Me-too drugs are pharmacologically active compounds structurally related to first-in-class drugs, used for similar therapeutic purposes but may differ in specificity, adverse reactions, or drug interactions. They offer therapeutic advantages like improved target specificity and pharmacokinetics, and can help with drug shortages. Examples include tricyclic antidepressants, β-blockers, and statins, illustrating their diversity and incremental innovation. Over 60% of WHO's essential list drugs are me-toos, with transnational differences in essential medicines lists partly due to varying me-too drug choices.