WHO Model List of Essential Medicines
The WHO Model List of Essential Medicines, published by the World Health Organization, contains the medications considered to be most effective and safe to meet the most important needs in a health system. The list is frequently used by countries to help develop their own local lists of essential medicine., more than 155 countries have created national lists of essential medicines based on the World Health Organization's model list. This includes countries in both the developed and developing world.
The list is divided into core items and complementary items. The core items are deemed to be the most cost-effective options for key health problems and are usable with little additional health care resources. The complementary items either require additional infrastructure such as specially trained health care providers or diagnostic equipment or have a lower cost–benefit ratio. About 25% of items are in the complementary list. Some medications are listed as both core and complementary. While most medications on the list are available as generic products, being under patent does not preclude inclusion.
The first list was published in 1977 and included 208 medications. The WHO updates the list every two years. The 14th list was published in 2005 and contained 306 medications. In 2015, the 19th edition of the list was published and contains around 410 medications. The 20th edition was published in 2017, and contains 433 medications. The 21st list was published in 2019 and contains 460 medications. The national lists contain between 334 and 580 medications.
A separate list for children up to 12 years of age, known as the WHO Model List of Essential Medicines for Children, was created in 2007 and is in its 7th edition. It was created to make sure that the needs of children were systematically considered such as availability of proper formulations. Everything in the children's list is also included in the main list. The list and notes are based on the 19th to 21st edition of the main list. An α indicates a medicine is only on the complementary list.
Anaesthetics, preoperative medicines and medical gases
General anaesthetics and oxygen
Inhalational medicines
- Halothane
- Isoflurane
- Nitrous oxide
- Oxygen
Injectable medicines
- Ketamine
- Propofol
Local anaesthetics
- Bupivacaine
- Lidocaine
- Lidocaine/epinephrine
- Ephedrineα.
Preoperative medication and sedation for short-term procedures
- Atropine
- Midazolam
- Morphine
Medical gases
- Oxygen
Medicines for pain and palliative care
Non-opioids and non-steroidal anti-inflammatory medicines (NSAIMs)
- Acetylsalicylic acid
- Ibuprofen
- Paracetamol
Opioid analgesics
- Codeine
- Fentanyl
- Morphine
- Methadoneα
Medicines for other common symptoms in palliative care
- Amitriptyline
- Cyclizine
- Dexamethasone
- Diazepam
- Docusate sodium
- Fluoxetine
- Haloperidol
- Hyoscine butylbromide
- Hyoscine hydrobromide
- Lactulose
- Loperamide
- Metoclopramide
- Midazolam
- Ondansetron
- Senna
Antiallergics and medicines used in anaphylaxis
- Dexamethasone
- Epinephrine
- Hydrocortisone
- Loratadine
- Prednisolone
Antidotes and other substances used in poisonings
Nonspecific
- Charcoal, activated
Specific
- Acetylcysteine
- Atropine
- Calcium gluconate
- Methylthioninium chloride
- Naloxone
- Penicillamine
- Prussian blue
- Sodium nitrite
- Sodium thiosulfate
- Deferoxamineα
