Introduction: Studies show that many registered medicines are not marketed in a rnnumber of countries due to various reasons. In Ethiopia, the extent of the importation and rnassociated factors for not importing registered medicines was not studied. Therefore, the rnaim of the study was to assess the import status of registered medicines and identify rnassociated factors at the pharmaceutical importers level, in Ethiopia rnMethods: Parallel mixed methods were used in the study. The quantitative part involved rnthe one-year imported medicines (January 9, 2018-January 8, 2019) at the port of entries rn/2804/ and the qualitative part used semi-structured interviews. All registered medicines rnin the study period were included in the study and their importation status was checked at rnthe port of entry by using a registry template. Ten pharmaceutical importers which rnregistered 53% of the medicines were interviewed. The quantitative data were coded, rnentered into a data entry template on Microsoft excel, and relevant descriptive statistics rnwas done whereas the inductive thematic analysis method was used to analyze the rnqualitative data. rnResults: Of registered medicines (n=2,804) by the regulatory authority between January rn9, 2018- January 8, 2019, only 1,061 (37.7%) medicines were imported. Major factors forrnthe non-importation of registered medicines were: marketing-related, foreign currency-rnrelated, manufacturing-related, and government-related factors. rnConclusions and recommendations: Most of the registered medicines are not imported. rnEstablishing an organized imported medicines database, establishing a national rnnotification system for medicine shortages, creating a conducive environment for the rnimportation of the registered medicines, and improving currency allocation are rnrecommended.