Table of Contents 
6 EXECUTIVE SUMMARY
7 MARKET DYNAMICS OVERVIEW
7 Russian pharma market continues to grow at around 10%
7 Retail segment accounts for the largest proportion of the Russian pharma market
8 Imported drugs dominate the market
9 Branded drugs, including branded generics, dominate the market
10 Foreign manufacturers dominate the top 10 companies in the country
11 Top brands include both expensive innovative treatments and OTC/lifestyle drugs
12 References
14 GROWTH DRIVERS AND RESISTORS
14 Large population and poor health status are driving use of medicines
15 High rates of self-treatment drive OTC segment growth
15 Fast growth of the Russian economy and future growth potential fuel pharma market, but
threats remain
17 WTO membership
17 Introduction of new legislative measures has caused difficulties and confusion
18 The reimbursement program was a key driver of market growth when it was introduced, and it
is scheduled to be expanded in 2017
19 References
21 DOMESTIC PHARMACEUTICAL SECTOR
22 References
24 HOSPITAL MARKET SEGMENT
25 Regional ranking
26 Anti-infectives top the hospital market segment
28 Sanofi is the leader in the hospital market segment
29 Top drugs in the hospital segment
30 References
31 REIMBURSEMENT MARKET SEGMENT
32 Reimbursement segment sales are dominated by imported drugs
34 Oncology agents are the highest selling group in the reimbursement segment
35 Top manufacturers in the reimbursement segment
38 Top brands in the reimbursement segment
39 References
40 RETAIL MARKET SEGMENT
40 The retail market segment is the key driver of Russian market growth
41 Imported products dominate the retail segment by value
43 OTC brands dominate the leading products by value in the commercial segment

44 Top therapy groups in the retail segment
45 Multinationals dominate the retail segment
47 References
48 MARKET ENTRY STRATEGIES
48 References
49 RETAIL AND DISTRIBUTION SECTORS
49 Distributors
52 Pharmacies
53 References
55 APPENDIX
55 About the author

List of Figures

7 Figure 1: Russian pharmaceutical market size and segmentation, 2008–13
8 Figure 2: Russian retail market segment split by prescription and OTC sales, 2008–11
8 Figure 3: Imported vs local products market share, 2008–11
9 Figure 4: Russian pharmaceutical market segmentation by product type, 2008–11
14 Figure 5: Drivers and resistors of Russian pharmaceutical market growth
16 Figure 6: Pharmaceutical market growth correlates with GDP growth, 2010–12
24 Figure 7: Russian hospital market segment size, 2008–12
24 Figure 8: Hospital segment split by origin, 2010–11
31 Figure 9: Reimbursement market segment size, 2008–12
32 Figure 10: Reimbursement segment split by country of origin, 2011
33 Figure 11: VZN subsegment split by country of origin, 2011
33 Figure 12: ONLS subsegment split by country of origin, 2011
34 Figure 13: Reimbursement segment split by ATC group, 2010–11
40 Figure 14: Retail segment sales value, 2009–11
40 Figure 15: Retail segment sales volume, 2009–11
41 Figure 16: Retail market split by product origin, 2009–11
42 Figure 17: Retail segment split by product listing status, 2009–11
49 Figure 18: Market share of the top three and top 10 distributors in Russia, 2008–11

List of Tables 
11 Table 1: Market share and growth rate of the top 10 manufacturers in the Russian market,
2010–11
11 Table 2: Market share and growth rate of the top 10 brands on the Russian market, 2010–11
16 Table 3: Selected economic indicators for the Russian market, 2010–12
21 Table 4: Recent investments in local manufacturing facilities in Russia made by foreign
companies
25 Table 5: Ranking of hospital segment sales by region, 2011

26 Table 6: ATC group split of the hospital market segment, 2011
28 Table 7: Top 10 manufacturers in the hospital segment, 2011
29 Table 8: Top 10 products in the hospital market, 2011
36 Table 9: Top 20 manufacturers in the reimbursement segment, 2011
38 Table 10: Top 10 brands in the reimbursement segment, 2011
43 Table 11: Top 10 brands in the Russian retail market, 2011
44 Table 12: ATC group ranking and sales in the Russian retail market segment, 2011
46 Table 13: Top 10 manufacturers in the Russian retail market, 2011
50 Table 14: Top 10 distributors in Russia, 2011
53 Table 15: Ranking of pharmacy chains in Russia, 2011