Introduction

MEMORANDUM CIRCULAR (RMC) NO. 027-2026

Pursuant to Joint Administrative Order (JAO) No. 2-2018 and JAO No. 202-0001, the Food and Drug Administration (FDA) has issued an updated list of VAT-exempt drugs for Cancer, Diabetes, High Cholesterol, Hypertension, Kidney Diseases, Mental Illnesses, and Tuberculosis.

The February 6, 2026 letter from the FDA Director General, containing the full updated list under the TRAIN Law and CREATE Act, is attached as Annex A of this Circular.

IllnessNumber of Exempt Drugs
Cancer702
Diabetes327
High Cholesterol171
Hypertension535
Kidney Disease152
Mental Illness300
Tuberculosis76

The list supersedes all previous RMCs and remains effective until further updates are issued.