- Dimercaprolα
- Fomepizoleα
- Sodium calcium edetateα
- Succimerα
Anticonvulsants/antiepileptics
- Carbamazepine
- Diazepam
- Lamotrigine
- Lorazepam
- Magnesium sulfate
- Midazolam
- Phenobarbital
- Phenytoin
- Valproic acid
- Ethosuximideα
- Valproic acid α
Anti-infective medicines
Anthelminthics
Intestinal anthelminthics
- Albendazole
- Ivermectin
- Levamisole
- Mebendazole
- Niclosamide
- Praziquantel
- Pyrantel
Antifilarials
- Albendazole
- Diethylcarbamazine
- Ivermectin
Antischistosomals and other antinematode medicines
- Praziquantel
- Triclabendazole
- Oxamniquineα
Antibacterials
Access group antibiotics
- Amikacin
- Amoxicillin
- Amoxicillin/clavulanic acid
- Ampicillin
- Benzathine benzylpenicillin
- Benzylpenicillin
- Cefalexin
- Cefazolin
- Chloramphenicol
- Clindamycin
- Cloxacillin
- Doxycycline
- Gentamicin
- Metronidazole
- Nitrofurantoin
- Phenoxymethylpenicillin
- Procaine benzylpenicillin
- Spectinomycin
- Sulfamethoxazole/trimethoprim
Watch group antibiotics
- Azithromycin
- Cefixime
- Cefotaxime
- Ceftriaxone
- Cefuroxime
- Ciprofloxacin
- Clarithromycin
- Piperacillin/tazobactam
- Vancomycin
- Ceftazidimeα
- Meropenemα
- Vancomycinα
Reserve group antibiotics
- Ceftazidime/avibactamα
- Colistinα
- Fosfomycinα
- Linezolidα
- Meropenem/vaborbactamα
- Plazomicinα
- Polymyxin Bα
Antileprosy medicines
- Clofazimine
- Dapsone
- Rifampicin
Antituberculosis medicines
- Ethambutol
- Ethambutol/isoniazid/pyrazinamide/rifampicin
- Ethambutol/isoniazid/rifampicin
- Isoniazid
- Isoniazid/pyrazinamide/rifampicin
- Isoniazid/rifampicin
- Pyrazinamide
- Rifabutin
- Rifampicin
- Rifapentine
- Amikacinα
- Amoxicillin/clavulanic acidα
- Bedaquilineα
- Clofazimineα
- Cycloserineα
- Delamanidα
- Ethionamideα
- Levofloxacinα
- Linezolidα
- Meropenemα
- Moxifloxacin
- P-aminosalicylic acidα
- Streptomycinα
Antifungal medicines
- Amphotericin B
- Clotrimazole
- Fluconazole
- Flucytosine
- Griseofulvin
- Itraconazole
- Nystatin
- Voriconazole
- Potassium iodideα
Antiviral medicines
Antiherpes medicines
- Aciclovir
Antiretrovirals
Nucleoside/nucleotide reverse transcriptase inhibitors
- Abacavir
- Lamivudine
- Tenofovir disoproxil fumarate
- Zidovudine
Non-nucleoside reverse transcriptase inhibitors
- Efavirenz
- Nevirapine
Protease inhibitors
- Atazanavir
- Atazanavir/ritonavir
- Darunavir
- Lopinavir/ritonavir
- Ritonavir
Integrase inhibitors
- Dolutegravir
- Raltegravir
Fixed-dose combinations
- Abacavir/lamivudine
- Dolutegravir/lamivudine/tenofovir
- Efavirenz/emtricitabine/tenofovir
- Efavirenz/lamivudine/tenofovir
- Emtricitabine/tenofovir
- Lamivudine/nevirapine/zidovudine
- Lamivudine/zidovudine
Medicines for prevention of HIV-related opportunistic infections
- Isoniazid/pyridoxine/sulfamethoxazole/trimethoprim
Other antivirals
- Ribavirin
- Valganciclovir
- Oseltamivirα
- Valganciclovirα
Antihepatitis medicines
Medicines for hepatitis B
Nucleoside/Nucleotide reverse transcriptase inhibitors
- Entecavir
- Tenofovir disoproxil fumarate
Medicines for hepatitis C
Pangenotypic direct-acting antivirals
- Daclatasvir
- Glecaprevir/pibrentasvir
- Sofosbuvir
- Sofosbuvir/velpatasvir
Non-pangenotypic direct-acting antivirals
- Dasabuvir
- Ledipasvir/sofosbuvir
- Ombitasvir/paritaprevir/ritonavir
Other antivirals for hepatitis C
- Ribavirin
- Pegylated interferon-alpha-2a or pegylated interferon-alpha-2bα
Antiprotozoal medicines
