“NLEM Full Form”

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What is the full form of NLEM?

What is the long form of NLEM?

NLEM is an acronym or we can say it is an abbreviation.

What is the Full Form of NLEM?

NLEM Full Form in English

NLEM – “National List of Essential Medicines”.

See Also : NDT full form

NLEM Full Form in Hindi “एन एल ई एम  फुल फॉर्म”

एन एल ई एम फुल फॉर्म – आवश्यक दवाओं की राष्ट्रीय सूची

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What is National List of Essential Medicines (NLEM)?

The WHO EML is a model list. The decision about which medicines are essential remains a national responsibility based on the country’s disease burden, priority health concerns, affordability concerns etc. Ministry of Health and Family Welfare, Government of India hence prepared and released the first National List of Essential Medicines of India in 1996 consisting of 279 medicines. This list was subsequently revised in 2003 and had 354 medicines. Later in 2011, the list was revised and had 348 medicines.

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How many medicines are there in NLEM?

Till June 2018, 851 medicines (including 4 medical devices i.e. Cardiac stents, drug eluting stents, condoms and intra uterine devices) are regulated under Revised Schedule – I based on National List of Essential Medicines, 2015 (NLEM, 2015).

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What is the use / Purpose of the National List of Essential Medicines?

The NLEM have multiple uses.

  • Guide safe and effective treatment of priority disease conditions of a population
  • Promote the rational use of medicines
  • Optimize the available health resources of a country It can also be a guiding document for:
  • State governments to prepare their list of essential medicines
  • Procurement and supply of medicines in the public sector
  • Reimbursement of cost of medicines by organizations to its employees
  • Reimbursement by insurance companies
  • Identifying the ‘MUST KNOW’ domain for the teaching and training of health care professionals
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Criteria for inclusion of a medicine in NLEM 2015
The criteria are as follows

The medicine should be approved/licensed in India.
The medicine should be useful in disease which is a public health problem in India.
The medicine should have proven efficacy and safety profile based on valid scientific evidence.
The medicine should be cost effective.
The medicine should be aligned with the current treatment guidelines for the disease.
The medicine should be stable under the storage conditions in India.
When more than one medicine are available from the same therapeutic class, preferably one prototype/ medically best suited medicine of that class to be included after due deliberation and careful evaluation of their relative safety, efficacy, cost-effectiveness.
Price of total treatment to be considered and not the unit price of a medicine.
Fixed Dose Combinations (FDCs) are generally not included unless the combination has unequivocally proven advantage over individual ingredients administered separately, in terms of increasing efficacy, reducing adverse effects and/or improving compliance.
The listing of medicine in NLEM is based according to the level of health care, i.e. Primary (P), Secondary (S) and Tertiary (T) because the treatment facilities, training, experience and availability of health care personnel differ at these levels.
Criteria for deletion of a medicine from NLEM 2015
The medicine has been banned in India.
There are reports of concerns on the safety profile of a medicine.
A medicine with better efficacy or favorable safety profiles and better cost-effectiveness is now available.
The disease burden for which a medicine is indicated is no longer a national health concern in India.
In case of antimicrobials, if the resistance pattern has rendered a medicine ineffective in Indian context.
NLEM and Related Price Control Issue
In order to make medicines affordable, Government of India promulgated the National Pharmaceutical Pricing Policy, 2012 bringing all medicines with specified dosage and strength included in NLEM under price control. Accordingly, Drug Price Control Order, 2013 was issued by Department of Pharmaceuticals under Ministry of Chemicals and Fertilizers for fixing the ceiling price of medicines included in NLEM, 2011.

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