Free Medicines from PhilHealth: The GAMOT List Explained (2026)
Quick Answer: PhilHealth's GAMOT program covers 75 medicines, and members pay nothing out of pocket for them until they've used ₱20,000 worth of medicine in a single year — the Annual Benefit Limit (ABL) resets every year. This isn't a discount. PhilHealth Circular 2025-0013 states it directly: "Beneficiaries shall not incur out-of-pocket payment until the ABL is fully consumed." The 75 molecules span common maintenance drugs (losartan, amlodipine, atorvastatin), antibiotics, asthma/COPD medicine, and more. What GAMOT pays facilities per unit — the "fixed fee" — is a reimbursement rate, not a retail price cap, and it's a different mechanism entirely from the legal MRP price ceilings under EO 104 and EO 155.
About these figures: GAMOT figures come from PhilHealth Circular 2025-0013 (signed 28 July 2025, effective 21 August 2025), which established the GAMOT List and its Fixed Fee Schedule. PC2026-0002 (9 January 2026) is supplemental guidance on facility deactivation/reactivation only — it adds no medicines and changes no prices. Legal price-ceiling context comes from Executive Order 104 (17 Feb 2020) and EO 155 (7 Dec 2021); voluntary manufacturer price cuts come from the GMAP list as of 9 February 2026. Retail comparisons come from Rose Pharmacy and The Generics Pharmacy (TGP), which publish prices online; Mercury Drug does not publish prices at all. The GAMOT Fixed Fee Schedule annex is a scanned PDF, and a handful of line items OCR'd ambiguously (hyphens where decimal points likely belong) — those were left out rather than guessed at. Last checked: August 2026.
Table of Contents
- What is PhilHealth GAMOT?
- The 75 medicines: breakdown by category
- How the ₱20,000 Annual Benefit Limit works
- Confirmed GAMOT fixed fees
- What's NOT covered by GAMOT
- GAMOT vs. MRP vs. GMAP: three different mechanisms
- How to access your GAMOT benefit
- Other ways to cut medicine costs
- Frequently Asked Questions
What is PhilHealth GAMOT?
GAMOT (Government's Access to Medicines for Optimized Treatment, under PhilHealth) is a benefit that lets PhilHealth members access 75 specific medicines through the primary care network with no out-of-pocket cost, up to an annual limit. It was created by PhilHealth Circular 2025-0013, signed 28 July 2025 and made effective 21 August 2025. That circular established two things: Annex A.i, the actual list of covered molecules, and Annex A.2, the Fixed Fee Schedule — the amount PhilHealth reimburses the dispensing facility per unit dispensed.
Of the 75 molecules, 21 were already covered under the older Konsulta package for CY2025. GAMOT is an expansion that added 54 more medicines on top of that base. A later circular, PC2026-0002 (9 January 2026), only addresses facility deactivation and reactivation procedures — it doesn't touch the molecule list or the fee schedule.
The 75 medicines: breakdown by category
PhilHealth organizes the 75 GAMOT molecules into eight therapeutic categories:
| Category | Molecules |
|---|---|
| Anti-infectious | 21 |
| Anti-hypertensive / Cardiology | 18 |
| Supportive / Other Therapy | 18 |
| Anti-asthma / COPD | 8 |
| Anti-dyslipidemia | 4 |
| Anti-diabetics | 3 |
| Anti-thrombotics | 2 |
| Nervous System | 1 |
| Total | 75 |
Anti-hypertensive/cardiology and anti-infectious drugs make up over half the list, which lines up with the two conditions Filipino households spend the most on medicine for: blood pressure control and infections.
How the ₱20,000 Annual Benefit Limit works
Every GAMOT-enrolled member has an Annual Benefit Limit (ABL) of ₱20,000 per beneficiary per year, and it resets annually. PC2025-0013 is explicit about what that means for the patient, stating verbatim on pages 9–10: "Beneficiaries shall not incur out-of-pocket (OOP) payment until the ABL is fully consumed."
In plain terms: as long as your cumulative GAMOT medicine use for the year stays under ₱20,000 (counted at the fixed-fee rate, not retail price), you pay ₱0 at the counter for those 75 medicines. Only after you've used up the full ₱20,000 does out-of-pocket spending start — and even then, only if you keep buying at the fixed-fee rate; choosing a pricier branded product instead of the reimbursed generic means paying the difference yourself.
