As a migraine sufferer myself I must admit, the existence of triptanes has made my life much better. If those would not exist, I might risk loosing my job if I have a bad phase of my migraines. So, for me, and for a lot of other people too, I guess, it is definitely essential.
By chance I just stumbled over the WHO's list of essential medicines on Wikipedia. It lists a lot of important medicine, as far as I understand, but also "duplicates" of medicines for the same conditions, but for migraine it only has standard pain medication (and a beta-blocker). Standard pain medication is like taking sugar pills for me during a real migraine. This does not sound like effective migraine medication.
I found this article stating that at least one triptan was planned to be included already in 2007. But obviously this did not happen.
The Committee also recommended that a full application for inclusion of a 5HT1 agonist (triptan) for migraine be submitted at its next meeting in 2007.
I don't want to demean other diseases, but as migraine is in fact listet as a condition, I would have expected at least one more migraine specific drug to be on the list. I would have been fine with the other mentioned drugs being listed as pain killers, but listing migraine and then not listing triptanes seems strange to me.
Why are there no triptanes in the list? Was there an official reason given for them not to be included?