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Civil society organizations in India are demanding a revision of the National List of Essential Medicines (NLEM), which was last updated in 2022 and contains 384 medicines.
They are calling for a transparent, time-bound, and conflict-of-interest-free process to update the NLEM, noting that the WHO Model List of Essential Medicines has been revised in 2023 and 2025 and now includes 523 medicines.
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Health groups are strongly advocating for an immediate update to India's National List of Essential Medicines (NLEM), arguing that the current list, last revised in 2022, is outdated compared to international standards. They emphasize the need to incorporate newer, essential medicines to improve public health outcomes and ensure comprehensive patient access.
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While acknowledging the calls for an update, the process of revising the National List of Essential Medicines (NLEM) involves complex considerations including cost-effectiveness, public health priorities, and resource allocation. The existing list, established in 2022, reflects a prior assessment of India's specific healthcare needs and economic realities, suggesting that revisions require careful deliberation beyond simply matching international lists.
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