Alivia Health

What Alivia Health does

Alivia Health is a privately held, integrated pharmacy network headquartered in Guaynabo, Puerto Rico, operating four core business lines through wholly owned subsidiaries: Alivia Specialty Pharmacy (ASP), the leading provider of specialty oncology and complex-condition medications on the island; Alivia Home Delivery (AHD), a closed-door pharmacy shipping prescriptions and OTC products directly to patients; Alivia Infusion Services (AIS), dispensing and coordinating home infusion therapy through a nursing network; and Alivia Hub (formerly Moxiemed LLC), the only pharmaceutical hub in Puerto Rico connecting manufacturers with patients through compliance, adherence, and access-to-therapy programs. The network also includes Farmacias Plaza, a community pharmacy chain, and runs condition-specific management programs for hemophilia and multiple sclerosis. Revenue is generated through prescription dispensing (transaction fees billed to insurance plans and PBMs), home infusion services, and manufacturer-facing hub service agreements.

The company is the only specialty pharmacy in Puerto Rico to hold both URAC accreditation in Specialty Pharmacy and ACHC Distinction in Oncology, with the infusion line separately accredited by ACHC — credentials that gate much of the payer and manufacturer specialty network access on the island. Underlying technology includes electronic prescribing (e-prescription), a specialty patient portal, an online patient drug utilization record system, and the Alivia HD mobile application for delivery scheduling. Operational technology extends to a coordinated care management layer spanning prior authorization, benefits verification, financial assistance enrollment, adherence monitoring, and 24/7 on-call clinical support.

Alivia serves four primary customer segments: (1) patients with chronic and complex conditions including oncology, blood disorders, and multiple sclerosis; (2) pharmaceutical manufacturers seeking Puerto Rico market access for specialty and limited distribution drugs; (3) healthcare providers (physicians, hospitals, clinics) requiring a coordinated specialty pharmacy partner; and (4) managed care organizations and PBMs (Triple S, MCS, MMM, First Medical, Prossam) contracting for specialty network services. The go-to-market combines enterprise field sales and provider engagement, manufacturer channel partnerships via the Hub, and direct-to-consumer home delivery. The company reports 213,000+ patients served annually, 1.6M+ prescriptions dispensed, and 60+ healthcare partner service agreements, with 700+ employees and no disclosed outside funding.

Name

Alivia Health

Legal name

Alivia Health, LLC

Website

https://aliviahealth.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

251–500 employees

Short description

Alivia Health is a Puerto Rico-based, privately held pharmacy network operating specialty pharmacy, home delivery, infusion, and pharmaceutical hub services. It serves patients with chronic and complex conditions, pharmaceutical manufacturers, healthcare providers, and managed care payers as the only dual URAC/ACHC-accredited specialty pharmacy on the island.

Ownership category

akta.pro rank

Product category

Specialty Pharmacy Services

NAICS

Pharmacies and Drug Retailers (45611), Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000), Retail-Drug Stores And Proprietary Stores (5912)

akta.pro primary industry

Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)

akta.pro secondary industries

Pharmacy Benefit/Channel Services (PSAO, 340B Admin, Chargebacks/Rebates Ops) (CRAOAHAK), Chronic Condition Medication Programs (e.g., diabetes, hypertension) with Integrated Prescribing (HLALAIAH), Pharmacy & Health Essentials Delivery (CRAFAFAI)

Keywords

• Specialty pharmacy services
• Home infusion therapy
• Prescription home delivery
• Pharmaceutical hub services
• Patient management programs

Headquarters

HQ city

Guaynabo

HQ country

Puerto Rico

HQ region

Latin America

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Specialty Pharmacy Dispensing: Alivia Specialty Pharmacy dispenses oncology and complex specialty medications to patients, billing insurance plans and pharmacy benefit managers. Revenue is generated through prescription processing and medication dispensing, with services including prior authorization management and copay assistance.
2. Home Delivery Pharmacy: Alivia Home Delivery processes and ships prescription medications and OTC products directly to patients' homes. The closed-door pharmacy serves home drug delivery programs, accepting various insurance plans and processing prescriptions through multiple intake channels.
3. Infusion Services: Alivia Infusion Services dispenses intravenous medications and coordinates home infusion therapy administration through a nursing network. Services include authorization management with health insurance plans and financial assistance program coordination.
4. Pharmaceutical Hub Services: Alivia Hub (formerly Moxiemed LLC) provides manufacturer-facing patient management, compliance, and adherence programs. Revenue is derived from service agreements with pharmaceutical manufacturers for patient support program implementation, access coordination, and data reporting.

