Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot153010.32687/0869-866X-2024-32-4-863-869НеопределенThe metamorphoses of denationalization of 1993. Report I. The market fight for medications importIgnatievV 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, Germany170820243242604202526042025Copyright © 2025,2025<p>In the history of the Russian pharmaceutical market the year of 1993 became the year of formation of rules of market relations and changing under them of market landscape. The significant segment of state-centralized purchases moved under responsibility of regional authorities and their health care authorities. At that, powers of three former state organizations being occupied with purchases of imported medications were distributed between new state companies of Ministry of Health and commercial organizations and firms that entered pharmaceutical market. This diversity rather soon gave rise to competitive fight for budget funds and experiments of Government with market regulation. The traces of these clashes and attempts to make market regulated can be found in Ministry of Health archives and journal publications. The Report I reveals circumstances of entrance of Ministry of Health into market relationships and its acquisition of market player identity.</p>history of marketshistory of medicineeconomic historyRussian pharmaceutics1993medication pricesистория рынковистория медициныэкономическая историяроссийская фармацевтика1993 годцены на лекарства1.Ignatiev V. G., Zatravkin S. N., Vishlenkova E. A. Long 1992 in drug (non)provision in Russia. Message 2. Market networks and institutions. Problemi socialnoi gigieni, zdravookhranenia i istorii meditsini. 2024;32(3):467–73 (in Russian).2.Katlinskii A. V., Lopatin P. V., Lindenbraten A. L. Pharmaceutical industry and drug supply. In: Healthcare of Russia. XX century [Zdravookhranenie Rossii. XX vek]. Moscow: GEOTAR-MED; 2001. P. 212–34 (in Russian).3.State report on the state of health of the population of the Russian Federation in 1993 [Gosudarstvennyi doklad o sostoyanii zdorov'ya naseleniya Rossiiskoi Federatsii v 1993 godu]. Moscow; 1994 (in Russian).4.Shishkin S. V. Reform of Russian health care financing [Reforma finansirovaniya rossiyskogo zdravookhraneniya]. Мoscow; 2000 (in Russian).5.Galkina G. Eduard Nechaev spoke in favour of strengthening state control. Kommersant. 1993;188. Available at: https://www.kommersant.ru/doc/61004?ysclid=ltc29d5bqa665887104 (in Russian).6.Grebennikov I., Tolokonnikov A. Melkoopt and retail trade — results of the season. Kommersant Vlast'. 1993;44. Available at: https://www.kommersant.ru/doc/9032?ysclid=ltg0ukms4u236756398 (in Russian).7.Khrennikov I. Walking for three seas. Forbs. Available at: https://www.forbes.ru/forbes/issue/2005-06/19551-hozhdenie-za-tri-morya?ysclid=ltfzbig3hn768142360 (in Russian).8.Life and the wallet. The painful issue — medicines… Argumenty i fakty. Available at: https://archive.aif.ru/archive/1655256?ysclid=lt2452xqid152916652 (in Russian).