The final day of the Winter Meetings began with the annual Rule 5 Draft. The order was based on the reverse order of standings from the end of the 2018 regular season. Teams were only able to make a selection if they had space on their 40-man roster.
• From Hack to Herrera: A history of the Rule 5 Draft
:: 2018 Rule 5 Draft coverage ::
Major League phase
Round 1
1. Orioles: SS Richie Martin (A's No. 12 prospect)
2. Royals: RHP Sam McWilliams (Rays)
3. White Sox: RHP Jordan Romano (Blue Jays No. 28) -- traded to Rangers
4. Marlins: RHP Riley Ferrell (Astros No. 17)
5. Tigers: RHP Reed Garrett (Rangers)
6. Reds:  1B/3B Connor Joe (Dodgers)
7. Rangers: RHP Chris Ellis (Cardinals) -- traded to Royals
8. Giants: LHP Travis Bergen (Blue Jays)
9. Blue Jays: RHP Elvis Luciano (Royals No. 23)
10. Mets: RHP Kyle Dowdy (Indians)
11. Phillies: 2B/SS Drew Jackson (Dodgers No. 19) -- traded to Orioles
12. D-backs: RHP Nick Green (Yankees)
13. Mariners: RHP Brandon Brennan (Rockies)
Round 2
14. Giants: OF Drew Ferguson (Astros)
Triple-A phase
Round 1
1. Orioles: RHP Taylor Grover (Reds)
2. Royals: C Chris Rabago (Yankees)
3. White Sox: 1B Jordan George (Pirates) 
4. Tigers: CF Tyler Hill (Red Sox)
5. Padres:  RHP Cristofer Melendez (White Sox) -- traded to Pirates
6. Rangers: RHP Jeffeson Medina (Orioles)
7. Giants: 3B Peter Maris (Rays)
8. Blue Jays: RHP David Garner (Cubs) 
9. Mets: LF Braxton Lee (Marlins No. 29)
10. Twins:  RHP Dusten Knight (Giants) 
11. Phillies: RHP Gilmael Troya  (Yankees)
12. Angels: RHP Matt Esparza (Indians)
13. D-backs: OF Jeffrey Baez (Giants)
14. Nationals: CF Chuck Taylor (Mariners) 
15. Pirates: OF Randolph Gassaway (Orioles)
16. Cardinals:  RHP John Fasola (Rangers) 
17. Braves: RHP Jason Creasy (D-backs)
18. Rays: RHP Ryan Thompson (Astros)
19. Indians: LHP Yapson Gomez (Cubs)  
20. Cubs: LHP Luis Lugo (Royals)
21. Brewers: SS Julio Garcia (Angels) 
22. A's: 2B Corban Joseph (Orioles)
23. Yankees: RHP Adonis De La Cruz (Mariners) 
24. Astros: C Alejandro Flores (Nationals)
25. Red Sox: RHP Anyelo Gomez (Yankees)
Round 2
26. Giants: LHP Sam Moll (Blue Jays)
27. Mets: RHP Chris Mazza (Mariners)
28. Pirates: RHP Winston Nicacio (Cardinals) 
29. Cardinals: SS Alberto Triunfel (Angels)
30. Braves:  RHP Rafael De Paula (Reds) 
31. Rays: RHP Ian Gardeck (Giants)
32. Indians: 1B Wilson Garcia (Orioles)
33. Cubs: C Rafelin Lorenzo (Pirates) 
34. Brewers: C Alexander Alvarez (Rays)
35. A's: CF Mark Payton (Yankees) 
36. Red Sox: RHP Andrew Schwaab (Tigers)
Round 3
37. Mets: C Mitch Ghelfi (Angels)
38. Braves: SS Riley Unroe (Angels)
39. Rays: RHP Cristofer Ogando (D-backs) 
40. Cubs: RHP Alexander Vargas (Yankees)
41. A's: 1B Anthony Miller (Indians)
Round 4
42. Rays: RHP Hector Figueroa (Indians)