Armenia's healthcare, like many of those in post-Soviet Union states, is in transition from completely state-run provision to a more market oriented system.
Despite progress made in the provision of healthcare, access in rural areas and among the very poor remains inadequate.
The pharmaceutical industry is almost entirely private with imports accounting for 93% of total consumption. Despite having been exempt from import tariffs for the last decade, pharmaceuticals are subject to 20% VAT, one of the highest in the world. Vaccines are exempt from all taxes and tariffs.