously listed medicines have been removed or revised.
Availability by health institution:
Basic Hospitals/Primary Health Care Centres: All 98 listed medicines should be available free of charge.
Basic Health Service Centres/Health Posts: Applicable medicines from the approved list should be available free of charge, as specified in the protocol.
These provisions aim to standardize treatment, improve the availability of essential medicines and strengthen the delivery of basic health services in Nepal.
Below is the list of 98 essential medicines that the Government of Nepal provides free of charge through designated government health facilities.
1. Acetylsalicylic acid(Aspirin)
2. Adrenaline (epinephrine)
3. Albendazole
4. Dried Aluminium hydroxide gel+Magnesium hydroxide
5. Amitriptyline
6. Amlodipine
7. Amoxicillin
8. Ampicillin
9. Artemether+Lumefantrine(AL) (Artemisin based combination – ACT)
10. Artesunate
11. Atropine
12. Azithromycin
13. BCG Vaccine
14. Benzathine benzylpenicillin
15. Calamine
16. Calcium gluconate
17. Carbamazepine
18. Cefxime
19. Ceftriaxone
20. Cetirizine
21. Charcoal activated
22. Chlorhexidine (CHX)
23. Chloroquine
24. Ciprofloxacin
25. Clotrimazole
26. Clove oil
27. Cloxacillin
28. Combined Oral Contraceptive (COC)
29. Cotrimoxazole (SMX and TMP)
30. Dapsone, clofazimine, Rifampicin (MDT Combi Pack)
31. Dexamethasone
32. Dextrose (glucose)
33. Diazepam
34. Diclofenac sodium
35. Doxycycline
36. Ferrous sulphate and folic acid
37. FIPV Vaccine
38. Fluconazole
39. Fluoxetine
40. Folic acid
41. Frusemide
42. Gentamicin
43. Gentian violet
44. Glimepride
45. HPV vaccine
46. HRZE
47. Hydrocortisone
48. Hyoscine butylbromide
49. Ibuprofen
50. Japanese Encephalitis
51. Levonorgestrel
52. Lignocaine
53. Lignocaine with adrenaline 1:10,000
54. Losartan
55. Magnesium sulphate
56. Measles- Rubella Vaccine
57. Medroxyprogesterone
58. Metformin
59. Methyldopa
60. Metoclopramide
61. Metronidazole
62. Mifepristone
63. Misoprostol
64. Neomycin
65. Nifedipine
66. Nitrofurantion
67. Normal Saline (NS) (0.9%)
68. OPV (Oral Polio Vaccine )
69. Oral Rehydration Salts (ORS)
70. Oxygen
71. Oxymetazoline
72. Oxytocin
73. Paracetamol
74. PCV Vaccine (Pneumococcal conjugate vaccine )
75. Pentavalent vaccine (DPT, Hep B & Hemophilius influenza B)
76. Permethrin
77. Pheniramine
78. Phenobarbital
79. Povidone iodine
80. Pralidoxim sodium
81. Prednisolone
82. Primaquine
83. Pyridoxine
84. Ranitidine
85. Ringer’s Lactate (RL)
86. Risperidone
87. Rotavirus vaccine
88. Salbutamol
89. Silver sulfadiazine
90. Tetanus diphtheria (TD) Boster Dose
91. Tetanus Toxoid (TT)
92. Tetracycline
93. Tinidazole
94. Sodium valporate
95. Vitamin A
96. Vitamin B Complex
97. Vitamin K1
98. Zinc sulphate
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