Ensure availability of sufficient stocks of Essential Medicines by ESI Institutions -reg. (English)

A E.S.I.C. कर्मचारी राज्य बीमा निगम (श्रम एवं रोजगार मंत्रालय, भारत सरकार) EMPLOYEES' STATE INSURANCE CORPORATION (Ministry of Labour & Employment, Govt. of India) मुख्यालय Headquarters" पंचदीप भवन सीआईजी रोड, नई दिल्ली-110002 PANCHDEEP BHAWAN, C.I.G. MARG, NEW DELHI-110 002 Phone: 011-23604700 Email: dir-gen@esic.nic.in Website: www.esic.nic.in/www.esic.in यू-25/12/Misc./2024-MedV (E-771310) Uडय To Dean/Medical Superintendents PGIMSR's/MC/Hospital Director (Medical) Delhi/Director (Medical) Noida Regional Directors, SMO's ESIC DIMS, ESIS All Sates/UT's Sub: Ensure availability of sufficient stocks of Essential Medicines ESI Institutions -reg. Ref: National List of Essential Medicines-2022 (copy enclosed). Sir/Madam, by As you are aware that Director General of Health Services, Ministry of Health & Family Welfare, Govt. of India has issued National List of Essential Medicines 2022 considered essential for addressing the priority healthcare needs of a population. This list guides the selection of medicine procurement and pricing, ensuring access to crucial medications with aim to promote the judicious use of medications, ensuring their effectiveness and safety. In this context, all Deans/MSs/DIMS of State Directorates are hereby informed to ensure sufficient stocks of Drugs available as per National List of Essential Medicines -2022 for ESI Beneficiaries as per existing purchase policy, duly adhering to GeM/GFR/CVC/ESI/Govt. of India guidelines interalia. This issues with the approval of Competent Authority. This is for your kind information and mandatory compliance. Digitally signवकीय Sanjiv Kochhar Dater04-09-2025 उपचिकित्सा आयुक्त दर संविदा/प्रापण) 16:04:19 National List of Essential Medicines 2022 Table of Contents Sections of Drug Classes Section 1 Medicines used in Anaesthesia............................................................................3 Section 2 Analgesics, Antipyretics, Non-steroidal Anti-inflammatory Drugs (NSAIDs), Medicines used to treat Gout and Disease Modifying Agents used in Rheumatoid Disorders.............................................................................6 Section 3 Antiallergics and Medicines used in Anaphylaxis...............................................9 Section 4 Antidotes and Other Substances used in Management of Poisonings/Envenomation .................................................................................11 Section 5 Medicines used in Neurological Disorders.......................................................13 Section 6 Anti-infective Medicines....................................................................................18 Section 7 Anti-cancer agents including Immunosuppressives and Medicines used in Palliative Care....................................................................................................37 Section 8 Medicines affecting Blood.................................................................................45 Section 9 Blood products and Plasma substitutes..............................................................47 Section 10 Cardiovascular Medicines................................................................................49 Section 11 Dermatological Medicines (Topical) ...............................................................54 Section 12 Diagnostic agents .............................................................................................56 Section 13 Dialysis components (Haemodialysis and Peritoneal Dialysis) ......................57 Section 14 Antiseptics and Disinfectants...........................................................................57 Section 15 Diuretics...........................................................................................................58 Section 16 Ear, Nose and Throat Medicines......................................................................59 Section 17 Gastrointestinal Medicines...............................................................................60 Section 18 Hormones, other Endocrine Medicines and Contraceptives............................63 Section 19 Immunologicals................................................................................................67 Section 20 Medicines for Neonatal Care ...........................................................................70 Section 21 Ophthalmological Medicines...........................................................................71 Section 22 Oxytocics and Antioxytocics ...........................................................................73 Section 23 Medicines used in treatment of Psychiatric Disorders.....................................74 Section 24 Medicines acting on the Respiratory tract .......................................................78 Section 25 Solutions correcting Water, Electrolyte disturbances and Acid-base disturbances......................................................................................................80 Section 26 Vitamins and Minerals.....................................................................................81 Section 27 