The pharmaceutical market is a socially significant production, and therefore subject to strict control by the public authorities of all countries. At the same time, the pharmaceutical market is one of the most promising areas for investors, as one of the most profitable today. All these factors lead to close attention to the drug industry by both economists, pharmacists, and doctors. The domestic pharmaceutical market experienced some difficulties before the spread of the pandemic, which has been aggravated to date. In this regard, it is necessary to analyze the trend of the pharmaceutical market of Russia today, to identify the factors that have the greatest impact on its development. The main factors that are characteristic of other industries are: the high level of production costs, the difficulty of attracting investors on a long-term basis, and high global competition. Specific factors include: the poor quality of finished dosage forms and pharmaceutical substances, an outdated product range and the predominance of generic drugs, a small amount of branded products. The presented article presents an analysis of the latest trends in the domestic pharmaceutical market, highlights global, global trends that have an impact on it.