List of Essential Medicines for Basic Health Services in Nepal

The Government of Nepal provides 98 types of essential medicines free of cost at different health care facilities of Nepal. Here is the list of essential medicines which are available free of cost at different health care facilities; Basic Health Service Center/ Health Post, Primary Hospital and Primary Healthcare Centers.

List of Free Medicines

S. No.	Medicine Name	Dosage form	Strength	Availability		Procurement authority
S. No.	Medicine Name	Dosage form	Strength	Basic Health Service Center/ Health Post	Primary Hospital/ Primary Healthcare Center	Local	Province	Federal
1	Acetylsalicylic acid (aspirin)	Tablet	75 mg	✓	✓	✓
2	Adrenaline (epinephrine)	Injection	1mg in 1ml	✓	✓		✓
3	Albendazole	Chewable Tablet	400 mg	✓	✓	✓
3	Albendazole	Suspension	200 mg/5ml	✓	✓	✓
4	Aluminium hydroxide gel + Magnesium hydroxide (Antacid)	Tablet	250 mg+250mg	✓	✓	✓
5	Amitriptyline	Tablet	10 mg	✓	✓		✓
5	Amitriptyline	Tablet	25 mg	✓	✓		✓
6	Amlodipine	Tablet	5mg	✓	✓		✓
7	Amoxicillin	Oral Tablet	500 mg	✓	✓	✓
		Power for oral suspension	125mg/5ml, 100 ml	✓	✓	✓
		Dispersible Tablets	125 mg	✓	✓	✓
		Dispersible Tablets	250 mg	✓	✓	✓
8	Ampicillin	Powder for IV/IM injection	250 mg vial		✓		✓
8	Ampicillin	Powder for IV/IM injection	500 mg vial	✓ (IMNCI)	✓		✓
9	Artemether + Lumefantrine (AL) (Artemisinin-based Combination Therapy – ACT)	Tablet	20mg+120 mg					✓
10	Artesunate	Injection	60 mg ampoules	✓	✓			✓
11	Atropine	Injection	0.6mg in 1 ml ampoule	✓	✓		✓
12	Azithromycin	Tablet	250 mg	✓	✓	✓
12	Azithromycin	Tablet	500 mg	✓	✓	✓
13	BCG Vaccine	Injection	0.05 ml/dose	✓	✓			✓
14	Benzathine benzylpenicillin	Powder for Injection	1200000 IU		✓		✓
15	Calamine	Lotion	15% wv 30 ml	✓	✓	✓
16	Calcium gluconate	Injection	Inj 1g per 10ml	✓ (Birthing Centre only)	✓		✓
17	Carbamazepine	Tablet	200mg	✓	✓		✓
		Tablet	100mg	✓	✓		✓
		Oral liquid	Oral liquid 100mg/5ml	✓	✓		✓
18	Cefixime	Tablet	200mg		✓	✓
19	Ceftriaxone	Powder for Injection	250mg/vial		✓		✓
		Powder for Injection	500mg/vial		✓		✓
		Powder for Injection	1gm w/vial		✓		✓
20	Cetirizine HCL	Tablet	10mg	✓	✓	✓
20	Cetirizine HCL	Syrup	5mg/5ml	✓	✓	✓
21	Charcoal, activated	powder in sachet	10g	✓	✓	✓
22	Chlorhexidine (CHX)	Solution	Solution, 0.2% oral 50 ml	✓	✓	✓
22	Chlorhexidine (CHX)	Ointment	4%, 5gm	✓	✓		✓
23	Chloroquine (CQ)	Tablet	150mg	✓	✓			✓
24	Ciprofloxacin	Tablet	250 mg	✓	✓	✓
		Tablet	500 mg	✓	✓	✓
		Eye/Ear drops	0.3% w/v, 5ml	✓	✓	✓
		Eye ointment	0.3%, 5g	✓	✓	✓
		Injection	200 mg/100ml		✓		✓
25	Clotrimazole	Skin cream	1%, 25 g	✓	✓	✓
		Vaginal Tablets	100mg	✓	✓	✓