This is worth repeating because it's the single most under-known fact in Philippine healthcare: a huge share of the medicine a hypertensive, diabetic, or asthmatic Filipino needs in a year can be effectively free, not discounted — free, until that ₱20,000 ceiling is hit.
Confirmed GAMOT fixed fees
The fixed fee is what PhilHealth reimburses the facility per unit — it is not a retail price, and it's not what you'd see on a pharmacy shelf. It exists so PhilHealth and the facility can account for the benefit, not so you can shop with it. Below are the fixed fees we could read unambiguously from the published annex.
| Medicine | Preparation | GAMOT fixed fee |
|---|---|---|
| Aspirin | 100 mg tab | ₱1.75 |
| Prednisone | 5 mg tab | ₱1.75 |
| Aspirin | 80 mg tab | ₱2.75 |
| Amoxicillin | 250 mg cap | ₱4.00 |
| Ibuprofen | 200 mg tab | ₱5.00 |
| Amlodipine | 10 mg tab | ₱6.50 |
| Losartan | 50 mg tab | ₱9.00 |
| Atorvastatin | 10 mg tab | ₱10.00 |
| Telmisartan | 40 mg tab | ₱10.00 |
| Metronidazole | 250 mg tab | ₱11.00 |
| Cetirizine | 10 mg tab | ₱11.25 |
| Losartan | 100 mg tab | ₱12.00 |
| Salbutamol | 1 mg/mL nebule, 2.5 mL | ₱18.00 |
| Omeprazole | 20 mg cap | ₱19.00 |
| Celecoxib | 200 mg | ₱21.00 |
| Montelukast | 4 mg | ₱22.00 |
| Atorvastatin | 80 mg tab | ₱25.00 |
| Ciprofloxacin | 500 mg tab | ₱25.00 |
| Omeprazole | 40 mg cap | ₱27.50 |
| Montelukast | 10 mg | ₱28.75 |
| Celecoxib | 100 mg | ₱31.00 |
| Ciprofloxacin | 250 mg tab | ₱32.00 |
| Salbutamol | 2 mg/mL nebule, 2.5 mL | ₱32.00 |
| Azithromycin | 250 mg cap | ₱35.00 |
| Tamsulosin | 200 mcg cap | ₱47.00 |
| Azithromycin | 200 mg/5 mL susp, 60 mL | ₱262.50 |
| Azithromycin | 200 mg/5 mL susp, 15 mL | ₱270.00 |
| Fluconazole | 50 mg | ₱186.75 |
| Fluconazole | 150 mg | ₱375.00 |
| Fluconazole | 200 mg | ₱693.00 |
These are the only GAMOT figures we're publishing. The rest of the annex is a scanned document, and several line items OCR'd ambiguously — for example, hyphens sitting where decimal points likely belong. Rather than guess, we left those out.
What's NOT covered by GAMOT
It's just as useful to know what's excluded. Confirmed not on the 75-molecule GAMOT list: acyclovir, sertraline, lactulose, levothyroxine, pregabalin (gabapentin is listed instead), carvedilol, finasteride, spironolactone, sitagliptin, levetiracetam, and insulin — no insulin product appears anywhere in the GAMOT list. Standalone folic acid isn't listed either (only a folic acid + iron combination is), and there's no line item for ferrous sulfate by name — only an umbrella "Ferrous Salt / Iron Preparations" category.
If your maintenance medicine isn't in the fixed-fee table above and isn't in this exclusion list either, we simply don't have a confirmed answer for it from the published annex — check directly with your PhilHealth-accredited facility.
GAMOT vs. MRP vs. GMAP: three different mechanisms
Filipinos searching for a medicine's "real price" usually run into three completely different government mechanisms, and they get conflated constantly:
- MRP (Maximum Retail Price) under EO 104 and EO 155 — a legally binding ceiling. EO 104 states plainly: "No public or private entity shall be allowed to sell, reimburse or demand from the public or patients payment in an amount higher than the MRP." EO 104 (17 Feb 2020) covers 86 molecules across 133 formulas; EO 155 (7 Dec 2021) adds 34 molecules across 71 formulas and repealed the older EO 821 from 2009. DOH's own FOI response (ticket #DOH-089981984662, 30 April 2026) confirms MRP and the older "MDRP" label refer to the same policy, just renamed.
- GMAP (Government-Mediated Access Price) — a voluntary price reduction a manufacturer opts into with government approval, current as of 9 February 2026. It behaves like a lower price at the counter but isn't a legal mandate the way MRP is.