Go-to-market motion4 records

Distribution channels4 records

Marketing channels5 records

Core offering

Alivia Health operates an integrated pharmacy network in Puerto Rico dispensing specialty medications (with a focus on oncology and complex therapies), shipping prescriptions and OTC products directly to patients' homes, providing intravenous therapy and home infusion coordination, and running a pharmaceutical hub that connects manufacturers with patients through adherence and compliance programs. The company serves 213,000+ patients annually, dispenses 1.6M+ prescriptions, and holds over 60 service agreements with managed care organizations, hospitals, clinics, and manufacturers.

Product overview

Alivia Health is a Puerto Rican pharmacy network offering a coordinated portfolio of pharmacy services. The core offering is Alivia Specialty Pharmacy (ASP), Puerto Rico's leading provider of specialty oncology and complex medications. This is supported by Alivia Home Delivery (AHD) for prescription delivery, Alivia Infusion Services (AIS) for intravenous therapies, and Alivia Hub for manufacturer-patient coordination. Condition-specific programs include Blood Disorder (Hemophilia) Management and Multiple Sclerosis Management. The network provides health plan management, patient education, financial assistance coordination, adherence monitoring, and 24/7 clinical support. The company emphasizes URAC and ACHC accreditation in specialty pharmacy and oncology.

Differentiator

Problem solved

Functional benefit

Products and services

• Alivia Specialty Pharmacy (ASP) Specialty pharmacy dispensing oncology products and other complex specialty medications to patients in Puerto Rico. Provides comprehensive services including health plan administration, patient education, financial assistance coordination, prior authorization management, copay assistance, and treatment follow-up. Holds URAC accreditation and ACHC Distinction in Oncology. Serves patients with oncology, hematology, neurology, infectious diseases, rheumatology, nephrology, gastroenterology, urology, blood disorders, and bone conditions.
• Alivia Home Delivery (AHD) Closed-door pharmacy that processes prescriptions and ships medications and OTC products directly to patients' doorsteps. Accepts prescriptions via email, e-prescription, SMS, fax, and phone, and supports multiple insurance plans including Triple S, MCS LIFE, MCS Advantage Salud, First Medical, MMM, and Prossam. Includes a mobile app for delivery scheduling.
• Alivia Infusion Services (AIS) Comprehensive provider of intravenous therapies offering dispensing, coordination, and administration of IV treatments through a specialized nursing network. Includes home infusion services and coordination with nursing care providers. Services include authorization management with health insurance plans, financial assistance program coordination, and adherence monitoring. Holds ACHC accreditation for Infusion Pharmacy Services and Specialty Pharmacy Services.
• Alivia Hub The only pharmaceutical hub in Puerto Rico connecting pharmaceutical manufacturers with patients through patient management, compliance, and adherence programs. Services include patient registration, integration into support programs (copay cards, free trial supplies), access-to-therapy coordination (benefits verification, prior authorizations, appeals), care coordination, and adherence monitoring. Formerly known as Moxiemed LLC.

Quantifiable outcome

• 213,000+ patients served annually
• +4 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

15 partnerships are on record, tiered core and minor.

