Viveo

What Viveo does

Viveo is a vertically integrated Brazilian healthcare ecosystem that manufactures, distributes, and delivers pharmaceuticals, medical materials, vaccines, diagnostics, sterile compounds, and consumer health products. Operating under legal entity CM Hospitalar S.A. and publicly listed on B3 (ticker VVEO3), the company runs 40+ operational units nationwide including 26+ distribution centers, 7 manufacturing factories, 12 sterile compounding pharmacies, and a proprietary fleet of 263 vehicles covering 900,000+ km/month. The ecosystem reaches 80% of Brazilian private hospitals within 24 hours and delivers to 10,000+ hospital/clinic units, 80,000 pharmacies, and 70,000 supermarkets. Major operating brands include Mafra (hospital/clinic distribution), Tecnocold (vaccines), Prevena (diagnostics), Cremer (first aid and consumer health), Neve (medical textiles), Healthlog (logistics), Humania (patient support programs), Mafra Especialidades (specialty pharmacy), and Insuma (sterile compounding). The company employs 6,500-7,000 people and holds dominant positions in Brazilian wet wipes (50% market share including white-label) and private vaccine distribution (50%+ market share).

Name

Viveo

Legal name

CM Hospitalar S.A.

Website

https://viveo.com.br

Company type

Public

Founded year

1996

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Viveo is a Brazilian vertically integrated healthcare ecosystem that manufactures, distributes, and delivers pharmaceuticals, medical materials, vaccines, diagnostics, and consumer health products across Brazil through 40+ operational units serving 10,000+ hospitals, 80,000 pharmacies, and 70,000 supermarkets.

Ownership category

akta.pro rank

Product category

Healthcare Distribution and Manufacturing

NAICS

Soap and Cleaning Compound Manufacturing (32561), Surgical Appliance and Supplies Manufacturing (339113), Surgical and Medical Instrument Manufacturing (339112), Soap and Other Detergent Manufacturing (325611)

SIC

Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047), Soap, Detergents, Cleang Preparations, Perfumes, Cosmetics (2840), Pharmaceutical Preparations (2834), Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Personal Care Wipes & On-the-Go Hygiene (Non-medical) (CRADANAJ)

akta.pro secondary industry

Patient Support Programs & Device/Vaccine Vigilance (PSP/PSUR support) (HLAGALAK)

Keywords

• Healthcare distribution
• Pharmaceutical logistics
• Medical supplies manufacturing
• Vaccine distribution
• Hospital materials supply

Headquarters

HQ city

Ribeirão

HQ country

Brazil

HQ region

Latin America

Offices13 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Supply Chain, Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Manufacturing & Product Sales: Viveo manufactures healthcare products including first-aid supplies, bandages, wet wipes, cotton products, surgical materials, hospital textiles, and private-label consumer goods. Revenue is generated through one-time product sales to pharmacies, supermarkets, hospitals, and industries. The company operates 7 factories across Brazil producing over 11 million packets of wet wipes per month and is the largest wet wipes manufacturer in Latin America.
2. Distribution of Medical Products & Medications: Distribution of medications, medical materials, hospital supplies, and specialty nutrition through a national network of distribution centers. The company operates 26+ distribution centers and uses its own fleet of 263 vehicles, covering all five Brazilian regions and delivering to 80% of private hospitals within 24 hours. Revenue from distribution fees embedded in product pricing.
3. Medication Subscription (Far.me): Direct-to-consumer medication subscription service acquired through the 100% acquisition of Far.me (Belo Horizonte-based healthtech). The subscription model delivers medications regularly to end consumers, generating recurring subscription revenue.
4. Diagnostic Distribution & Services (Prevena): Prevena acts as a one-stop-shop diagnostic platform distributing pre-analytical products, reagents, lab equipment (Roche cobas, Sysmex urinanalysis), and providing technical support and logistics to clinical laboratories. Revenue from product distribution with integrated service support.
5. Vaccine Distribution (Tecnocold): Tecnocold distributes vaccines to approximately 100% of private clinics in Brazil and over 50% of the private vaccine market. Revenue from vaccine distribution and cold-chain logistics services, with presence at major industry events (ABCVAC).
6. Logistics & Supply Chain Services (Healthlog): Healthlog provides integrated logistics services including transport, inventory management, and storage for healthcare products. With its own fleet covering over 900,000 km/month, revenue is generated through logistics service fees.
7. Patient Support Programs (Humania): Humania operates Patient Support Programs (PSP) providing adherence programs, treatment monitoring, and strategic solutions for pharmaceutical companies, health insurers, and private companies. Revenue from service contracts.
8. Sterile Compounding Pharmacies (Insuma): Insuma operates sterile injectable compounding pharmacies serving hospitals, clinics, and health insurers across Brazil, positioned as the largest sterile compounding network in Latin America. Revenue from compounded pharmaceutical preparations.
9. Private Label Manufacturing: Viveo's Private Label division manufactures products under retailer and brand owner labels, including wet wipes, hygiene products, and personal care items for major Brazilian retailers and multinational companies. Revenue from B2B manufacturing contracts.