Antiamoebic and antigiardiasis medicines
- Diloxanide
- Metronidazole
Antileishmaniasis medicines
- Amphotericin B
- Miltefosine
- Paromomycin
- Sodium stibogluconate or meglumine antimoniate
Antimalarial medicines
For curative treatment
- Amodiaquine
- Artemether
- Artemether/lumefantrine
- Artesunate
- Artesunate/amodiaquine
- Artesunate/mefloquine
- Artesunate/pyronaridine tetraphosphate
- Chloroquine
- Dihydroartemisinin/piperaquine phosphate
- Doxycycline
- Mefloquine
- Primaquine
- Quinine
- Sulfadoxine/pyrimethamine
For chemoprevention
- Amodiaquine + sulfadoxine/pyrimethamine
- Chloroquine
- Doxycycline
- Mefloquine
- Proguanil
- Sulfadoxine/pyrimethamine
Antipneumocystosis and antitoxoplasmosis medicines
- Pyrimethamine
- Sulfadiazine
- Sulfamethoxazole/trimethoprim
- Pentamidineα
Antitrypanosomal medicines
African trypanosomiasis
- Fexinidazole
Medicines for the treatment of 1st stage African trypanosomiasis
- Pentamidine
- Suramin sodium
Medicines for the treatment of 2nd stage African trypanosomiasis
- Eflornithine
- Melarsoprol
- Nifurtimox
- Melarsoprolα
American trypanosomiasis
- Benznidazole
- Nifurtimox
Medicines for ectoparasitic infections
- Ivermectin
Antimigraine medicines
For treatment of acute attack
- Acetylsalicylic acid
- Ibuprofen
- Paracetamol
For prophylaxis
- Propranolol
Immunomodulators and antineoplastics
Immunomodulators for non-malignant disease
- Adalimumabα
- Azathioprineα
- Ciclosporinα
Antineoplastics and supportive medicines
Cytotoxic medicines
- Arsenic trioxideα
- Asparaginaseα
- Bendamustineα
- Bleomycinα
- Calcium folinateα
- Capecitabineα
- Carboplatinα
- Chlorambucilα
- Cisplatinα
- Cyclophosphamideα
- Cytarabineα
- Dacarbazineα
- Dactinomycinα
- Daunorubicinα
- Docetaxelα
- Doxorubicinα
- Etoposideα
- Fludarabineα
- Fluorouracilα
- Gemcitabineα
- Hydroxycarbamideα
- Ifosfamideα
- Irinotecanα
- Melphalanα
- Mercaptopurineα
- Methotrexateα
- Oxaliplatinα
- Paclitaxelα
- Pegaspargaseα
- Procarbazineα
- Realgar Indigo naturalis formulationα
- Tioguanineα
- Vinblastineα
- Vincristineα
- Vinorelbineα
Targeted therapies
- All-trans retinoic acid α
- Bortezomibα
- Dasatinibα
- Erlotinibα
- Imatinibα
- Nilotinibα
- Rituximabα
- Trastuzumabα
Immunomodulators
- Filgrastimα
- Lenalidomideα
- Nivolumabα
- Thalidomideα
Hormones and antihormones
- Abirateroneα
- Anastrozoleα
- Bicalutamideα
- Dexamethasoneα
- Hydrocortisoneα
- Leuprorelinα
- Methylprednisoloneα
- Prednisoloneα
- Tamoxifenα
Supportive medicines
- Allopurinolα
- Mesnaα
- Zoledronic acidα
Antiparkinsonism medicines
- Biperiden
- Levodopa/carbidopa
Medicines affecting the blood
Antianaemia medicines
- Ferrous salt
- Ferrous salt/folic acid
- Folic acid
- Hydroxocobalamin
- Erythropoiesis-stimulating agentsα
Medicines affecting coagulation
- Dabigatran
- Enoxaparin
- Heparin sodium
- Phytomenadione
- Protamine sulfate
- Tranexamic acid
- Warfarin
- Desmopressinα
- Heparin sodiumα
- Protamine sulfateα
- Warfarinα
Other medicines for haemoglobinopathies
- Deferoxamineα
- Hydroxycarbamideα
Blood products of human origin and plasma substitutes
Blood and blood components
- Fresh frozen plasma
- Platelet concentrates
- Packed red blood cells
- Whole blood
Plasma-derived medicines
Human immunoglobulins
- Rho immune globulin
- Anti-rabies immunoglobulin
- Anti-tetanus immunoglobulin
- Human normal immunoglobulinα
Blood coagulation factors
- Coagulation factor VIIIα