• De la Cruz OgilvycoreStrategic or Co-development Partner · 5 November 2025De la Cruz Ogilvy partnered with Alivia Health, Farmacias Plaza, and Alivia Home Delivery to develop the Glowing Relief campaign — a phosphorescent prescription label helping older adults identify medications during power outages. The campaign won both a Fast Company innovation award and multiple Effie Awards Latin America. The Puerto Rico-based agency led the creative initiative.
• Farmacias PlazacoreChannel Partner/ Reseller/ DistributorFarmacias Plaza is the main locally-owned network of community pharmacies in Puerto Rico and is part of the Alivia Health network. It works alongside Alivia Specialty Pharmacy, Alivia Home Delivery, and Alivia Hub to provide comprehensive pharmacy services to Puerto Rican residents.
• American Cancer Society (Sociedad Americana Contra el Cancer)minorStrategic or Co-development PartnerAlivia Health is affiliated with the American Cancer Society, an organization responsible for promoting cancer prevention and early detection. Alivia participates in community education and awareness campaigns in alignment with ACS initiatives.
• Susan G. Komen Puerto RicominorStrategic or Co-development PartnerAlivia Health is affiliated with Susan G. Komen Puerto Rico, an organization dedicated to breast cancer awareness and early detection. The affiliation supports community health education and prevention outreach programs.
• Hemophilia Foundation Puerto RicominorStrategic or Co-development PartnerAlivia Specialty Pharmacy's Blood Disorder Management Program works in partnership with the Hemophilia Foundation Puerto Rico to provide educational resources and community support for patients with hemophilia and blood disorders.
• FEMPR (Fundación de Esclerosis Múltiple de Puerto Rico)minorStrategic or Co-development PartnerAlivia Specialty Pharmacy's Multiple Sclerosis Management Program partners with FEMPR to provide educational content, community outreach, and support resources for patients with multiple sclerosis in Puerto Rico.
• Dr. Maricelly Santiago OrtízminorStrategic or Co-development PartnerDr. Maricelly Santiago Ortíz, scientist, oncology educator, and health communicator, serves as an ally and educator for Alivia Health's oncology education and cancer prevention awareness initiatives under the Alivia Force community health program.
• URAC (Utilization Review Accreditation Commission)coreOthersURAC is the independent accreditation body that granted Alivia Specialty Pharmacy accreditation in Specialty Pharmacy. URAC promotes healthcare quality through leadership, accreditation, measurement, and innovation.
• ACHC (Accreditation Commission for Health Care)coreOthersACHC is a nonprofit accreditation organization that has accredited both Alivia Specialty Pharmacy and Alivia Infusion Services. ACHC is ISO 9001:2015 certified and has CMS deeming authority for Home Health, Hospice, and DMEPOS.
• Triple SminorChannel Partner/ Reseller/ DistributorTriple S is a health insurance provider whose plans are accepted by Alivia Home Delivery for prescription processing and home medication delivery services.
• MCS LIFE / MCS Advantage SaludminorChannel Partner/ Reseller/ DistributorMCS LIFE and MCS Advantage Salud are health insurance providers accepted by Alivia Home Delivery for prescription processing and delivery services.
• MMMminorChannel Partner/ Reseller/ DistributorMMM is a health insurance provider accepted by Alivia Home Delivery for prescription processing and home delivery of medications.
• First MedicalminorChannel Partner/ Reseller/ DistributorFirst Medical is a health insurance provider accepted by Alivia Home Delivery for prescription processing and home medication delivery.
• ProssamminorChannel Partner/ Reseller/ DistributorProssam is a health insurance provider accepted by Alivia Home Delivery for prescription processing and home delivery services.
• NASP (National Association of Specialty Pharmacy)minorOthersAlivia Specialty Pharmacy is a corporate member of NASP, a national organization representing specialty pharmacies and advancing the specialty pharmacy industry.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Option Care Health: Largest independent provider of home and alternate-site infusion services in the US, offering IV therapy coordination and dispensing. Directly comparable to Alivia Infusion Services in business model, payer relationships, and clinical support model.
• ConnectiveRx: Provides manufacturer-facing hub services, including patient access, adherence, and copay assistance programs. Closely comparable to Alivia Hub (formerly Moxiemed) as a competitor in the pharmaceutical hub services category.

Broad incumbents

• CVS Specialty (CVS Health): Operates one of the largest US specialty pharmacy networks with broad payer and manufacturer relationships, plus Caremark PBM. Comparable to Alivia in specialty drug dispensing and chronic-condition management, though it serves a national footprint rather than PR-only.
• Walgreens Specialty Pharmacy: Major US specialty pharmacy network operated by Walgreens Boots Alliance, offering dispensing and adherence support for complex conditions. Comparable to Alivia's specialty and home delivery business lines, and is a competitor within the Puerto Rico market.
• Accredo (Express Scripts / Evernorth): Specialty pharmacy arm of one of the largest US PBMs, with deep manufacturer relationships and hub services for limited distribution drugs. Directly comparable to Alivia Hub and Alivia Specialty Pharmacy in the LDD and chronic-condition dispensing model.
• Diplomat Pharmacy (now Optum Specialty): Was a leading independent specialty pharmacy (acquired by Optum/UnitedHealth), known for high-touch chronic-condition management. Closely comparable to Alivia Specialty Pharmacy's clinical adherence and patient support programs in oncology, MS, and rare disease.

Regional players

• Triple-S Management: Leading Puerto Rico health insurance company (Blue Cross Blue Shield licensee) and a key payer partner for Alivia Home Delivery. Comparable as a major PR healthcare player and potential vertical integration threat or partner.
• MMM Holdings: Major Puerto Rico Medicare Advantage insurer (part of InnovaCare Health) and accepted payer for Alivia Home Delivery. Comparable as a PR healthcare market incumbent whose plan relationships are critical to Alivia's volume.

Emerging players

• PantherRx Rare: US specialty pharmacy focused on rare and orphan diseases, including hemophilia — directly comparable to Alivia's Hemophilia/Blood Disorder Management Program and broader LDD strategy.
• Onco360: Specialty pharmacy specializing in oncology and hematology, providing LDD dispensing and patient support. Directly comparable to Alivia Specialty Pharmacy's oncology focus and ACHC Distinction in Oncology positioning.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/AliviaNetwork
• Facebookfacebook.com/alivianetwork
• LinkedInlinkedin.com/company/aliviahealth

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Subsidiaries6 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Alivia Health