Go-to-market motion2 records

Distribution channels7 records

Marketing channels7 records

Core offering

Viveo is a Brazilian healthcare ecosystem that manufactures and distributes medical materials, medications, hospital supplies, vaccines, diagnostics, sterile injectables, and consumer healthcare products. The company operates 7 factories, 26+ distribution centers, and a fleet of 263 vehicles to serve hospitals, clinics, laboratories, pharmacies, and supermarkets across Brazil through a portfolio of specialized brands including Mafra, Cremer, Tecnocold, Prevena, Insuma, Neve, Healthlog, and Humania. The company also offers patient support programs and direct-to-consumer medication subscription via Far.me.

Product overview

Viveo is a Brazilian healthcare ecosystem comprising multiple business units that operate as an integrated platform. The company offers manufacturing, distribution, logistics, and digital services across the healthcare value chain. Key business units include Mafra (hospital/clinic distribution), Tecnocold (vaccine distribution serving 50%+ of private market), Prevena (diagnostic products distribution with Roche/Sysmex partnerships), Cremer (first aid/hygiene manufacturing and retail with brands Topz/Bellacotton/Salvelox/Piquitucho/FeelClean), Neve (medical textiles), Healthlog (logistics with 900,000+ km/month coverage), Humania (patient support programs), Mafra Especialidades (specialty pharmacy), Insuma (sterile compounding pharmacy network - Latin America's largest), and a Private Label division (contract manufacturing with 8 factories producing wet wipes and personal care products). The ecosystem also operates Customer Care, a digital platform for order management with virtual assistant Mel. Viveo distributes to hospitals, clinics, laboratories, pharmacies, retailers, and end consumers across Brazil.

Differentiator

Problem solved

Functional benefit

Brands

• Mafra Saúde: One stop shop for healthcare distribution
• Tecnocold Vacinas
• Prevena
• Cremer
• Neve Medical
• Health Log
• Humania
• Insuma
• Embramed
• Topz
• Bellacotton
• Salvelox
• Piquitucho
• FeelClean

