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Ukrainian drugmakers could lose the certificates that let them sell in Uzbekistan, their most important export market, Ukrainian business outlet Ekonomichna Pravda reported on 7 October. Uzbekistan is ending remote factory inspections next year, and industry sources say its inspectors are wary of traveling to a country at war.
Russia's war keeps reshaping Central Asia's trade with both warring countries: Ukrainian refinery strikes pushed Russian fuel shortages into the region, and Kazakhstan gained leverage over a Russian retail giant.
Uzbekistan brings in about 30% of the Ukrainian drug industry's foreign-currency earnings, and one in 10 medicine packs sold there is Ukrainian, Ekonomichna Pravda wrote. By the outlet's count, at least three of Ukraine's five biggest drugmakers by revenue rank it as their top foreign market.
The currency from Uzbekistan lets manufacturers keep prices low in Ukraine and absorb losses from Russian strikes, three industry sources told Ekonomichna Pravda. Losing the market would force producers to raise domestic prices or pull low-margin medicines, which "will hit the Ukrainian patient," said Hennadii Vovk, former deputy head of Ukraine's State Service on Medicines and Drug Control.
Exports reached $114 million in January–June 2026, more than in all of 2021, said Yevheniia Piddubna, government relations head at Farmak, Ukraine's largest drugmaker. She said Uzbekistan takes 35% of Farmak's exports.
Data from the YouControl business registry, cited by the outlet, complicates that picture. In 2022, 30–35% of Farmak's products went to Uzbekistan. In 2025, Uzbekistan was not among its direct buyers. Farmak explained that wartime currency rules cap payment terms at 180 days, while foreign buyers often demand longer. So part of its trade runs through the group's Polish company.
Uzbekistan grants three-year certificates of good manufacturing practice (GMP) after inspecting the factory. Since the pandemic, it has allowed remote checks. That suited Ukraine, where Uzbek experts avoided traveling because of Russia's invasion, industry sources told the outlet. Remote inspections end on 1 January 2027.
Most Ukrainian certificates expire within a year. Farmak's runs out in November 2026, and the company may not manage to renew it in time. Three producers renewed under the old rules until 2029: Darnytsia, the Borshchahivskyi Chemical and Pharmaceutical Plant, and Farmex Group. According to Piddubna, Uzbekistan's regulator has drafted rules for remote inspections in force-majeure cases, but nothing has been put into practice. Industry sources said the Uzbek Presidential Administration must sign off.
Producers have asked the Office of the President, the Foreign Ministry, and the Health Ministry to raise the issue with Uzbekistan's government, but no Ukrainian experts have been sent there yet, the outlet reported. Russia, whose share of the Uzbek drug market is almost the same as Ukraine's, is ready to take Ukraine's place, its sources said.
Russia is systematically recruiting migrant workers from Central Asia to fight in its war against Ukraine as "cannon fodder," Ukraine's military intelligence (HUR) reported on June 21.
Citizens of Uzbekistan, Tajikistan, and other countries in the region are increasingly being drawn into Russia's war effort under duress or with misleading promises, HUR said.
Many of those recruited are reportedly killed on the front lines.
According to HUR, Russia's security services target migrant workers who arrive in the country seeking employment, offering short-term military contracts with promises of fast cash. These individuals often lack legal protections and face coercion, with few realistic alternatives.
Among the identified victims are Uzbek nationals Umarov Syroziddin Sabirjanovich and Kholbuvozoda Muhammad Faizullo, who served in motorized rifle units and died during combat operations in Ukraine.
"Mobilized migrants are formed into separate units, which are mainly used in the most dangerous areas of the front line," HUR said. Survivors may face criminal charges in their home countries for serving in a foreign military, carrying the risk of long prison sentences.
Radio Free Europe/Radio Liberty previously reported that migrant workers are funneled into combat roles for financial reasons, with recruitment networks offering salaries unattainable in civilian life.
Russia has also intensified pressure on its naturalized migrant population.
On May 20, Investigative Committee head Alexander Bastrykin said that 20,000 naturalized migrants had been dispatched to Ukraine for failing to register for military service.
With public memory raw from the unpopular 2022 partial mobilization that prompted over 261,000 Russians to flee, the Kremlin has refrained from another mass draft.
Instead, it is relying on a combination of forced recruitment, enlistment bonuses, and targeted campaigns among vulnerable communities.
The Kyiv IndependentKateryna Hodunova
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