Medicine Access

Nomadino medicine access points on a 0-100 scale. Higher is better. The raw value combines medicine availability, affordability, reimbursement and protection, regulatory reliability, general health-system strength and bounded crisis or territory checks. Score equals raw value.
1 Singapore88 points 88 points 88
2 Germany87 points 87 points 87
2 Japan87 points 87 points 87
2 Korea Republic87 points 87 points 87
5 Monaco86 points 86 points 86
5 Netherlands86 points 86 points 86
5 Norway86 points 86 points 86
5 Switzerland86 points 86 points 86
9 Austria85 points 85 points 85
9 Denmark85 points 85 points 85
9 Finland85 points 85 points 85
12 France84 points 84 points 84
12 Iceland84 points 84 points 84
12 Luxembourg84 points 84 points 84
12 Sweden84 points 84 points 84
16 Belgium83 points 83 points 83
16 San Marino83 points 83 points 83
18 Andorra82 points 82 points 82
18 Australia82 points 82 points 82
18 Faroe Islands82 points 82 points 82
18 Ireland82 points 82 points 82
18 Liechtenstein82 points 82 points 82
18 New Zealand82 points 82 points 82
24 Chinese Taipei81 points 81 points 81
24 Czech Republic81 points 81 points 81
24 Greenland81 points 81 points 81
27 Canada80 points 80 points 80
27 Slovenia80 points 80 points 80
27 United Kingdom80 points 80 points 80
30 Croatia79 points 79 points 79
30 Estonia79 points 79 points 79
30 Gibraltar79 points 79 points 79
30 Macau79 points 79 points 79
30 Portugal79 points 79 points 79
30 Saint Pierre and Miquelon79 points 79 points 79
30 Spain79 points 79 points 79
37 Guadeloupe78 points 78 points 78
37 Hong Kong78 points 78 points 78
37 Martinique78 points 78 points 78
37 Réunion78 points 78 points 78
41 Bermuda77 points 77 points 77
41 New Caledonia77 points 77 points 77
41 Tahiti77 points 77 points 77
41 United Arab Emirates77 points 77 points 77
41 Uruguay77 points 77 points 77
46 Brunei76 points 76 points 76
46 Cayman Islands76 points 76 points 76
46 Cyprus76 points 76 points 76
46 Italy76 points 76 points 76
46 Malta76 points 76 points 76
46 Poland76 points 76 points 76
46 Qatar76 points 76 points 76
46 Slovakia76 points 76 points 76
54 Aruba75 points 75 points 75
54 Curacao75 points 75 points 75
54 Guam75 points 75 points 75
54 Lithuania75 points 75 points 75
54 Puerto Rico75 points 75 points 75
54 Saint-Martin75 points 75 points 75
60 French Guiana74 points 74 points 74
60 Hungary74 points 74 points 74
62 Greece73 points 73 points 73
62 Kuwait73 points 73 points 73
62 Latvia73 points 73 points 73
62 Niue73 points 73 points 73
62 Northern Mariana Islands73 points 73 points 73
62 Oman73 points 73 points 73
62 Sint Maarten73 points 73 points 73
62 Thailand73 points 73 points 73
62 Wallis and Futuna73 points 73 points 73
71 Anguilla72 points 72 points 72
71 Antigua and Barbuda72 points 72 points 72
71 British Virgin Islands72 points 72 points 72
71 Cook Islands72 points 72 points 72
71 Romania72 points 72 points 72
71 Turks and Caicos Islands72 points 72 points 72
71 U.S. Virgin Islands72 points 72 points 72
78 Chile71 points 71 points 71
78 Costa Rica71 points 71 points 71
78 Montserrat71 points 71 points 71
78 Saudi Arabia71 points 71 points 71
78 Seychelles71 points 71 points 71
83 American Samoa70 points 70 points 70
83 Argentina70 points 70 points 70
83 Bulgaria70 points 70 points 70
83 Kazakhstan70 points 70 points 70
83 Maldives70 points 70 points 70
83 Montenegro70 points 70 points 70
83 Palau70 points 70 points 70
83 United States70 points 70 points 70
91 Bahamas69 points 69 points 69
91 Nauru69 points 69 points 69
93 Barbados68 points 68 points 68
93 Malaysia68 points 68 points 68
93 Mayotte68 points 68 points 68
93 Serbia68 points 68 points 68
93 Tuvalu68 points 68 points 68
98 Botswana67 points 67 points 67
98 Mauritius67 points 67 points 67
98 North Macedonia67 points 67 points 67
98 Saint Kitts and Nevis67 points 67 points 67
98 Turkey67 points 67 points 67
103 Bahrain66 points 66 points 66
103 Moldova66 points 66 points 66
103 Saint Lucia66 points 66 points 66
103 Saint Vincent and the Grenadines66 points 66 points 66
103 South Africa66 points 66 points 66
103 Tonga66 points 66 points 66
109 Bosnia and Herzegovina65 points 65 points 65
