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5 July 2026

Revision of India's National List of Essential Medicines

The National List of Essential Medicines is a specific, named policy instrument directly linked to public health governance, drug affordability, and welfare delivery, making it a high-value topic for GS2.

2 min read 2 questions 2 prelims

Notes

  • The National List of Essential Medicines (NLEM) is compiled by the Ministry of Health and Family Welfare to prioritize drugs meeting critical healthcare needs.
  • The NLEM currently contains 384 medicines, last overhauled in 2022.
  • The NLEM serves two primary functions: enabling free distribution in government hospitals and empowering the National Pharmaceutical Pricing Authority (NPPA) to enforce price ceilings.
  • The WHO Model List of Essential Medicines has been updated twice since 2022 (in 2023 and 2025) and contains 523 medicines.
  • Civil society groups highlight a gap in the NLEM regarding advanced cancer treatments, specifically noting the absence of 17 active cancer-treating agents, four supportive cancer-care medicines, and nine monoclonal antibodies found on the WHO list.
  • The Working Group on Access to Medicines and Treatments advocates for a transparent, time-bound, and conflict-of-interest-free revision process to align the NLEM with current public health priorities.

Questions

  1. Discuss the significance of the National List of Essential Medicines (NLEM) in ensuring the constitutional guarantee of the Right to Life. How does the periodic revision of this list impact public health outcomes in India? 150 words
    Attempt this — 150 words in 8 min
    0 / 150 words 8:00
  2. The efficacy of India's public health infrastructure is contingent upon the alignment of domestic drug policies with global benchmarks. In this context, analyze the role of the National Pharmaceutical Pricing Authority (NPPA) in balancing affordable healthcare access with the need for incorporating advanced medical innovations into the National List of Essential Medicines. 250 words
    Attempt this — 250 words in 11 min
    0 / 250 words 11:00

Prelims

  1. Which government body is responsible for enforcing price ceilings on medicines listed in the National List of Essential Medicines (NLEM)?

  2. What is the primary objective of the National List of Essential Medicines (NLEM) in India?