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Market Access | Доступ к лекарствам

@marketaccess

On this record: Growth · Engagement · Reactions · Posts · Posts edited after publishing · Polls · Citations · Telegram's recommendations · Cite this entry

4,217subscribers

-21 since we began measuring on 6 August 2026

Risers and fallers across the register · movement among entries of 3,162–10,000.

Register entry

Telegram ID-1001310883562
TypeChannel
Username@marketaccess
Created17 July 2019measured — cross-checked against a third-party dataset (ext.tg_channel)
First recorded6 August 2026
Last confirmed live6 September 2026
Measurements held11
Confirmed unchanged1 time, most recently 6 September 2026
On Telegramt.me/marketaccess

Growth

4,2174,2454,2316 August 2026 — 4,238 subscribers7 August 2026 — 4,245 subscribers10 August 2026 — 4,241 subscribers13 August 2026 — 4,238 subscribers16 August 2026 — 4,229 subscribers22 August 2026 — 4,235 subscribers25 August 2026 — 4,230 subscribers27 August 2026 — 4,236 subscribers30 August 2026 — 4,231 subscribers2 September 2026 — 4,227 subscribers6 September 2026 — 4,217 subscribers6 August 20266 September 2026
11 measurements spanning 31 days, net -21. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 4,213–4,249 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
6 Sept 2026, 17:174,217-10
2 Sept 2026, 16:374,227-4
30 Aug 2026, 21:374,231-5
27 Aug 2026, 23:544,236+6
25 Aug 2026, 08:254,230-5
22 Aug 2026, 05:364,235+6
16 Aug 2026, 14:154,229-9
13 Aug 2026, 08:084,238-3
10 Aug 2026, 08:514,241-4
7 Aug 2026, 18:154,245+7
6 Aug 2026, 19:154,238first reading

Engagement

33 posts held, back to 29 July 2026the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 5 pages of Telegram’s post history, 20 posts per page.

Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 33 posts for this entry, the most recent from 7 August 2026. An engagement rate over an empty window would be a number about nothing.

Reaction mix

147 reactions across 32 posts, in 11 distinct kinds. The most used accounts for 51.0% of them.

Every reaction kind recorded on the sample, most used first
ReactionCountShareShare, drawn
7551.0%
👍3624.5%
😁106.80%
👎85.44%
🤝53.40%
🤔42.72%
😢32.04%
21.36%
🔥21.36%
👏10.68%
🙏10.68%

No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.

Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.

Coverage. Reactions were read on 33 of the 33 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 147 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.

Measured over the 33 most recent posts we hold, published 29 July 2026 to 7 August 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.

Recent posts

7 Aug 2026, 15:24 UTC353 views4 reactionsread 8 August 2026

Итоги заседания Комиссии по ЖНВЛП 7 августа 2026 года ✅ Включены: - Трастузумаб дерукстекан (Энхерту®, AstraZeneca) — почти единогласно (2 против), с ограничением показаний и контролем назначений. Цена: 55 000 ₽. - Равидасвир (Конеско®, «ХимРар») — единогласно. Цена: 16 000 ₽. - Энкорафениб + биниметиниб (Брафтови® + Мектови®, Pierre Fabre) — почти единогласно (1 против). Цена: 53 489 ₽ (Брафтови). - Веренафусп альф

2👍1🤝1

7 Aug 2026, 15:23 UTC292 views2 reactionsread 8 August 2026

Препарат: ивакафтор + тезакафтор + элексакафтор — комбинированное лекарственное средство для лечения муковисцидоза у пациентов с определёнными мутациями гена *CFTR*. На российском рынке представлен под брендами: - Трикафта® (оригинальный препарат, производитель — Vertex Pharmaceuticals, США; дистрибьютор в РФ — Sanofi) - Трилекса® (воспроизведённый препарат, производитель — аргентинская компания Tuteur S.A.C.I.F.I.A;