109 Brazil65 points 65 points 65
109 Cape Verde65 points 65 points 65
109 Dominica65 points 65 points 65
109 Jordan65 points 65 points 65
109 Namibia65 points 65 points 65
115 Dominican Republic64 points 64 points 64
115 Fiji64 points 64 points 64
115 Marshall Islands64 points 64 points 64
115 Micronesia64 points 64 points 64
115 Mongolia64 points 64 points 64
115 Panama64 points 64 points 64
115 Peru64 points 64 points 64
115 Suriname64 points 64 points 64
115 Trinidad and Tobago64 points 64 points 64
115 Tunisia64 points 64 points 64
125 Bhutan63 points 63 points 63
125 Guyana63 points 63 points 63
125 Jamaica63 points 63 points 63
125 Kosovo63 points 63 points 63
125 Samoa63 points 63 points 63
125 Vietnam63 points 63 points 63
131 Paraguay62 points 62 points 62
131 Rwanda62 points 62 points 62
133 Belize61 points 61 points 61
133 China61 points 61 points 61
133 Ecuador61 points 61 points 61
133 Gabon61 points 61 points 61
133 Georgia61 points 61 points 61
133 Grenada61 points 61 points 61
133 Kiribati61 points 61 points 61
140 Albania60 points 60 points 60
140 Belarus60 points 60 points 60
140 Vanuatu60 points 60 points 60
143 Bolivia59 points 59 points 59
143 El Salvador59 points 59 points 59
143 Kyrgyzstan59 points 59 points 59
143 Morocco59 points 59 points 59
143 São Tomé and Príncipe59 points 59 points 59
143 Timor-Leste59 points 59 points 59
149 Colombia58 points 58 points 58
149 Cuba58 points 58 points 58
149 Israel58 points 58 points 58
149 Solomon Islands58 points 58 points 58
149 Sri Lanka58 points 58 points 58
149 Swaziland58 points 58 points 58
155 Armenia57 points 57 points 57
155 Indonesia57 points 57 points 57
155 Mexico57 points 57 points 57
155 Russia57 points 57 points 57
159 Algeria56 points 56 points 56
159 Azerbaijan56 points 56 points 56
159 Uzbekistan56 points 56 points 56
162 Zambia55 points 55 points 55
162 Zimbabwe55 points 55 points 55
164 Lesotho54 points 54 points 54
164 Malawi54 points 54 points 54
164 Nicaragua54 points 54 points 54
164 Philippines54 points 54 points 54
168 Egypt52 points 52 points 52
168 Zanzibar52 points 52 points 52
170 Djibouti51 points 51 points 51
170 Ghana51 points 51 points 51
170 Kenya51 points 51 points 51
170 Laos51 points 51 points 51
174 India50 points 50 points 50
174 Tajikistan50 points 50 points 50
176 Guatemala49 points 49 points 49
176 Honduras49 points 49 points 49
176 Nepal49 points 49 points 49
176 Papua New Guinea49 points 49 points 49
176 Senegal49 points 49 points 49
181 Ivory Coast48 points 48 points 48
181 Tanzania48 points 48 points 48
183 Gambia47 points 47 points 47
184 Cambodia46 points 46 points 46
184 Uganda46 points 46 points 46
186 Congo45 points 45 points 45
186 Iran45 points 45 points 45
186 Iraq45 points 45 points 45
186 Lebanon45 points 45 points 45
186 Mozambique45 points 45 points 45
191 Madagascar44 points 44 points 44
192 Comoros43 points 43 points 43
193 Equatorial Guinea42 points 42 points 42
194 Angola41 points 41 points 41
194 Burundi41 points 41 points 41
196 Bangladesh40 points 40 points 40
196 Benin40 points 40 points 40
196 Mauritania40 points 40 points 40
199 Turkmenistan38 points 38 points 38
200 Libya37 points 37 points 37
200 Pakistan37 points 37 points 37
200 Sierra Leone37 points 37 points 37
203 Liberia36 points 36 points 36
203 Togo36 points 36 points 36
205 Cameroon35 points 35 points 35
206 Eritrea34 points 34 points 34
206 Guinea34 points 34 points 34
206 Western Sahara34 points 34 points 34
209 Guinea-Bissau33 points 33 points 33
210 Ethiopia32 points 32 points 32
210 Ukraine32 points 32 points 32
212 Haiti30 points 30 points 30
213 Congo DR29 points 29 points 29
213 Nigeria29 points 29 points 29
215 Mali28 points 28 points 28
216 Niger27 points 27 points 27
217 Myanmar26 points 26 points 26
218 Venezuela24 points 24 points 24
219 Chad23 points 23 points 23
220 Central African Republic22 points 22 points 22
221 Burkina Faso18 points 18 points 18
221 Korea DPR18 points 18 points 18
221 Palestine18 points 18 points 18
221 Sudan18 points 18 points 18
225 South Sudan17 points 17 points 17
226 Syria16 points 16 points 16
226 Yemen16 points 16 points 16
228 Afghanistan15 points 15 points 15
229 Somalia14 points 14 points 14

