OBJECTIVE: To develop a method for the concentration determination of olanzapine, risperidone and paliperidone in human plasma. METHODS: After liquid-liquid extraction, using buspirone hydrochloride as internal standard, the concentration of plasma sample was determined by UPLC-MS/MS. The determination was performed on ACQUITY UPLCTM BEH C18 column with mobile phase consisted of methanol-0.01 mol/L ammonium formate solution (gradient elution) at flow rate of 0.2 mL/min. The column temperature was 45 ℃, and sample size was 5 μL. The electrospray ionization source was adopted for positive ion scanning under MRM mode. Ion-pairs for quantitative analysis were as follows: m/z 313.29→256.25 (olanzapine), m/z 411.42→191.19 (risperidone), m/z 427.45→207.18 (paliperidone) and m/z 386.43→122.37 (internal standard). RESULTS: The linear ranges of olanzapine, risperidone and paliperidone were 0.426-108.954, 0.213-54.476, 0.213-54.476 ng/mL, respectively. RSDs of inter-day and intra-day were all lower than 20%. The recoveries of them ranged 83.3%-112.9%, 90.0%-109.8% and 95.2%-114.9%, respectively. Extraction recoveries ranged 65.5%-95.0%, 73.9%-98.5% and 73.6%-99.4%, respectively. Both plasma matrix effect and dilute effect didn’t influence the determination of plasma concentration. The plasma concentrations of olanzapine, risperidone and paliperidone in 100 schizophrenia patients were (103.3±73.6),(13.1±13.1)and(23.2±20.0)ng/mL, respectively. CONCLUSIONS: The method is simple, rapid, sensitive and specific. It can be used for the determination of plasma concentration and pharmacodynamic study of olanzapine, risperidone and paliperidone.