Our analysis yielded three key findings: 1) CVDs and diabetes medicine dispensing rates were low during the study period and included very low rates of insulin dispensing; 2) there were lower dispensing rates of CVDs and diabetes medicines among female beneficiaries compared to male beneficiaries; and 3) there were higher rates of CVDs and diabetes medicines dispensed in governorates that were completely or mostly controlled by the government and very low to no dispensing of insulin in some governorates that were partly controlled by the Syrian government. Here, INS is linked to diabetes mellitus.