🔥2

7 Aug 2026, 15:22 UTC233 views1 reactionsread 8 August 2026

Препарат: веренафусп альфа (Клотилия®) — первый оригинальный инновационный отечественный ферментозаместительный препарат для лечения синдрома Хантера (мукополисахаридоз II типа). Производитель: «Генериум». Заявлен в два перечня: ЖНВЛП и «14 ВЗН». Ключевое из обсуждения на комиссии: - За включение (главный внештатный детский специалист по профилактической медицине Минздрава Лейла Намазова-Баранова, другие медицински

1

7 Aug 2026, 15:22 UTC220 views1 reactionsread 8 August 2026

Препараты: энкорафениб (Брафтови®) и биниметиниб (Мектови®) — таргетные противоопухолевые средства. В комбинации применяются при лечении неоперабельной или метастатической меланомы с мутацией BRAF V600 и метастатического немелкоклеточного рака лёгкого. Энкорафениб в комбинации с цетуксимабом показан для метастатического колоректального рака с мутацией BRAF V600E после системной терапии. Производитель: Pierre Fabre.

1

7 Aug 2026, 15:21 UTC213 views1 reactionsread 8 August 2026

Препарат: равидасвир (Конеско®) — противовирусное средство для лечения хронического гепатита C у взрослых, применяется в комбинации с софосбувиром в составе патогенетической терапии. Производитель: «ХимРар». Препарат включён в проект клинических рекомендаций (этап общественного обсуждения). Ключевое из обсуждения на комиссии: - За включение (главный внештатный специалист по инфекционным болезням Минздрава Владимир

1

7 Aug 2026, 15:21 UTC211 views1 reactionsread 8 August 2026

Препарат: фостемсавир (Рукобиа®) — ингибитор интегразы для лечения ВИЧ-инфекции у пациентов с множественной лекарственной резистентностью (последний шанс при тотальной резистентности). Производитель: GSK. Ключевое из обсуждения на комиссии: - За включение (Московский городской центр СПИД, пациентские сообщества): препарат уникален и является последней опцией для пациентов с тотальной резистентностью. Целевая группа

1

7 Aug 2026, 15:20 UTC211 views1 reactionsread 8 August 2026

Препарат: лумекефамид (Тафалгин®) — оригинальный российский пептидный агонист μ-опиоидных рецепторов для купирования острой и хронической боли различного генеза, включая онкологическую и послеоперационную боль. Не имеет последствий, характерных для наркотических анальгетиков. Производитель: ФармФирма «Сотекс». Препарат полного цикла. Ключевое из обсуждения на комиссии: - За включение (главный внештатный клинический

1

7 Aug 2026, 15:20 UTC217 views1 reactionsread 8 August 2026

Препарат: соторасиб (Лумикрас®) — ингибитор KRAS G12C для лечения распространённого немелкоклеточного рака лёгкого (НМРЛ) с мутацией KRAS G12C у взрослых после как минимум одной линии системной терапии. Производитель: Amgen. Ключевое из обсуждения на комиссии: - За включение (МНИОИ им. Герцена, пациентские сообщества): для пациентов с этой мутацией крайне ограничен выбор таргетной терапии, заболевание агрессивно. П

1

7 Aug 2026, 15:19 UTC236 views1 reactionsread 8 August 2026

Препарат: трастузумаб дерукстекан (Энхерту®) — конъюгат антитела с лекарственным средством для лечения HER2‑положительного рака молочной железы, а также других показаний (HER2‑low рак молочной железы, рак желудка, НМРЛ с мутацией HER2). Производитель: AstraZeneca. Рассматривался неоднократно, ранее упирался в бюджетные ограничения и широкую популяцию. Ключевое из обсуждения на комиссии: - За включение (МНИОИ им. Ге

1

7 Aug 2026, 15:19 UTC236 views1 reactionsread 8 August 2026

Препарат: датопотамаб дерукстекан (Датовэй®) — конъюгат антитела с лекарственным средством для лечения: - крайне агрессивного неоперабельного или метастатического трижды негативного рака молочной железы; - неоперабельного или метастатического гормон-рецептор-положительного, HER2-отрицательного рака молочной железы после системной терапии; - местнораспространённого или метастатического немелкоклеточного рака лёгкого с

