Hari Sabnani, President & CEOAlivia Health simplifies the care journey with its integrated pharmacy services care model. Its model connects patients, physicians, managed care organizations (MCOs) and pharmaceutical manufacturers in a coordinated network.
Alivia provides specialty medications, oncology therapies, infusion services and home pharmacy solutions through its integrated model. Bringing traditionally separate services together reduces the administrative, financial and clinical barriers that delay treatment. Patients spend less time navigating the system and more time focusing on their health.
“Our model supports patients throughout their care journey, helping them begin therapy safely and efficiently, and stay supported throughout their treatment plan,” says Hari Sabnani, president & CEO.
A Partner in Patient and Healthcare Management
Serving as a central point of coordination, Alivia supports physicians, care teams and patients througout the treatment journey. This includes benefit verification and prior authorizing support, assistance navigating insurance requirements, medication adherence programs and ongoing care coordination. When appropriate, Alivia can also connect eligible patients with avaliable third-party financial assistance resources, subject to applicable program requirements.
It also aligns its operations with MCOs’ payer policies and shares aggregated program insights, as appropriate, pharmacy performance to support access, coordination and operational improvement. Quarterly business reviews with Managed Care Organizations (MCO's) may cover patient satisfaction, adherence trends and care coordination initiatives including education on biosimilar options, while respecting prescriber judgment, payer policy and clinical standards.
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Our model supports patients throughout their care journey, helping them begin therapy safely and efficiently, and stay supported throughout their treatment plan.
Alivia maintains similar relationships with pharmaceutical manufacturers to expand therapy access. Recognizing that U.S. mainland-based support programs often struggle with Puerto Rico’s language and healthcare dynamics, it created a localized pharmaceutical hub.
In hub engagements, Alivia provides localized operational and patient access support for manufacturer-sponsored programs, helping coordinate workflows, reporting and physician-facing processes within appropriate regulatory boundaries. It also designs product-specific patient support programs focused on access, education and continuity of care, aligned with therapy guidelines and applicable U.S. healthcare requirements.
This collaborative approach has positioned Alivia as a trusted operational partner to MCOs and pharmaceutical manufacturers, supporting care coordination, patient access and program execution.
Delivering Care Where Patients Need It
Alivia’s topmost priority is to get therapies on time and safely to patients.
Since local laws prohibit the mailing of medications across Puerto Rico, Alivia has developed an island-wide delivery network with validated cold-chain capabilities. It ensures specialty medications are hand-delivered to patients’ homes and physician's offices.
It also provides retail pharmacy home delivery through its mobile app. Patients can submit prescriptions digitally and schedule next-day delivery within defined time slots.
Home infusion services are also offered, with certified nurses administering intravenous therapies. Home-based care is being expanded to include wound management, rehabilitation and other crucial clinical home care support for the island’s aging population.
The patient-first philosophy extends beyond medication. Nutritionists, psychologists and social workers work alongside clinical teams to address patient challenges that can interrupt treatment.
These services became the biggest support system for a young mother with metastatic breast cancer. She was struggling with treatment due to severe financial and social challenges, and required nutritional and psychological counseling and housing stability.
Alivia provided far more than medication. Its nutritionist improved her dietary status, psychologists supported her emotional well-being and social workers connected her with government assistance programs and local foundations to secure shelter and essential supplies. The combined support enabled her to continue treatment.
Shaping the Future of Specialty Care
Alivia’s integrated model serves more than 55K patients served in 2025; 459K prescriptions processed.
Supporting patients on such a scale requires strict oversight. Alivia reinforces this through dedicated compliance and quality teams, continuous internal audits and nationally recognized ACHC and URAC accreditations.
Currently, it is expanding capabilities in rare diseases, genetic therapies and advanced home-based services, bringing next-generation specialty care to Puerto Rico.
As healthcare evolves, Alivia Health continues to strengthen the connections within every part of the care journey, so that patients receive coordinated and compassionate treatment timely.
Coordinating Specialty Care without Fragmenting Access
Even after a specialty therapy is prescribed, treatment can stall during benefit verification, prior authorization, financial support, dispensing, delivery or clinical follow-up. Every handoff creates another opportunity for missing documentation, delayed responses, duplicated outreach or confusion over who owns the case. When responsibility is divided across providers, it also becomes difficult to see where time is being lost—whether in documentation, coverage review, distribution or follow-up. For executives evaluating an integrated pharmacy network, having multiple services under one brand is only part of the picture. What matters is whether the provider can keep a case moving across payer, prescriber, pharmacy and patient workflows without requiring each party to piece the information together again.
