At present, the importance of the pharmaceutical sector of the economy has increased significantly in public perception. This review provides up-to-date information at the beginning of 2022 on the main trends in the global pharmaceutical market. Among the current trends are: the key role of pharmaceuticals in the fight against the SARS-Covid-19 pandemic, the problems of a latent pandemic of drug-resistant infections, the high cost of new drugs and an increase in the market share of cheap biosimilars, the expansion of cooperation between developers of new drugs and vaccines, features in changes in the structure pharmaceutical companies, expanding opportunities in the retail pharmaceutical market, analysts՚ opinions on market prospects for the next 5 years. Materials from open sources were used: industry and business media, websites of pharmaceutical companies and non-profit organizations, WHO publications and scientific publications.