Medicines for COVID 19 management.........................................................82 Alphabetical List of Medicines in NLEM 2022 ...............................................................84 Medicines Added Therapeutic category wise in NLEM 2022 .......................................101 Alphabetical List of Medicines Added to NLEM 2022...................................................113 Medicines Deleted from Therapeutic category wise NLEM 2015................................116 Alphabetical List of Medicines Deleted from NLEM 2015 ............................................127 INDEX 130 Section 1 Medicines used in Anaesthesia 1.1- General Anaesthetics and Oxygen Medicine Level of Healthcare Dosage form(s) and strength(s) 1.1.1 Halothane S,T Liquid for inhalation 1.1.2 Isoflurane S,T Liquid for inhalation 1.1.3 Ketamine P,S,T Injection 10 mg/mL Injection 50 mg/mL 1.1.4 Nitrous oxide P,S,T As licensed for medical purpose 1.1.5 Oxygen* P,S,T As licensed for medical purpose 1.1.6 Propofol P,S,T Injection 10 mg/mL 1.1.7 Sevoflurane S,T Liquid for inhalation 1.1.8 Thiopentone P,S,T Powder for injection 0.5 g Powder for injection 1 g *Oxygen is also listed in Section 27.5 - Medicines for COVID 19 management 1.2-Local Anaesthetics Medicine Level of Healthcare Dosage form(s) and strength(s) 1.2.1 Bupivacaine S,T Injection 0.25 % Injection 0.5 % Injection 0.5 % with 7.5 % glucose 1.2.2 Lignocaine* P,S,T Topical forms 2-5 % Injection 1 % Injection 2 % Injection 5 % with 7.5 % glucose 1.2.3 Lignocaine (A) + Adrenaline (B) P,S,T Injection 1% (A) + 1:200000 (5 mcg/mL) (B) Injection 2% (A) + 1:200000 (5 mcg/mL) (B) 1.3- Preoperative Medication and Sedation for Short Term Procedures Medicine Level of Healthcare Dosage form(s) and strength(s) 1.3.1 Atropine** P,S,T Injection 0.6 mg/mL *Lignocaine formulations are also listed in Section 10.2.5 cardiovascular medicines- Antiarrhythmic medicines **Atropine formulations are also listed in - A. Section 4.2.1 - Antidotes and Other Substances used in Management of Poisonings/Envenomation - Specific B. Section 21.5.1 - Ophthalmological Medicines- Mydriatics Medicine Level of Healthcare Dosage form(s) and strength(s) 1.3.2 Glycopyrrolate S,T Injection 0.2 mg/mL 1.3.3 Midazolam* P,S,T Tablet 7.5 mg Nasal Spray 0.5mg Nasal Spray 1.25 mg Injection 1 mg/mL Injection 5 mg/mL 1.3.4 Morphine** P,S,T Injection 10 mg/mL Injection 15 mg/mL Section 1.4 -Muscle Relaxants and Cholinesterase Inhibitors Medicine Level of Healthcare Dosage form(s) and strength(s) 1.4.1 Atracurium S,T Injection 10 mg/mL 1.4.2 Baclofen S,T Tablet 5 mg Tablet 10 mg Tablet 20 mg *Midazolam formulations are also listed in - A. Section 5.1.7- Medicines used in Neurological Disorders Anticonvulsants/ Antiepileptics B. Section 7.4.12- Anti-cancer agents including Immunosuppressives, and Medicines used in Palliative Care **Morphine formulations are also listed in - A. Section 2.2.2- Analgesics, Antipyretics, Non-steroidal Anti-inflammatory Drugs (NSAIDs), Medicines used to treat Gout and Disease Modifying Agents used in Rheumatoid Disorders - Opioid Analgesics B. Section 7.4.13 - Anti-cancer agents including immunosuppressives, and medicines used in Palliative Care Medicine Level of Healthcare Dosage form(s) and strength(s) 1.4.3 Neostigmine* S,T Tablet 15 mg Injection 0.5 mg/mL 1.4.4 Succinylcholine S,T Injection 50 mg/mL 1.4.5 Vecuronium S,T Powder for injection 4 mg Powder for injection 10 mg Section 2 Analgesics, Antipyretics, Non-steroidal Anti-inflammatory Drugs (NSAIDs), Medicines used to treat Gout and Disease Modifying Agents used in Rheumatoid Disorders 2.1 - Non-opioid Analgesics, Antipyretics and Non-steroidal Anti- inflammatory Drugs Medicine Level of Healthcare Dosage form(s) and strength(s) 2.1.1 Acetylsalicylic acid** P,S,T Tablet 300 mg to 500 mg Effervescent/ Dispersible/ Enteric coated Tablet 300 mg to 500 mg *Neostigmine formulations are also listed in Section 4.2.8 - Antidotes and Other substances used in Management of poisoning/Envenomation - Specific **Acetylsalicylic acid formulations are also listed in - A. Section 5.2.1 - Medicines used in Neurological Disorders Antimigraine medicines B. Section 10.5.1 - Cardiovascular medicines -Antithrombotic Medicines (Cardiovascular/ Cerebrovascular) - Antiplatelet and Antithrombotic Medicines Medicine Level of Healthcare Dosage form(s) and strength(s) 2.1.2 Diclofenac P,S,T Tablet 50 mg Injection 25 mg/mL 2.1.3 Ibuprofen* P,S,T Tablet 200 mg Tablet 400 mg Oral liquid 100 mg/5 mL (p) 2.1.4 Mefenamic acid P,S,T Tablet 250 mg Oral liquid 100 mg/5 mL (p) 2.1.5 Paracetamol** P,S,T Tablet 500 mg Tablet 650 mg Oral liquid 120 mg/5 mL (p) Oral Liquid 125 mg/5 mL (p) Oral Liquid 250 mg/5 mL (p) Injection 150 mg/ mL Suppository 80 mg Suppository 170 mg 2.2-Opioid Analgesics Medicine Level of Healthcare Dosage form(s) and strength(s) 2.2.1 Fentanyl S,T Injection 50 mcg/mL *Ibuprofen formulations are also listed in Section 5.2.2 - Medicines used in Neurological Disorders-Antimigraine Medicines ** Paracetamol formulations are also listed in - A. Section 5.2.3 - Medicines used in Neurological Disorders-Antimigraine Medicines B. Section 27.4 - Medicines for COVID 19 Management