Last rating: June 15th, 2026

How the Raw Value Is Calculated

The raw value is a Nomadino point value from 0 to 100. 100 means very strong practical access to important medicines: medicines are available, affordable, legally covered, quality-controlled and reachable beyond a few top hospitals. 0 means access is effectively absent or extremely unreliable. The score equals the raw value.

This is not an official percentage rate. There is no complete annually comparable global country series that jointly measures medicine availability, prices, reimbursement, quality assurance and crisis resilience. Nomadino therefore uses a composite access value.

The calculation combines six components: 35% availability, 25% affordability, 15% reimbursement and protection, 10% medicine regulation and quality assurance, 10% general health-system strength and 5% crisis, supply-chain and territory checks.

Availability is anchored in care quality, universal health coverage, doctor density, hospital beds, administrative capacity and stability. A country cannot rank very highly from low prices alone if medicines are hard to obtain in everyday care.

Affordability uses out-of-pocket health expenditure, universal health coverage, insurance coverage, health-insurance access and typical treatment costs as proxy signals. High direct burden, weak insurance protection or strongly unequal access reduce the raw value.

Reimbursement and protection assess whether important medicines are realistically covered by public systems, mandatory insurance, national benefit lists or sustainable private protection. Formal entitlements are bounded where they are barely usable in practice.

Regulation and quality assurance check whether approval, market supervision, legal enforcement and administration are strong enough to limit falsified medicines, shortages and unreliable distribution chains. War, state collapse, sanctions, severe political instability or very weak administration can cap maximum values.

Small or dependent territories receive maintained replacement values derived from administering state, local care, island or remote context, import dependence, reachable hospitals and plausible comparator countries. This indicator measures medicine access; care quality, specialist costs, hospital beds, health insurance for foreigners and out-of-pocket health expenditure remain separate indicators.