Some of the clubs on this list are active in youth levels.

(last updated: June 2018)

11 Oktomvri
14 Oktomvri 1946
Aerodrom
AGROS
Albarsa
Alhemichari
Alumina
Astibo
Babi
Balkan
Beli
Birlik (V)
Bogomila
Bunardjik
Butel
Crna Reka (V)
Deljadrovci
Drachevo
FCU-55
Fljamurtari (S)
G-Na
Gemidjii
Goce Delchev 1973
Ilinden 1955
Ilinden (V)
Jugohrom
Jurumleri
Karbinci
Kastrioti
Kochani
Kozhuf (M)
Korzo
Kumanovo
Lepenec
Liria (Zh)
Lozar
Mazatar
Metalurg
Metalurg (V)
Mirche Acev
Mladost (CD)
Mladost (E)
Mladost (K)
Mladost (O)
Mrshevci
Negotino
Nova Kolonija
Ohrid Lote
Orovnik
Pobeda
Podmochani
Proleter
Prparimi (R)
Rabotnik
Rabotnik Djumajlija
Radusha
Saraj
Silkrat
Shari
Shkendija (A)
Shkendija (V)
Skenderbeu
Sloga (Z)
Strachinca
Talenti PP
Tarinci
Tearca-97
Tri Cheshmi
Trubarevo
Vardar (B)
Vardarski
Vardino
Vaksinca
Zlesti
Zorbas-Pobeda