ENSURING THE POPULATION’S ACCESS TO AFFORDABLE AND HIGH QUALITY MEDICINES: CONTEMPORARY CHALLENGES

M Igamnazarova; G Azlyarova

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Volume 5, Issue 10: Special Issue
(EJAR)

ISSN: 2181-2020

MPHAPP

THE 6TH INTERNATIONAL SCIENTIFIC AND PRACTICAL
CONFERENCE

“

MODERN PHARMACEUTICS: ACTUAL

PROBLEMS AND PROSPECTS

”

TASHKENT, OCTOBER 17, 2025

in-academy.uz

ENSURING THE POPULATION’S ACCESS TO AFFORDABLE AND HIGH

-

QUALITY MEDICINES: CONTEMPORARY CHALLENGES

Igamnazarova M.A.¹

Azlyarova G.U.²

¹Tashkent Pharmaceutical Institute, 5th

-year student,

²Assistant, Department of Organization of

Pharmaceutical Affairs, Tashkent Pharmaceutical

Institute. Tashkent, Republic of Uzbekistan

E-mail: razabovaliser3@gmail.com

https://doi.org/10.5281/zenodo.17333295

Relevance:

the sustainable development of the pharmaceutical sector plays a crucial role in

ensuring public health. In Uzbekistan, the pharmaceutical market remains highly dependent on
imports, faces the issue of counterfeit and low-quality medicines, underdeveloped local production,
and weak quality control systems. Therefore, providing the population with affordable and high-
quality medicines remains a matter of both scientific and practical importance.

Purpose of the study:

the purpose of this study is to analyze the measures being taken to ensure

the population’s access to affordable and high-quality medicines, to restrict the production of
counterfeit drugs, to support local manufacturers, and to reduce dependence on imported
pharmaceutical products.

Materials and methods:

the study utilized official data from the Center for Pharmaceutical

Product Safety and decrees of the President of the Republic of Uzbekistan.

Results:

according to the Presidential Decree UP-20 (January 23, 2024), manufacturers and

distributors of pharmaceuticals and medical products were made directly responsible for the quality,
safety, and efficacy of their goods. Specific state control regulations were introduced, and regional
structures were reorganized under the newly established Good Practices Center system. A 'Roadmap
for 2024–2025' was approved to accelerate new projects and allocate funding for their
implementation. Additionally, the Cabinet of Ministers Resolution PP-14 (January 10, 2024) defined
measures to attract investments, introduce international standards such as GMP, and expand
production volumes. After the Marion Biotech case, stricter quality and safety measures were
adopted, responsible officials were penalized, and compensation mechanisms were introduced –
strengthening control and reducing low-quality imports. In the first quarter of 2025, the Center for
Certification of Medical Products issued 307 conformity certificates for 770 series comprising
119,651,012 conditional packages of medicines, medical devices, and equipment. However, 49 series
(408,521 packages) were deemed non-compliant with regulatory requirements. Cases of illegal drug
production were identified in several regions: in Tashkent’s Mirzo Ulug‘bek district, about 180 kg of
powdered raw materials and nearly 3,000 packages of counterfeit tablets and capsules were
discovered; in Kashkadarya, unlicensed home-based drug manufacturing was exposed; and in
Gulistan, authorities confiscated 10,481 expired medical products worth 435.9 million UZS stored
for resale.

Conclusions:

to strengthen domestic pharmaceutical production, it is necessary to: prioritize

GMP-certified local companies in state procurement and extend long-term contracts; simplify
registration and authorization procedures, especially for local analogues; provide preferential loans,
grants, and investment subsidies; establish free economic zones and pharma parks; expand
bioequivalence and laboratory infrastructure (GLP, ISO/IEC 17025) to facilitate faster, cheaper
clinical trials for generics; create a fast-track pathway for local products in the State Register and

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