Which medicines are included in Uzbekistan’s reimbursement program: an analysis of the official list

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A display of medicines in a pharmacy in Uzbekistan, reimbursement program for medicinal products

The Ministry of Health of Uzbekistan has approved a list of diseases and medicines included in the reimbursement program. The document defines which drugs patients will be able to receive under reimbursement when treating socially significant diseases.

The document, signed by Minister Asilbek Khudayarov on April 23, 2026, was agreed with the State Health Insurance Fund and will come into force on January 1, 2027.

The list covers the main areas of chronic therapy — from cardiovascular diseases and diabetes to mental disorders and oncology. It includes both basic first-line drugs and certain modern classes of medicines.

Below is the full list of medicines included in the reimbursement program (the original document with the list in Uzbek is attached below).

LIST of diseases and medicines included in the reimbursement program

1. Oncology

No.MedicineDosage form
1TamoxifenTablets (10 mg; 20 mg)
2Morphine hydrochlorideSolution for injection (1% 1 ml)
3OmnoponSolution for injection (1% 1 ml; 2% 1 ml)
4TrimeperidineSolution for injection (1% 1 ml; 2% 1 ml)
5TramadolSolution for injection (5% 2 ml); capsules (50 mg)
6NalbuphineSolution for injection (10 mg/1 ml)

2. Mental disorders

No.MedicineDosage form
7LamotrigineTablets
8CarbamazepineTablets
9BenzobarbitalTablets
10Valproic acidTablets, capsules, syrup, drops, pediatric syrup, solution for injection
11ClonazepamTablets (2 mg)
12AripiprazoleTablets
13HaloperidolTablets; solution for injection
14QuetiapineTablets
15ClozapineTablets
16OlanzapineTablets
17Fluphenazine decanoateSolution for injection
18ChlorpromazineTablets; solution for injection
19RisperidoneTablets
20ThioridazineTablets
21TrifluoperazineTablets; solution for injection
22AmitriptylineTablets; solution for injection
23VenlafaxineTablets (37.5 mg); capsules
24ParoxetineTablets (20 mg)
25SertralineTablets (50 mg)
26TrazodoneTablets (150 mg)
27MirtazapineTablets (30 mg)
28EscitalopramTablets (10 mg)

3. Gastrointestinal diseases

No.MedicineDosage form
29OmeprazoleTablets (20 mg; 40 mg)

4. Chronic obstructive pulmonary disease (COPD)

No.MedicineDosage form
30SalbutamolAerosol (100 mcg/dose, 7 g, 200 doses)
31AmbroxolTablets (30 mg)

5. Endocrine diseases

No.MedicineDosage form
32Potassium iodideTablets (200 mcg)
33ThiamazoleTablets (5 mg)
34Levothyroxine sodiumTablets (100 mcg)
35Short-acting insulin 100 IU/10 mlSolution for injection
36Short-acting insulin analogue 100 IU/3 mlSolution for injection
37Long-acting insulin 100 IU/10 mlSolution for injection; cartridge and prefilled pen*
38Long-acting insulin analogue 100 IU/3 mlSolution for injection; cartridge and prefilled pen*
39Mixed insulin 100 IU/10 mlSolution for injection; cartridge and prefilled pen*
40GliclazideTablets (30 mg; 60 mg)
41MetforminTablets (500 mg; 1000 mg)
42EmpagliflozinTablets (10 mg; 25 mg)
43DesmopressinNasal drops (100 mcg/ml, 5 ml); nasal spray (10 mcg/ml dose, 5 ml)
44HydrocortisoneEye ointment (0.5%; 1%; 2.5%); ointment (0.1%); eye suspension (0.1%)
45PrednisoloneTablets (5 mg)

6. Cardiovascular diseases

No.MedicineDosage form
46VerapamilTablets
47Isosorbide mononitrateTablets (20 mg; 40 mg)
48Isosorbide dinitrateSpray; tablets
49Acetylsalicylic acidTablets (75 mg; 150 mg)
50ClopidogrelTablets (75 mg)
51BisoprololTablets (2.5 mg; 5 mg; 10 mg)
52AmlodipineTablets (2.5 mg; 5 mg; 10 mg)
53EnalaprilTablets (2.5 mg; 5 mg; 10 mg; 20 mg)
54AtorvastatinTablets (10 mg; 20 mg; 40 mg; 80 mg)
55SpironolactoneTablets (25 mg)
56FurosemideTablets (40 mg); solution for injection (1% 2 ml)

7. Diseases of the blood system

No.MedicineDosage form
57HeparinSolution for injection (5000 IU; 25000 IU; 12500 IU — 1 ml; 2 ml; 5 ml; 10 ml*)
58WarfarinTablets (2.5 mg)
59Iron (Fe II) preparationsTablets (100 mg); capsules (100 mg)
60Iron (Fe III) preparationsTablets (100 mg); capsules (100 mg)
61Folic acidTablets (1 mg; 5 mg)