- GAMOT fixed fee — covered above. A PhilHealth reimbursement rate, not a retail price, and the only one of the three where the patient can pay literally nothing.
No executive order after EO 155 currently exists — a DOH press release about "120 medicines proposed for price regulation" is a proposal, not something in force yet.
How to access your GAMOT benefit
GAMOT rides on the same primary-care access point as the Konsulta package — the 21 medicines that were already free under Konsulta for CY2025 are now part of the larger 75-molecule GAMOT list. If you're already registered with a Konsulta primary care provider, that's your starting point; see our PhilHealth Konsulta package guide for how enrollment and facility selection work. Members giving birth or needing maternal/newborn coverage should also check the PhilHealth YAKAP benefits guide, which runs on a related benefit structure.
Other ways to cut medicine costs
GAMOT covers 75 molecules, but plenty of maintenance medicine falls outside it. A few other cost levers worth knowing:
- Choose generics. The retail price gap between generic and branded versions of the same molecule can be dramatic — we've confirmed a 2.5× spread on azithromycin 500mg alone (₱64 house-generic vs. ₱159 for the branded original at the same pharmacy chain).
- Check your PhilHealth contribution status. Active, up-to-date membership is what keeps you eligible for GAMOT and Konsulta; see our PhilHealth contribution table if you're unsure what you owe.
- For blood pressure medicine specifically, see our dedicated hypertension medicine cost guide.
- For insulin and diabetes, GAMOT doesn't cover insulin at all — see our insulin and diabetes management cost guide for the EO 104 price ceilings that do apply.
- Compare pharmacy prices before buying. Not every chain publishes prices — see our Mercury Drug and clinic price list guide for what is and isn't publicly listed.
For a deeper look at specific drug categories, see our companion guides on maintenance medicine prices, antibiotic prices, diabetes medicine prices, and pain and inflammation medicine prices. You can also search ClinicFinderPH for a clinic near you that participates in Konsulta/GAMOT.
Frequently Asked Questions
What is the PhilHealth GAMOT list?
It's a list of 75 medicines established under PhilHealth Circular 2025-0013 (effective 21 August 2025). Members can access these medicines through the primary care network with no out-of-pocket cost until they've used ₱20,000 worth in a given year.
How many medicines are covered under GAMOT?
Exactly 75 molecules, spanning anti-infectious drugs (21), anti-hypertensive/cardiology drugs (18), supportive/other therapy (18), anti-asthma/COPD (8), anti-dyslipidemia (4), anti-diabetics (3), anti-thrombotics (2), and nervous system (1).
Is GAMOT really free, or just discounted?
It's genuinely free up to the limit. PC2025-0013 states members "shall not incur out-of-pocket payment until the ABL is fully consumed" — that's a ₱20,000 annual limit per beneficiary, tracked at the fixed-fee rate.
Is insulin covered by GAMOT?
No. Insulin does not appear anywhere in the 75-molecule GAMOT list. Some insulin products do have a separate legal price ceiling under EO 104 — see our insulin cost guide for those figures.
What's the difference between the GAMOT fixed fee and a medicine's retail price?
The fixed fee is what PhilHealth reimburses the dispensing facility per unit — it's an accounting rate for the benefit, not a shelf price. It's a completely different number from what a pharmacy would charge you if you bought the same medicine outright.
Does the GAMOT ₱20,000 limit cover the whole family?
The ₱20,000 Annual Benefit Limit is per beneficiary, per year, based on the source circular. Confirm your specific household situation with your accredited primary care facility.
Are amlodipine and metformin capped in price under EO 104?
Not as standalone medicines. Amlodipine, metformin, and telmisartan appear in EO 104 only inside fixed-dose combination products — there is no legal MRP ceiling on the standalone tablets. GAMOT is a separate mechanism and does cover standalone amlodipine and telmisartan with a fixed fee (see the table above).
Where can I find a clinic that offers GAMOT?
Start with a PhilHealth-accredited Konsulta primary care provider — see our Konsulta package guide for how to find and enroll with one, or search ClinicFinderPH directly.
Conclusion
GAMOT is the most consequential and least understood PhilHealth benefit most members have access to right now: 75 medicines, zero out-of-pocket cost, up to ₱20,000 a year. It's a completely different mechanism from the legal MRP price ceilings under EO 104/155 and from the voluntary GMAP price cuts — three systems that get conflated constantly but work in genuinely different ways. If you're managing a chronic condition covered by the list, confirming your Konsulta/GAMOT enrollment is worth more than almost any other single healthcare move you can make this year.