National List of Essential Medicines of India - Central Drugs ...

POTENTIAL USES OF NLEM
The concept of essential medicines, first introduced by WHO in 1977, has now been adopted by
many countries, non-governmental organizations and international non-profit supply agencies.
The list is considered to include the most cost-effective medicines for a particular indication. It
is developed in concordance with the standard treatment guidelines keeping in mind the
healthcare needs of the majority of the population. Careful selection of a limited range of
essential medicines results in a higher quality of care, better management of medicines and
more cost-effective use of health resources.
The list of essential medicines guides the hospital drug policies, procurement and supply of
medicines in public sector, medicine cost reimbursement and medicine donations. It helps in
monitoring the pricing of medicines. The list serves as a reference document for correct dosage
form and strength for prescribing. Preference is given to single drug formulations as opposed to
fixed dose combinations where appropriate. Hence use of NLEM is expected to improve
prescribing practices as well as the health outcomes. The appropriate use of medicines selected
in the NLEM promotes rational use of medicines. Such rational use of medicines, especially
antimicrobial drugs, reduces development of drug resistance. The list also serves as a reference
for assessing the healthcare access of the populace. Lastly, NEML serves as a tool for public
education and training of healthcare providers.
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