8. Parasitic diseases

No.MedicineDosage form
62AlbendazoleTablets; suspension

9. Age-related changes in the female reproductive system

No.MedicineDosage form
63Drospirenone + ethinyl estradiolTablets

10. Chronic liver diseases

No.MedicineDosage form
64Ursodeoxycholic acidCapsules (250 mg)

11. Degenerative diseases of the central nervous system

No.MedicineDosage form
65Inosine pranobex **Tablets (500 mg)

12. Chronic renal and hepatic failure

No.MedicineDosage form
66CyclosporineCapsules (25 mg; 50 mg; 100 mg)
67TacrolimusCapsules (0.5 mg; 1.0 mg; 5.0 mg)
68Mycophenolate mofetilTablets (250 mg; 500 mg); capsules (250 mg; 500 mg)
69Mycophenolic acidTablets (180 mg; 360 mg)

Notes:

* Prescribed for children under 15 years of age with type 1 diabetes
** Prescribed for patients with subacute sclerosing panencephalitis (A81.1)

The procedure for providing medicines under the reimbursement program is determined by Resolution No. 619 of the Cabinet of Ministers of the Republic of Uzbekistan dated October 2, 2024.

Attention! The analysis below reflects our analytical conclusions based on the approved list. This is an interpretation of the document’s structure, not official clarification.

Overall structure of the list

The list is organized by clinical categories and includes medicines for the treatment of the most common chronic diseases. The largest share of the list is devoted to cardiovascular diseases, endocrine disorders, mental health conditions, and respiratory diseases.

Structurally, the document is primarily oriented toward outpatient treatment — most medicines are intended for long-term use and control of chronic conditions.

At the same time, the list contains almost no expensive innovative drugs and mainly consists of basic first-line therapies.

Cardiovascular diseases — the strongest part of the list

The cardiology section includes standard baseline therapies used to treat hypertension, coronary artery disease, and heart failure. The list contains key classes of antihypertensive drugs, antiplatelets, and statins.

This set corresponds to the standard model of primary prevention of heart attacks and strokes. The availability of these medicines is considered a key element in reducing mortality from cardiovascular diseases.

At the same time, modern next-generation anticoagulants are absent from the list. A more traditional treatment model is used, typical of many budget-constrained systems.

Diabetes and endocrine diseases

The endocrinology section includes medicines for diabetes and thyroid disorders, as well as different types of insulin. The list contains both classic drugs and one modern class of glucose-lowering therapy.

This structure ensures basic diabetes treatment, but newer drugs with proven effects on cardiovascular mortality are not included. This limits the possibilities for expanded cardiometabolic therapy.

At the same time, the presence of insulin and basic oral medications covers the main needs of outpatient diabetes treatment.

Psychiatry — broad but heterogeneous list

The section on mental health includes antidepressants, antipsychotics, and antiepileptic drugs. The list features both modern medicines and older molecules that are used more selectively in some countries.

This approach provides broad access to treatment but makes the list heterogeneous in terms of how up-to-date the medicines are.

Overall, the psychiatric section can be considered one of the most comprehensively represented in the document.

Oncology — basic therapy and pain management

The oncology section includes hormone therapy and pain relief medicines, including opioid analgesics. This means the system covers the basic needs of outpatient treatment and palliative care.

However, modern targeted therapies and immunotherapy are not included. Such drugs are typically part of more expensive insurance systems and usually require separate funding.

Thus, the oncology section is focused on basic treatment support rather than advanced anti-cancer therapy.

Respiratory diseases

This section includes medicines for symptomatic treatment of chronic respiratory diseases, with a primary focus on fast-acting drugs.

Baseline inhalation therapy, widely recommended internationally for long-term control of chronic lung diseases, is largely absent from the list. This indicates a simplified outpatient treatment model for such conditions.

Hematology and immunosuppressive therapy

The list includes medicines for anemia correction, anticoagulants, and immunosuppressive drugs used after organ transplantation. This set corresponds to a basic level of therapy and covers core clinical needs.

At the same time, modern next-generation anticoagulants are not included, which distinguishes this list from more comprehensive insurance formularies.

What the analysis of the list shows

The structure of the document indicates the formation of a basic drug reimbursement system focused on the most common chronic diseases. The main emphasis is on affordable generics and first-line therapies.

Cardiology, diabetes, and psychiatry are the most fully represented areas. These fields occupy a key place in the structure of chronic morbidity and mortality.

Less developed are sections related to innovative therapies — primarily oncology, modern anticoagulants, and advanced treatment regimens for chronic lung diseases.

Overall, the list establishes a baseline level of pharmaceutical coverage focused on widespread diseases and outpatient care.

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