- Coagulation factor IXα
Plasma substitutes
- Dextran 70
Cardiovascular medicines
Antianginal medicines
- Bisoprolol
- Glyceryl trinitrate
- Isosorbide dinitrate
- Verapamil
Antiarrhythmic medicines
- Bisoprolol
- Digoxin
- Epinephrine
- Lidocaine
- Verapamil
- Amiodaroneα
Antihypertensive medicines
- Amlodipine
- Bisoprolol
- Enalapril
- Hydralazine
- Hydrochlorothiazide
- Lisinopril/amlodipine
- Lisinopril/hydrochlorothiazide
- Losartan
- Methyldopa
- Telmisartan/amlodipine
- Telmisartan/hydrochlorothiazide
- Sodium nitroprussideα
Medicines used in heart failure
- Bisoprolol
- Digoxin
- Enalapril
- Furosemide
- Hydrochlorothiazide
- Losartan
- Spironolactone
- Dopamineα
Antithrombotic medicines
Anti-platelet medicines
- Acetylsalicylic acid
- Clopidogrel
Thrombolytic medicines
- Alteplaseα
- Streptokinaseα
Lipid-lowering agents
- Simvastatin
Dermatological medicines (topical)
Antifungal medicines
- Miconazole
- Selenium sulfide
- Sodium thiosulfate
- Terbinafine
Anti-infective medicines
- Mupirocin
- Potassium permanganate
- Silver sulfadiazine
Anti-inflammatory and antipruritic medicines
- Betamethasone
- Calamine
- Hydrocortisone
Medicines affecting skin differentiation and proliferation
- Benzoyl peroxide
- Coal tar
- Fluorouracil
- Podophyllum resin
- Salicylic acid
- Urea
Scabicides and pediculicides
- Benzyl benzoate
- Permethrin
Diagnostic agents
Ophthalmic medicines
- Fluorescein
- Tropicamide
Radiocontrast media
- Amidotrizoate
- Barium sulfate
- Iohexol
- Barium sulfateα
- Meglumine iotroxateα
Disinfectants and antiseptics
Antiseptics
- Chlorhexidine
- Ethanol
- Povidone iodine
Disinfectants
- Alcohol based hand rub
- Chlorine base compound
- Chloroxylenol
- Glutaral
Diuretics
- Amiloride
- Furosemide
- Hydrochlorothiazide
- Mannitol
- Spironolactone
- Hydrochlorothiazideα
- Mannitolα
- Spironolactoneα
Gastrointestinal medicines
- Pancreatic enzymesα
Antiulcer medicines
- Omeprazole
- Ranitidine
Antiemetic medicines
- Dexamethasone
- Metoclopramide
- Ondansetron
- Aprepitantα
Anti-inflammatory medicines
- Sulfasalazine
- Hydrocortisoneα
Laxatives
- Senna
Medicines used in diarrhoea
- Oral rehydration salts + zinc sulfate
Oral rehydration
- Oral rehydration salts
Medicines for diarrhea
- Zinc sulfate
Medicines for endocrine disorders
Adrenal hormones and synthetic substitutes
- Fludrocortisone
- Hydrocortisone
Androgens
- Testosteroneα
Estrogens
Progestogens
- Medroxyprogesterone acetate
Medicines for diabetes
Insulins
- Insulin injection
- Intermediate-acting insulin
Oral hypoglycaemic agents
- Gliclazide
- Metformin
- Metforminα
Medicines for hypoglycaemia
- Glucagon
- Diazoxideα
Thyroid hormones and antithyroid medicines
- Levothyroxine
- Potassium iodide
- Methimazole
- Propylthiouracil
- Lugol's solutionα
- Methimazoleα
- Potassium iodideα
- Propylthiouracilα
Immunologicals
Diagnostic agents
- Tuberculin, purified protein derivative
Sera and immunoglobulins
- Antivenom immunoglobulin
- Diphtheria antitoxin
Vaccines
- BCG vaccine
- Diphtheria vaccine
- Haemophilus influenzae type b vaccine
- Hepatitis B vaccine
- HPV vaccine
- Measles vaccine
- Pertussis vaccine
- Pneumococcal vaccine
- Poliomyelitis vaccine
- Rotavirus vaccine
- Rubella vaccine
- Tetanus vaccine
Recommendations for some high-risk populations
- Cholera vaccine
- Dengue vaccine
- Hepatitis A vaccine
- Meningococcal meningitis vaccine
- Rabies vaccine
- Typhoid vaccine
