In 2025, the Russian retail market for medical enteral nutrition increased by 19.7% in value terms and by 13.1% in packages compared with 2024. Over the year, 16.6 million packages of the analyzed products were sold, equivalent to 4.2 thousand tonnes, while total consumer spending exceeded RUB 7.1 billion at retail prices, including VAT.

The specialized nutrition market is generally following broader retail trends, demonstrating rapid expansion of online platforms. According to the “Audit of Retail Sales of Specialized Nutrition in Russia (total sell-out)” database of the analytical company RNC Pharma, by the end of 2025 the share of e-commerce exceeded that of pharmacies, accounting for nearly 37% of total value sales. Traditional channels together represented 53% of the market, of which pharmacies generated 34% and FMCG retailers accounted for 29%.

Consumer spending on online purchases during the reporting period increased by 36.8%. Sales in brick-and-mortar outlets also continued to grow: pharmacy turnover rose by 9.6% year on year, while the mass-market segment recorded growth of 14% in value terms. Unit sales growth in e-commerce slowed somewhat but remained in double digits (+26% in packages), while offline growth amounted to +7% in pharmacies and +9% in FMCG.

Among Russian regions, Moscow traditionally leads the retail market for enteral nutrition. In 2025, 1.4 million packages were sold in the capital, generating RUB 683.5 million in revenue. Moscow accounted for 15.2% of total offline sales. The Moscow Region ranked second with a significant gap (8.7% share), where consumers purchased 996.6 thousand packages worth RUB 391 million. St. Petersburg accounted for 7% of all offline sales, with 739.2 thousand packages sold for RUB 313.3 million.

It is important to note that in the leading regions, offline sales growth rates are relatively modest, as marketplaces are highly developed and consumers increasingly opt for e-commerce channels. At the same time, several other regions demonstrate strong consumption growth. Among the top ten regions, the fastest growth in offline sales was observed in the Republic of Tatarstan and the Republic of Bashkortostan, where value sales increased by 23% and 18% year on year, respectively. Outside the leading regions, notable value growth was recorded in the Nenets Autonomous Okrug (sales doubled compared with 2024) and the Amur Region (+56%).

By the end of 2025, the market comprised 51 enteral nutrition brands from 19 companies. Among all brands present in the market in 2025, Pediasure by Abbott retained leadership, with value sales growing by 19.4%. The second position remained with Nutridrink by Nutricia, whose sales increased by 20.3% year on year. Alfare by Nestlé ranked third, showing growth of 12.1% compared with 2024.

Over the past three years, around ten new products have been introduced in retail, most of them domestically produced. Among them, the Russian brand Bioshake by Farmalact deserves mention. Launched in 2024, it entered the top twenty brands and increased its sales nearly fivefold compared with 2024.