OBJECTIVE: To develop a method for rapid, accurate and simultaneous determination of dexzopiclone, zolpidam and zaleplon in human plasma. METHODS: After the plasma sample was processed by liquid-liquid extraction, UPLC-MS/MS was established to detect plasma sample with carbamazepine as internal standard. The separation was performed on a Waters ACQUITY UPLC HSS T3 column with mobile phase composed of 0.1% ammonium solution-acetonitrile (gradient elution) at flow rate of 0.2 ml/min. The column temperature was set at 40 ℃, and sample size was 5 μl. The detection was performed by multiple reaction monitoring (MRM) via electrospray ionization (ESI) source in positive mode. The mass transition ion-pairs were as follows: m/z 308.2→263.1(zolpidem), m/z 389.3→245.0(dexzopiclone), m/z 306.2→236.1(zaleplon), m/z 237.3→151.2(internal standard). RESULTS: The linear range of zolpidem, dexzopiclone and zaleplon were 0.02-20.00, 0.50-20.00, 0.02-20.00 ng/ml, respectively (r=0.990 1,0.996 8, 0.991 7). LLOQ of them were 0.02, 0.50, 0.02 ng/ml, and detection limit were 0.01, 0.20, 0.01 ng/ml. RSDs of intra-day and inter-day were all lower than 15%; extraction recovery were 88.9%-106.5%; matrix effect were 94.8%-106.3%. CONCLUSIONS: The method is simple, rapid, sensitive and specific, and it can be used for simultaneous determination of zaleplon, zolpidem and dexzopiclone in human plasma.