Products and services

• Mafra One-stop-shop distribution company operating across multiple healthcare segments including medications, medical materials, hospital nutrition, and OPME (ortheses, prostheses, and medical devices). Serves hospitals and clinics through specialized verticals for high-complexity medications and surgical products.
• Tecnocold Vacinas Market leader in vaccine distribution serving over 50% of Brazil's private vaccine market with presence in virtually 100% of private vaccine clinics. Operates the largest vaccine distribution center in Cajamar (SP) with the largest cold storage chamber in the market.
• Prevena Diagnóstica Diagnostic distribution platform serving as a one-stop-shop delivering complete solutions from pre-analytical to analytical phases for clinical laboratories. Distributes products from Roche (cobas 8000 modular analyzer), Sysmex (urinanalysis), Neolab (collection tubes), and Autobio (hemoculture systems).
• Cremer Manufacturer and distributor of first aid, surgery, treatment, hygiene, and personal care products with over 88 years of experience. Serves both pharmacy and supermarket channels with owned brands including Piquitucho, Topz, Bellacotton, Salvelox, and FeelClean. Operates own wet wipes manufacturing.
• Neve Medical Manufacturer and distributor of medical textile products recognized for quality with RDC 16/2013 ANVISA Good Manufacturing Practices certification. Supplies hospital textiles, surgical materials, and medical clothing products to hospitals and clinics across Brazil.
• Healthlog Integrated logistics services platform with proprietary fleet of 263 vehicles covering over 900,000 km/month and delivering throughout Brazil. Offers transport, inventory management, and storage services for healthcare products, with 8 fully electric trucks in Greater São Paulo.
• Humania Patient Support Program (PSP) specialist offering humanized, innovative, and strategic solutions for pharmaceutical industry, health insurers, and private companies. Supports patient adherence programs, treatment monitoring, and specialty therapy management including oncology and infusion therapy.
• Mafra Especialidades Specialty medications and materials distribution for retail and healthcare professionals with proximity service, speed, and complete assortment. Operates physical stores and online with Brazil-wide delivery of specialty pharmaceutical products.
• Insuma National network of sterile injectable compounding pharmacies serving hospitals, clinics, and health insurers. Portfolio includes enteral, parenteral, dialysis, and oncology solutions. Operates 12 sterile compounding pharmacies across Brazil.
• Private Label Division Contract manufacturing division offering high-technology products for national and international brands in Latin America. Operates 8 factories producing wet wipes, hygiene products, first aid items, and personal care solutions with over 11 million wet wipe packages per month capacity. Serves major Brazilian retailers and multinational brands.
• Far.me Medication Subscription Direct-to-consumer medication subscription service delivering medications regularly to end consumers. Subscription model launched since 2020 serving chronic medication patients with home delivery across Brazil.
• Boxifarma Automated Pharmaceutical Services AI and robotics-driven personalized medication packaging technology that automates pharmaceutical dispensing and improves treatment management for patients. Uses Boxifarma's automated services to deliver customized multi-dose packaging through partner pharmacies.
• Customer Care Platform Digital customer service platform featuring Mel, a virtual assistant for simplified and secure order management. Offers features including duplicate invoices, fiscal documents, delivery receipts, technical complaints, and business policies access for B2B clients.

Quantifiable outcome

• Viveo generates R$11.6 billion in annual revenue with R$706.3 million in adjusted EBITDA, demonstrating operational scale as Brazil's largest healthcare ecosystem
• +5 more outcomes

Named customers7 records

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

Eleven partnerships are on record, tiered core and supporting.

• PapiruscoreStrategic or Co-development Partner · 1 August 2023Viveo and Papirus developed sustainable packaging for Cremer products using Vitacycle® paperboard with 40% post-consumer recycled content. The partnership includes the Papirus Circular Program for packaging traceability and recycling credits, involving Gráfica Edelmann (production) and Polen cleantech (carbon credit tracking). The project avoided 194 tonnes of CO2 equivalent emissions and processed 328+ tonnes of post-consumer material. The award-winning packaging covers Cremer, Bellacotton, and Topz brands.
• PolensupportingStrategic or Co-development PartnerPolen is a cleantech partner in the Papirus Circular Program tracking 100% of input invoices for post-consumer recycled material. Generates recycling credits for Viveo's sustainable packaging and provides a real-time impact tracking landing page (lps.brpolen.com.br/viveo).
• Roche DiagnósticacoreTechnology or IntegrationRoche Diagnóstica partnered with Prevena (Viveo brand) to deploy the cobas® 8000 modular analyzer series in Brazilian clinical laboratories. The platform performs up to 9,800 tests/hour with 99%+ uptime. Prevena handles distribution, installation, technical support, and workflow optimization for Roche's high-throughput diagnostic platform across Brazil.
• SysmexsupportingTechnology or IntegrationSysmex supplies urinanalysis technology distributed through Prevena, one of four major innovations launched by Prevena at CBAC 2025.
• AutobiosupportingTechnology or IntegrationAutobio hemoculture system is a new brand launched in Brazil through Prevena at CBAC 2025, expanding Prevena's diagnostic portfolio.
• NeolabsupportingTechnology or IntegrationNeolab collection tubes are an international brand being launched in Brazil through Prevena at CBAC 2025, expanding Prevena's pre-analytical portfolio.
• Childhood BrasilsupportingGTM or Marketing PartnerChildhood Brasil partnered with Cremer (Viveo brand) to launch Curativos dos Direitos da Criança — bandages printed with phrases written by children to raise awareness about children's rights. Product available in pharmacies nationwide with QR Code linking to the organization's website. Created by Pullse agency.
• AllergansupportingChannel Partner/ Reseller/ DistributorViveo holds a dermatology vertical contract for Allergan's botulinum toxin (Botox), which started generating increased sales and margin gains in Q3 2024. Viveo distributes Allergan's high-value dermocosmetics and botulinum products through its pharmaceutical distribution network.
• Sociedade Brasileira de Análises Clínicas (SBAC)supportingGTM or Marketing PartnerPrevena participates in the CBAC congress organized by SBAC (50th edition in 2025), the largest clinical laboratory congress in Brazil, as an independent exhibitor for the first time since its 2022 launch.
• Associação Brasileira de Clínicas de Vacinas (ABCVAC)supportingGTM or Marketing PartnerTecnocold participates in ABCVAC congress (June 2025 in São Paulo), leveraging the event to expand networking, understand market trends, and discuss relevant sector topics with private vaccine clinic professionals across Brazil.
• SESIsupportingStrategic or Co-development PartnerViveo partners with SESI for the 'Bem Nutrir' nutritional care program, sharing healthy eating information with professional nutritionists. SESI also partners on PCD (persons with disabilities) vocational training initiatives.