- Influenza vaccine
- Mumps vaccine
- Varicella vaccine
Muscle relaxants (peripherally-acting) and cholinesterase inhibitors
- Atracurium
- Neostigmine
- Suxamethonium
- Vecuronium
- Pyridostigmineα
- Vecuroniumα
Eye preparations
Anti-infective agents
- Aciclovir
- Azithromycin
- Erythromycin
- Gentamicin
- Natamycin
- Ofloxacin
- Tetracycline
Anti-inflammatory agents
- Prednisolone
Local anesthetics
- Tetracaine
Miotics and antiglaucoma medicines
- Acetazolamide
- Latanoprost
- Pilocarpine
- Timolol
Mydriatics
- Atropine
- Epinephrine α
Anti-vascular endothelial growth factor (VEGF)
- Bevacizumabα
Medicines for reproductive health and perinatal care
Contraceptives
Oral hormonal contraceptives
- Ethinylestradiol/levonorgestrel
- Ethinylestradiol/norethisterone
- Levonorgestrel
- Ulipristal
Injectable hormonal contraceptives
- Estradiol cypionate/medroxyprogesterone acetate
- Medroxyprogesterone acetate
- Norethisterone enantate
Intrauterine devices
- IUD with copper
- IUD with progestogen
Barrier methods
- Condoms
- Diaphragms
Implantable contraceptives
- Etonogestrel-releasing implant
- Levonorgestrel-releasing implant
Intravaginal contraceptives
- Progesterone vaginal ring
Ovulation inducers
- Clomifeneα
Uterotonics
- Carbetocin
- Ergometrine
- Mifepristone + misoprostol
- Misoprostol
- Oxytocin
Antioxytocics (tocolytics)
- Nifedipine
Medicines administered to the mother
- Dexamethasone
- Tranexamic acid
Medicines administered to the neonate
- Caffeine citrate
- Chlorhexidine
- Ibuprofenα
- Prostaglandin Eα
- *Prostaglandin E1
- *Prostaglandin E2
- Surfactantα
Peritoneal dialysis solution
- Intraperitoneal dialysis solution α
Medicines for mental and behavioural disorders
Medicines used in psychotic disorders
- Chlorpromazine
- Fluphenazine
- Haloperidol
- Risperidone
- Chlorpromazineα
- Clozapineα
- Haloperidolα
Medicines used in mood disorders
Medicines used in depressive disorders
- Amitriptyline
- Fluoxetine
- Fluoxetineα
Medicines used in bipolar disorders
- Carbamazepine
- Lithium carbonate
- Valproic acid
Medicines for anxiety disorders
- Diazepam
Medicines used for obsessive compulsive disorders
- Clomipramine
Medicines for disorders due to psychoactive substance use
- Nicotine replacement therapy
- Methadoneα
Medicines acting on the respiratory tract
Antiasthmatics and medicines for chronic obstructive pulmonary disease
- Beclometasone
- Budesonide
- Budesonide/formoterol
- Epinephrine
- Ipratropium bromide
- Salbutamol
- Tiotropium
Solutions correcting water, electrolyte and acid-base disturbances
Oral
- Oral rehydration salts
- Potassium chloride
Parenteral
- Glucose
- Glucose with sodium chloride
- Potassium chloride
- Sodium chloride
- Sodium hydrogen carbonate
- Sodium lactate, compound solution
Miscellaneous
- Water for injection
Vitamins and minerals
- Ascorbic acid
- Calcium
- Cholecalciferol
- Ergocalciferol
- Iodine
- Multiple micronutrient powder
- Nicotinamide
- Pyridoxine
- Retinol
- Riboflavin
- Sodium fluoride
- Thiamine
- Calcium gluconateα
Ear, nose and throat medicines
- Acetic acid
- Budesonide
- Ciprofloxacin
- Xylometazoline
Medicines for diseases of joints
Medicines used to treat gout
- Allopurinol
Disease-modifying agents used in rheumatoid disorders (DMARDs)
- Chloroquine
- Azathioprineα
- Hydroxychloroquineα
- Methotrexateα
- Penicillamineα
- Sulfasalazineα
Juvenile joint diseases
- Acetylsalicylic acid