The article substantiates the need for the use of telemedicine technologies in the Armed forces of the Russian Federation. On the basis of the analysis of the literature presents the main directions of their use: remote consultation of doctors with each other, the transfer of data about the patient in a single center, remote monitoring of physiological parameters. The directions for the use of telemedicine technologies in the interests of the Ministry of defense and the need to develop a portable individual device for monitoring the basic physiological parameters of soldiers. Information on the creation of the military innovative technopolis «Era» is presented, the main goals and objectives that will be implemented on its basis are given. The urgency of the creation of «Research laboratory for monitoring vital functions of the body of soldiers and prevention of pathological conditions» on the basis of military innovative technopolis «Era» is emphasized. The main directions of the work of this laboratory and the expected results to be obtained at this site are given. In November 2018 the work of the laboratory, its main goals, objectives and prospects were presented to the President of the Russian Federation. Currently in the laboratory by the specialists of the Military medical Academy n.a. S.M. Kirov and the scientific company of the military innovative technopolis «Era» testing of various domestic wearable devices is carried out comparing them with reference diagnostic systems and software revision.

It is shown that one of the priority areas of the social policy of the Russian Federation is the consideration of improving the drug supply, the rationale for the national drug policy, as well as the introduction of the drug reimbursement (insurance) system, as one of the key mechanisms to increase the affordability of drugs by partially or fully reimbursing their cost citizens when providing medical care on an outpatient basis. It was revealed that in the context of reforming the healthcare system, the specifics of the work of power ministries and departments are not sufficiently taken into account. In this regard, the features have been studied and an assessment has been given of the prospects for introducing drug insurance into military health care as part of project activities, as one of the mechanisms for implementing interagency cooperation in modern socio- economic conditions when reforming drug supply. It is reflected that the introduction of drug insurance mechanisms can increase the availability of drugs, have a positive effect on the health of the assigned contingents, and reduce the frequency and duration of hospitalizations. At the same time, the following were identified as the main prospects and systemic prerequisites for implementation: the need to create a reliable legal basis for the formation and subsequent development of a unified state system of drug supply, taking into account the specifics of military health; transition to a rational system of financing drug supply for the provision of medical care on an outpatient and inpatient basis as part of a project to develop a new model for the provision of primary health care and specialized medical care based on a unified medical and technological hospital base; prospective reduction of expenses for the supply of medical care in stationary conditions; optimal distribution of rights and responsibilities, ensuring coherence between health authorities; prevention of duplication, ensuring equal and guaranteed drug supply for citizens as part of the project to ensure the quality and accessibility of medical care to privileged contingents of the Ministry of Defense of the Russian Federation. A possible model of drug supply for contingents attached to military medical organizations is substantiated when providing medical care on an outpatient basis when introducing a drug insurance system at the state level. The following key elements of a grounded model are described: adjustment of drug supply management; clarification of the categories of assigned contingents; optimization of the order of dispensing of drugs; the formation of restrictive lists of drugs; optimization of financing.