		Mouth paint	1% w/v, 15 ml	✓	✓	✓
26	Clove Oil	Liquid	5ml	✓	✓	✓
27	Cloxacillin	Capsules	250 mg	✓	✓	✓
		Capsules	500 mg	✓	✓	✓
		Powder for oral liquid	12mg/5 ml in 100 ml	✓	✓	✓
28	Combined Oral Contraceptive (COC)	Tablet	30 pills, 21 pills, containing 150 mcg levonorgestrel and 30 mcg ethinylestradiol and 7 pills containing iron	✓	✓			✓
29	Cotrimoxazole (Sulphamethoxazole and Trimethoprim 5:1)	Tablets	400 mg + 80 mg	✓	✓	✓
		Tablets	800 mg + 160mg	✓	✓	✓
		Syrup	200mg + 40mg/5m, 50 ml	✓	✓	✓
30	Dapsone, Clofazimine, Rifampicin (MDT Combi Pack)	Tablet	MB adult blister pack, MB Chld blister pack (a/c to DOTS Program)	✓	✓			✓
31	Dexamethasone	Injection	4mg in 1ml ampoule		✓		✓
32	Dextrose (glucose)	Injection/solution	5%, 500ml				✓
32	Dextrose (glucose)	Injection/solution	25% of 50 ml Amp	✓ (Birthing Centre only)	✓		✓
33	Diazepam	Injection	2ml amp (5ml/ml)	✓	✓		✓
33	Diazepam	Tablet	5mg	✓	✓		✓
34	Diclofenac Sodium	Tablet	50 mg	✓	✓	✓
34	Diclofenac Sodium	Injection	3ml ampoule (25mg/ml)	✓	✓		✓
35	Doxycycline	Capsule	100mg	✓	✓	✓
36	Ferrous sulphate and folic acid	Tablet	60 mg elemental iron plus 400 mcg folic acid	✓ (Birthing Centre only)	✓	✓
37	FIPV Vaccine	Injection	0.1 ml	✓	✓			✓
38	Fluconazole	Capsule	150 mg	✓	✓	✓
39	Fluoxetine	Capsule	20 mg	✓	✓		✓
40	Folic acid	Tablet	5 mg	✓	✓	✓
41	Furosemide	Tablet	40 mg	✓	✓	✓
42	Gentamicin	Injection	40 mg/ml in 2ml	✓ (IMNCI)	✓		✓
43	Gentian Violet	Aqueous solution	1%, 10 ml	✓	✓	✓
44	Glimepiride	Tablet	1mg	✓	✓		✓
44	Glimepiride	Tablet	2mg	✓	✓		✓
45	HPV Vaccine	Injection	0.5ml/ dose	✓	✓			✓
46	HRZE	Tablet	Combination medication; H-INH, R- Rifampicin, Z- Pyrazinamide, E- Ethambul A/c to DOTS program	✓	✓			✓
47	Hydrocortisone	Powder for Injection	100 mg in vial		✓		✓
48	Hyoscine butylbromide	Injection	20 mg/ml	✓	✓		✓
48	Hyoscine butylbromide	Tablet	10 mg	✓	✓	✓
49	Ibuprofen	Tablet	200mg	✓	✓	✓
		Tablet	400mg	✓	✓	✓
		Syrup	100 mg/5ml	✓	✓	✓
50	Japanese Encephalitis Injection	Injection	0.5ml/dose	✓	✓			✓
51	Levonorgestrel (LNG)	Implant	implant (2 rods, 75 mg each) Tab0.75 mg (2-tablet pack)	✓	✓			✓
52	Lignocaine hydrochloride	Injection	2% in vial, 30ml	✓	✓	✓
53	Lignocaine with adrenaline 1:10,000	Injection	2% plus Adrenalin 1:10,000, 30 ml	✓	✓	✓
54	Losartan	Tablets	25mg	✓	✓		✓
54	Losartan	Tablets	50mg	✓	✓		✓
55	Magnesium sulphate	Injection	500 mg/ml in 2 ml ampoule	✓ (Birthing Centre only)	✓		✓
56	Measles-Rubella Vaccine	Injection	0.5ml / dose	✓	✓			✓
57	Medroxyprogesterone (Acetate DMPA)	Injection	150 mg/ml in 1 ml vial	✓	✓			✓
58	Metformin	Tablet	500mg	✓	✓		✓
58	Metformin	Tablet	1000mg	✓	✓		✓
59	Methyldopa	Tablet	250 mg	✓	✓		✓
