Healthcare

The GAMOT Medicine List: What Medicines Are Free Under YAKAP (2026)

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RecordKo TeamJuly 20, 2026 · 7 min read

Under PhilHealth GAMOT, 75 medicine molecules — packaged into 242 specific preparations covering different dosages and forms — are free to PhilHealth members and their dependents, up to P20,000 in coverage per person per year. They span eight therapeutic categories, from blood pressure pills to antibiotics to asthma inhalers, and 21 of them are the same medicines already guaranteed at every YAKAP primary care clinic.

What Exactly Is the GAMOT List?

The GAMOT list is the official formulary of medicines PhilHealth will pay for when a YAKAP-accredited doctor prescribes them and you claim them at an accredited pharmacy. It comes in two parts under PhilHealth Circular No. 2025-0013: Annex A.1, which names the 75 covered molecules, and Annex A.2, the Fixed Fee Schedule, which breaks those molecules into 242 individually priced preparations — for example, Amlodipine shows up twice, once as a 5mg tablet and once as a 10mg tablet, each with its own fixed fee. GAMOT functions, in PhilHealth's own words, as "the pharmaceutical service delivery arm of PhilHealth's outpatient benefits" — the medicine-dispensing half of the YAKAP program, alongside consultations, laboratory tests, and cancer screening.

If you want the fuller picture of how the benefit works — eligibility, the P20,000 annual cap, and what happens once you hit it — see What Is PhilHealth GAMOT? Free Outpatient Medicines, Explained.

How Many Medicines Are Actually Covered?

The GAMOT list covers 75 molecules, expressed as 242 numbered drug preparations, each with its own fixed price. The 75-molecule count expanded from the 21 medicines originally available only through Konsulta clinics, adding 54 new molecules when GAMOT rolled out nationwide on August 21, 2025 (Philippine Daily Inquirer). Those 75 molecules were themselves selected from the Department of Health's essential drug list of roughly 300 medicines, and PhilHealth has said it is studying adding more, pending approval from the Health Technology Assessment Council (Inquirer, October 2025).

Why 242 preparations instead of 75? Because a single molecule can appear at more than one strength or form. Metformin, for instance, comes in both 500mg and 850mg tablets on the fixed fee schedule — two line items, one molecule. For the full pricing breakdown by preparation, see GAMOT Fixed Fees: How Medicine Pricing Works (PC 2025-0013 Annex A.2).

The Major Drug Categories, with Examples

The 75 molecules fall into eight therapeutic categories defined in Annex A.1 of PC 2025-0013, and most Filipinos will recognize at least a few names in each:

Sample fixed fees give a sense of what each preparation actually costs PhilHealth: Amoxicillin 500mg capsule is P5.25, Losartan 50mg is P9.00, Metformin 500mg is P4.75, and Paracetamol 500mg tablet is just P2.25 — all on Annex A.2 of the circular. The most expensive single items on the whole schedule are maintenance inhalers: Fluticasone+Salmeterol 500/50mcg (60-dose DPI) at P1,981.75 and Budesonide+Formoterol 320/9mcg (60-dose DPI) at P1,533.50.

The 21 Medicines Guaranteed at Every YAKAP Clinic

Twenty-one of the 75 GAMOT molecules are guaranteed to be continuously available at every YAKAP-accredited clinic — these are the medicines carried over from the original Konsulta program. As of a January 23, 2026 PhilHealth advisory, the 21 are: Amoxicillin, Co-amoxiclav, Cotrimoxazole, Nitrofurantoin, Ciprofloxacin, Clarithromycin, ORS, Prednisone, Salbutamol, Fluticasone+Salmeterol, Paracetamol, Gliclazide, Metformin, Simvastatin, Enalapril, Metoprolol, Amlodipine, Hydrochlorothiazide, Losartan, Aspirin, and Chlorphenamine (PhilHealth news release). PhilHealth's assurance was direct: "Makakaasa po ang lahat ng Pilipino na patuloy silang makakakuha nitong 21 na mga gamot sa kanilang napiling YAKAP Clinic."

In practice, this means the remaining 54 molecules — the newer additions covering more specialized cardiology, dyslipidemia, and respiratory needs — are more likely to require a trip to a separate GAMOT-accredited pharmacy rather than being dispensed on the spot at your clinic, since GAMOT partner pharmacies were still expanding beyond Metro Manila as of late 2025 (Manila Bulletin).

How Much Do These Medicines Actually Cost You?

Nothing, up to P20,000 per year — after that, you pay the same fixed fee out of pocket rather than a market price. GAMOT applies an Annual Benefit Limit of P20,000 per beneficiary, reset every January 1 with no carry-over of unused balance (PC 2025-0013). Within that limit, dispensing is free at the point of care. Once the limit is used up, the GAMOT facility must still charge you at the published fixed fee rather than a marked-up price — unless you specifically prefer a pricier branded medicine — and mandatory senior citizen or PWD discounts plus VAT exemption still apply on those out-of-pocket purchases.

How to Get These Medicines

You need three things in sequence: a PhilHealth PIN and YAKAP registration, a consultation with a YAKAP-accredited or GAMOT App-registered physician, and an e-prescription. The doctor issues the prescription through the GAMOT App, which generates a Unique Prescription Security Code (UPSC); you then present a valid government ID plus that prescription (or just the UPSC and ID, for remote consultations) at any GAMOT-accredited pharmacy nationwide. See E-Prescriptions Under GAMOT: How Doctors Prescribe Free Medicines for the full mechanics, including ICD-10 coding requirements and dispensing limits. Pharmacies interested in joining the program can start with How Pharmacies Join PhilHealth GAMOT: Engagement Guide for Drug Dispensing Facilities.

Behind the scenes, YAKAP clinics increasingly run this whole workflow — PCU checks, e-prescriptions, PhilHealth XML claims — through EMR systems built for it; RecordKo, for instance, is designed for the certified-EMR era of YAKAP end-to-end.

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