In 2020, markets are showing both unpredictable and anticipated development trends. The pharmaceutical market was no exception. Turnover of the commercial drug market in 2020 amounted to 1,128 billion rubles, which is 10.6% more than in the previous year. Parapharmaceutical sales amounted to RUB 279 billion in 2020. In the analyzed period, state purchases of pharmaceuticals reached 634 billion rubles. It was expected an increase in Pharma-2020’s turnover in value terms; the basis for the increase was over-the-counter drugs and domestically produced drugs. At the same time, in the statistics of packaging, a decrease in sales was observed in the commercial sector of medicines — by 2.3%, and in parapharmaceuticals — by 15.4%, and in hospital purchases — by 15.0%. According to the results of the analysis, there is an increase in the consumption of expensive drugs, as well as a redistribution of demand to the segment of large packages. The share of online sales in the pharmaceutical market for the monitored 2020 increased from 5.5% in January to 8.2% in December. The share of expensive drugs in the online segment is higher than in the offline segment.