60	Metoclopramide	Tablet	10 mg	✓	✓	✓
		Solution	5mg/5ml	✓	✓	✓
		Injection	5mg/ml in 2 ml ampoule	✓	✓		✓
61	Metronidazole	Tablet	200 mg	✓	✓	✓
		Tablet	400 mg	✓	✓	✓
		Oral liquid	200 mg/5ml, 90 ml	✓	✓	✓
		Injection	500 mg/100 ml		✓		✓
62	Mifepristone + Misoprostol	Tablet	Comb pack includes 200 mg + 4 (200) mcg	✓	✓		✓
63	Misoprostol	Tablet	200 mcg	✓	✓		✓
64	Neomycin Skin	Ointment	2% w/w 10 gm	✓	✓	✓
65	Nifedipine	Tablet	10 mg	✓	✓		✓
66	Nitrofurantion	Tablet	100 mg	✓	✓	✓
67	Normal Saline (NS)	Solution	0.9% infusion solution, 500 ml	✓	✓	✓
68	OPV (Oral Polio Vaccine)	Oral	2 drop/dose	✓	✓			✓
69	Oral Rehydration Salts (ORS)	Powder	WHO Formula sachet/liters	✓	✓	✓
70	Oxygen	Inhalation	Medical gas	✓	✓		✓
71	Oxymetazoline	Nasal drop	0.025%, 10 ml	✓	✓	✓
71	Oxymetazoline	Nasal drop	0.05% 10 ml	✓	✓	✓
72	Oxytocin	Injection	10 IU/ml	✓ (Birthing Centre only)	✓		✓
73	Paracetamol	Injection	150 mg/ml in 2ml ampoule	✓	✓		✓
		Tablet	500 mg	✓	✓	✓
		Syrup	125mg/5ml, 50 ml	✓	✓	✓
74	PCV Vaccine (Pneumococcal Conjugate Vaccine)	Injection	0.5 ml	✓	✓			✓
75	Pentavalent vaccine (DPT, Hep B and Hemophilus Influenza B)	Injection	0.5ml	✓	✓			✓
76	Permethrin	Lotion	1% 100ml	✓	✓	✓
76	Permethrin	Cream	5% w/v 30 g	✓	✓	✓
77	Pheniramine	Injection	22.75mg/ml 2ml	✓	✓		✓
78	Phenobarbital	Tablet	30 mg		✓		✓
78	Phenobarbital	Injection	100 mg/ml		✓		✓
79	Povidone iodine	Solution	5% w/v 500 ml	✓	✓	✓
80	Pralidoxime Sodium	Injection	500 mg, 20 ml	✓	✓		✓
81	Prednisolone	Tablet	5mg	✓	✓		✓
			10 mg	✓	✓		✓
			20 mg	✓	✓		✓
82	Primaquine	Tablet	7.5 mg	✓	✓			✓
83	Pyridoxine	Tablet	10mg	✓	✓			✓
84	Ranitidine	Tablet	150 mg	✓	✓	✓
84	Ranitidine	Injection	25mg/ml in 2 ml ampoule	✓	✓		✓
85	Ringer’s Lactate (RL)	Solution	500 ml	✓	✓	✓
86	Risperidone	Tablet	1 mg	✓	✓		✓
86	Risperidone	Tablet	2 mg	✓	✓		✓
87	Rotavirus Vaccine	Injection	1.5 ml	✓	✓			✓
88	Salbutamol	Solution for nebulization	1 mg/ml of 15 ml	✓	✓	✓
		Oral Liquid	2mg/5ml	✓	✓	✓
		MDI	100 mcg	✓	✓		✓
89	Silver Sulfadiazine	Cream	0.2% w/v 15g	✓	✓	✓
90	Tetanus diphtheria (Td) booster vaccine	Injection	0.5ml/dose	✓	✓			✓
91	Tetanus Toxoid (TT)	Injection	0.5ml/dose	✓	✓			✓
92	Tetracycline	Eye ointment	1%, 5g	✓	✓	✓
93	Tinidazole	Tablet	500mg	✓	✓	✓
94	Sodium Valporate	Tablet	200 mg	✓	✓		✓
95	Vitamin A	Capsule	200,000 IU	✓	✓			✓
95	Vitamin A	Capsule	50,000 IU	✓	✓			✓
96	Vitamin B complex	Tablet	Thiamine 10 mg, riboflavin 10 mg, pyridoxine 3 mg, cyanocobalamin 15 mcg (Therapeutic dose)	✓	✓	✓
97	Vitamin K1	Injection	1mg/0.5 ml	✓	✓		✓
98	Zinc sulphate	Dispersible tablets	10 mg	✓	✓	✓
98	Zinc sulphate	Dispersible tablets	20 mg	✓ (IMNCI)	✓	✓

