The Macedonian First League (Macedonian: Македонска прва лига, Makedonska prva liga) is the top-tier basketball competition in the Republic of North Macedonia organized by the Basketball Federation of North Macedonia.

Until 1992 it was called Macedonian Republic League after which it was transformed into top division level Macedonian Basketball First League.

After the transformation, teams from the dissolved Yugoslav Federal Leagues (MZT Skopje and Rabotnički) joined the Macedonian First League.

Note: This table is incomplete