Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot149510.32687/0869-866X-2024-32-3-467-473НеопределенThe long 1992 in medicinal (non-)security of Russia. Report II. Market networks and institutesIgnatievV Gig_vas@mail.ruZatravkinS Nzatravkine@mail.ruVishlenkovaE Aevishlenkova@mail.ruN. A. Semashko National Research Institute of Public Health, 105064, Moscow, RussiaThe State Budget Institution “The Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, RussiaLudwig-Maximilian University of Munich, 80539 Munich, Germany290620243232204202522042025Copyright © 2025,2025<p>The year of 1992 is very important milestone in history of Russian pharmaceutical market. It began not in January 1922, but in December 1991, when the President and Government enactments to open free market for medications were promulgated. The advisers of B. N. Yeltsin considered market economy as reliable mean to overcome medicinal deficiencies, corruption and bureaucratic monopoly. However, panacea did not work. Moreover, it caused completely new problems. The human and state security implies protection from threats of dependencies. The unprepared dive into market plunged Russians and the country into severe dependence on import of medications and foreign pharmaceutical companies.<br />The proposed study expands our publications in this journal and in journal Pharmacy in 2022. At that time, analysis of medication scarcity was implemented on the basis of published sources and relied on journalistic evidences. The current study is carried out on the basis of archival documents of the Ministry of Health Care of the Russian Federation and authors interviews of representatives of regulator. The second report reconstructs the sequence of the emergence and correlation of the structural elements of the Russian pharmaceutical market.</p>pharmaceutical markethistory of medicinesociology of marketsRussia of the ninetiesфармацевтический рынокистория медицинысоциология рынковРоссия девяностых[Zatravkin S. N., Vishlenkova E. A. Medicines and revolution: drug supply of Soviet people in the 1920s. Rossiyskaya istoriya. 2022;(2):156–65 (in Russian).][Resolution of the Government of 6 April 1992 No. 26 “On the export of energy carriers for the purchase of food, medical preparations, pesticides and equipment”. Available at: http://www.pravo.gov.ru/proxy/ips/?docbody=&link_id=56&nd=102015664&intelsearch=][The Russian Federation in 1992 (Statistical Yearbook) [Rossijskaja Federacija v 1992 godu (Statisticheskij ezhegodnik)]. Moscow: Republican Information and Publishing Centre; 1993 (in Russian).][Available at: https://www.kommersant.ru/doc/2630][State report on the state of health of the population of the Russian Federation in 1992 [Gosudarstvennyj doklad o sostojanii zdorov'ja naselenija Rossijskoj Federacii v 1992 godu]. Moscow; 1993 (in Russian).][Medicinal preparations of foreign firms in Russia: Reference book [Lekarstvennye preparaty zarubezhnyh firm v Rossii: Spravochnik]. Moscow: AstraFarmService; 1993. 720 p. (in Russian).][Medicinal preparations in Russia: Reference book [Lekarstvennye preparaty v Rossii: Spravochnik]. Moscow: AstraPharmService; 1998. 1600 p. (in Russian).][“The principle was applied: bought substance — produce all possible forms”. Vademecum. Available at: https://vademec.ru/article/deystvoval_printsip-_kupil_substantsiyu_-_proizvodi_vse_vozmozhnye_formy/?ysclid=lry2d6gxf9588223084][Available at: http://volhonka-press.ru/news.php?point=2017/02/20170207100319][Tablet firm [Tabletirovanaaja firma]. Moscow; 2020 (in Russian).][Lydia Chegodayeva: trading for their own. Available at: https://www.kommersant.ru/doc/33252][Market of services: medicine, pharmacology. Available at: https://www.kommersant.ru/doc/27172][Do not take medicines from strangers. Available at: https://www.kommersant.ru/doc/28444?ysclid=lswz0fesor150128796][Polanyi K. The self-regulating market and fictitious goods: labour, land and money. THESIS. 1993;(2):10–7.]