List of free medicines in Nepal

Medicine Name

Acetylsalicylic acid (aspirin)
Adrenaline (epinephrine)
Albendazole
Aluminum hydroxide gel + Magnesium hydroxide (Antacid)
Amitriptyline
Amlodipine
Amoxicillin
Ampicillin
Artemether + Lumefantrine (AL) (Artemisinin-based Combination Therapy – ACT)
Artesunate
Atropine
Azithromycin
BCG Vaccine
Benzathine benzylpenicillin
Calamine
Calcium gluconate
Carbamazepine
Cefixime
Ceftriaxone
Cetirizine HCL
Charcoal, activated
Chlorhexidine (CHX)
Chloroquine (CQ)
Ciprofloxacin
Clotrimazole
Clove Oil
Cloxacillin
Combined Oral Contraceptive (COC)
Cotrimoxazole (Sulphamethoxazole and Trimethoprim 5:1)
Dapsone, Clofazimine, Rifampicin (MDT Combi Pack)
Dexamethasone
Dextrose (glucose)
Diazepam
Diclofenac Sodium
Doxycycline
Ferrous sulphate and folic acid
FIPV Vaccine
Fluconazole
Fluoxetine
Folic acid
Furosemide
Gentamicin
Gentian Violet
Glimepiride
HPV Vaccine
HRZE
Hydrocortisone
Hyoscine butylbromide
Ibuprofen
Japanese Encephalitis Injection
Levonorgestrel (LNG)
Lignocaine hydrochloride
Lignocaine with adrenaline 1:10,000
Losartan
Magnesium sulphate
Measles-Rubella Vaccine
Medroxyprogesterone (Acetate DMPA)
Metformin
Methyldopa
Metoclopramide
Metronidazole
Mifepristone+ Misoprostol
Misoprostol
Neomycin Skin
Nifedipine
Nitrofurantion
Normal Saline (NS)
OPV (Oral Polio Vaccine)
Oral Rehydration Salts (ORS)
Oxygen
Oxymetazoline
Oxytocin
Paracetamol
PCV Vaccine (Pneumococcal Conjugate Vaccine)
Pentavalent vaccine (DPT, Hep B and Hemophilius Influenza B)
Permethrin
Pheniramine
Phenobarbital
Povidone iodine
Pralidoxin Sodium
Prednisolone
Primaquine
Pyridoxine
Ranitidine
Ringer’s Lactate (RL)
Risperidone
Rotavirus Vaccine
Salbutamol
Silver Sulfadiazine
Tetanus diphtheria (Td) booster vaccine
Tetanus Toxoid (TT)
Tetracycline
Tinidazole
Sodium Valproate
Vitamin A
Vitamin B complex
Vitamin K1
Zinc sulphate

List of surgical items

S. No.	Particulars	Unit	Specification	Availability		Procurement authority
S. No.	Particulars	Unit	Specification	Basic Health Service Center/ Health Post	Primary Hospital/ Primary Healthcare Center	Local Level	Province	Federal
1	Absorbent cotton	Roll	Net 400 gm	✓	✓	✓
2	Adhesive Tape	Roll	4″	✓	✓	✓
3	Bandage	Than	18m*19cm	✓	✓	✓
4	Catgut	Packet	catgut 2.0	✓	✓	✓
5	Chlorine powder	Packet	200G/Sachet	✓	✓	✓
6	Condom (Male)	Packet		✓	✓			✓
7	Disposable syringes	Packet	3ml, 5ml	✓	✓	✓
8	Gauze	Than	18m*19cm	✓	✓	✓
9	I and D set	Packet		✓	✓	✓
10	IV cannula	Packet	18/20/24 g	✓	✓	✓
11	IV set	Packet	Different sizes	✓	✓	✓
12	Phenol	Bottle	500 ml	✓	✓	✓
13	Rectified spirit	Bottle	500 ml	✓	✓	✓
14	Rubber catheter	packet	Different sizes	✓	✓	✓
15	Silk	Packet	silk 2.0	✓	✓	✓
16	surgical blade	packet	Different sizes	✓	✓	✓
17	Surgical gloves (Disposal)	Pairs	6.5,7	✓	✓	✓
18	Suture set	Packet		✓	✓	✓
Note: Suture set contains straight artery forcef, curve artery forcef, sponge holding forcef, tooth forcef, needle holder, bowel 100ml and eye towel. Similarly, I and D set inclues artery forcef, scapel, bowel 100ml, sponge holding forcef and eye towel

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List of Essential Medicines for Basic Health Services in Nepal

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PUBLIC HEALTH INITIATIVE

List of Essential Medicines for Basic Health Services in Nepal

List of Free Medicines

Medicine Name

List of surgical items

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