1

7 Aug 2026, 15:17 UTC243 views1 reactionsread 8 August 2026

Препарат: иптакопан (Фабхальта®) — пероральный ингибитор комплемента для стабилизации и нормализации уровня гемоглобина у пациентов с пароксизмальной ночной гемоглобинурией (ПНГ) при наличии внутриклеточного гемолиза. Производитель: Novartis. Рассматривается повторно (после августовской комиссии 2025 года). Ключевое из обсуждения на комиссии: - За включение (НМИЦ гематологии, пациентские сообщества): это единственн

😢1

7 Aug 2026, 15:17 UTC306 views2 reactionsread 8 August 2026

Комиссия Минздрава по перечням 7 августа 2026 Препарат: равулизумаб (Ултомирис®) — ингибитор компонента комплемента C5 для лечения пароксизмальной ночной гемоглобинурии (ПНГ), атипичного гемолитико-уремического синдрома (аГУС), генерализованной миастении и оптиконевромиелита. Производитель: AstraZeneca. Рассматривается в третий раз. Ключевое из обсуждения на комиссии: - За включение (НМИЦ гематологии, детский онко

😢2

Showing the 12 most recent of 33 posts we hold for @marketaccess. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.

Posts edited after publishing

@marketaccess edited 1 post after it first published — the same permalink now carries different wording than the one this register originally read, caught because our own crawl held a copy of the earlier text.

An edit is not deception. Typo fixes, price updates and corrections look exactly like this too — this register can tell you the wording changed and when, not why. How this is measured.

First edit seen
8 August 2026
Most recent edit
8 August 2026

Polls

The poll we hold for this entry, as Telegram rendered it when we read the post. A poll’s figures keep moving after that, so each one is dated.

31 Jul 2026, 13:52 UTCAnonymous Poll74 voters

😉Как вы думаете кто будет включен 5 августа в перечни комиссией Минздрава?

  1. Мосунетузумаб фолликулярная лимфома22%
  2. Теклистамаб рецедивирующая множественная миелома18%
  3. Трифлурмдин+типирацил mts рак желудка и колоректальный22%
  4. Белумосудил имуннодепресант15%
  5. Дантролен мышечная спастичность и гепертермия18%
  6. Эртуглифлозин сахарный диабет 2 типа22%
  7. Лусеоглифлозин сахарный диабет 2 типа19%
  8. Веренафусп альфа синдром Хантера23%
  9. Ивакафтор+тезакофтор+ элексакафтор муковисцидоз27%
  10. Ивакафтор муковисцидоз24%

The shares total 210%, above 100: this poll accepts more than one answer per voter. No per-option vote count is published, so the number of voters who chose each option is not derivable and is not shown.

Percentages only — there are no per-option vote counts here, because Telegram publishes none. The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.

The shares need not add up to 100. Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.

Read from the 33 most recent posts we hold, published 29 July 2026 to 7 August 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.

Forward network

Republished by

Channels on the register that have forwarded this channel's posts into their own feed.

Republishes

Channels on the register whose posts this channel has forwarded.

Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.

Mentions

Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.

Named by

Channels on the register whose posts name this channel's handle.

A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.

Appears in Telegram’s recommendations for other channels

The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.

Без рецепта
@bezrec · 31,767
Telegram ranks this channel #20 of 98 here — alongside 97 others — read 5 September 2026
Мурашко по коже 🩺🏥
@murashko_med · 135,359
Telegram ranks this channel #20 of 96 here — alongside 95 others — read 13 August 2026

This channel appears in 2 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.

Cite this entry

A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 6 September 2026 — this entry's latest reading, not the date you are reading this.

“Market Access | Доступ к лекарствам” (@marketaccess), 4,217 subscribers as measured 6 September 2026. Telegram Register, tgregister.com/channel/marketaccess.

Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.