Scale indicators40 records

Recent moves7 records

Expansion highlights7 records

Direct peers

• Hyper Pharma (Hypera S.A.): Brazil's largest pharmaceutical company (HYPERA3), manufacturing branded generics, OTC, and consumer health products with strong distribution. Highly comparable to Viveo given its combination of pharma manufacturing, consumer health brands, and broad Brazilian distribution scale.
• Eurofarma Laboratórios: Brazilian pharmaceutical manufacturer with vertically integrated operations spanning branded generics, OTC, hospital, and prescription segments. Comparable to Viveo's Mafra and Cremer business units given its manufacturing-plus-distribution model serving both B2B and consumer channels.
• Diagnósticos da América (Dasa): Brazil's largest diagnostic medicine company (DASA3), operating clinical analysis labs and imaging centers nationwide. Directly comparable to Viveo's Prevena brand given overlap in clinical laboratory supply, diagnostic equipment distribution, and laboratory services to the same hospital/clinic customer base.
• EMS Pharma: Largest Brazilian pharmaceutical company by units sold, with a broad portfolio across prescription, generics, OTC, and consumer health. Comparable to Viveo given its national distribution scale and diversified healthcare product portfolio reaching pharmacies and hospitals.
• Fleury: Major Brazilian diagnostic and clinical analysis company (FLRY3) operating labs and imaging centers. Comparable to Viveo's Prevena diagnostic distribution and laboratory services business given shared focus on serving the Brazilian clinical laboratory market with diagnostic products and services.
• Grupo NC (formerly Hypermarcas): Brazilian consumer goods conglomerate spanning personal care, cosmetics, and household products. Comparable to Viveo/Cremer's branded consumer healthcare business (Topz, Bellacotton, Piquitucho, FeelClean) given shared focus on Brazilian CPG distribution through pharmacy and supermarket channels.

Broad incumbents

• Cardinal Health: US-based healthcare distribution and medical products company serving hospitals, pharmacies, and clinical laboratories globally. Comparable to Viveo's distribution business model across pharmaceuticals, medical-surgical products, and laboratory supplies at a broader geographic and category scale.
• McKesson Corporation: Global pharmaceutical distribution and healthcare services leader. Comparable to Viveo's Mafra and Healthlog distribution operations given the shared pharmaceutical distribution business model and end-to-end healthcare supply chain focus, though at vastly larger global scale.

Regional players

• Raia Drogasil (RD Saúde): Brazil's largest pharmacy retail chain (RADL3) with 2,500+ stores. Comparable to Viveo as a downstream customer (80,000 pharmacies served by Cremer) and adjacent market participant in Brazilian consumer healthcare, though operating in retail rather than distribution/manufacturing.
• Pague Menos: Major Brazilian pharmacy retail chain (PGMN3) with extensive nationwide footprint. Comparable to Viveo as a downstream channel for Cremer consumer healthcare products and as an adjacent participant in the Brazilian consumer health retail market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/viveosaude

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries21 records

Funding overview

Funding rounds2 records

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Viveo