Much of the work around access comes down to preparing the case correctly from the start. Providers need to gather clinical records early, confirm coverage requirements, resolve missing information and make sure the submission is ready before it moves forward. Appeals and copay support should stay connected to the same patient record instead of being pushed into a separate queue. When a case stalls, buyers also need to know who is responsible and when that person will step in. Offering a long list of services means little if the authorization process remains fragmented behind the scenes.
Securing approval does not end the coordination challenge. Specialty dispensing, home delivery, infusion coordination and patient education all need to follow the same treatment plan. Medication history and delivery requirements should remain visible across the network, with prescribers kept informed when something changes that could affect therapy. Temperature controls, scheduling windows, failed-delivery procedures and chain-of-custody records are part of that responsibility. So is responding when a dose changes or a patient reports a side effect. Patients should not have to repeat the same information simply because their case has moved from one part of the organization to another.
“Its local model covers benefit investigation, prior authorization, financial assistance and adherence follow-up, with bilingual teams supporting communication with patients and medical offices.”
A centralized program also has to work in the market where patients and medical offices actually use it. Language access and knowledge of local payer procedures can affect everything from document collection and patient outreach to case escalation and communication with medical offices. National workflows may create unnecessary rework when they fail to account for local coverage requirements or staffing realities. Buyers should therefore understand how much of the work is handled by teams with direct knowledge of the market and how much is routed through a distant center that depends on scripts and callbacks.
Accreditation is important, but buyers still need to understand how quality is managed from day to day. Routine self-audits, documented medication-safety controls, staff training and corrective-action records provide a clearer picture. Reporting should also allow managed care organizations and manufacturers to see where approvals are being delayed, where adherence gaps are appearing and which complaints or exceptions remain unresolved. Each party needs enough visibility to act without sending the patient through another round of coordination. Contract terms can support this by clearly defining reporting cadence and ownership of exceptions, turning reporting into an active management tool rather than a retrospective count of activity.
Alivia Health brings specialty pharmacy, pharmaceutical hub services, home delivery and infusion coordination together within one network for buyers serving Puerto Rico. Its local model covers benefit investigation, prior authorization, financial assistance and adherence follow-up, with bilingual teams supporting communication with patients and medical offices. The network also provides islandwide specialty delivery and coordinates home infusion with nursing providers. Accreditation-backed quality controls and reporting to managed care partners give buyers greater visibility into the service. For organizations looking for one accountable provider across access, fulfillment, therapy support and payer coordination, Alivia Health offers a practical fit.
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Integrated Pharmacy Network Services Info
Q1
What Are Integrated Pharmacy Network Services?
Integrated Pharmacy Network Services bring pharmacy, patient access, clinical support and care coordination into a connected model. Instead of treating benefit verification, authorization, dispensing, delivery and follow-up as separate tasks, the model links them around the patient’s treatment journey. This can reduce handoff delays and make it easier to track a case from prescription to ongoing therapy.
Q2
How Does Alivia Health Deliver Integrated Pharmacy Network Services?
Alivia Health applies Integrated Pharmacy Network Services through a coordinated network connecting patients, physicians, managed care organizations and pharmaceutical manufacturers. Its services include specialty medications, oncology therapies, infusion services and home pharmacy solutions. It also supports benefit investigations, prior authorizations, insurance coordination, adherence programs and appropriate financial assistance resources.
Q3
Why Do Integrated Pharmacy Network Services Matter for Specialty Care?
Complex therapies often need more than prescription dispensing. Coverage checks, prior authorizations, financial assistance, delivery and clinical follow-up can all affect when treatment starts and how well it continues. Integrated Pharmacy Network Services bring these tasks together and help teams manage each step of the care process. This matters when patients and medical offices must handle several administrative and clinical needs at the same time.
Q4
What Should Organizations Evaluate in Integrated Pharmacy Network Services?
Organizations should look beyond the number of services offered. Key factors include how providers handle authorizations, protect medication safety, share reports, resolve issues, manage deliveries and connect pharmacy services with clinical support. Local knowledge also matters when payer rules and communication practices vary by market. Effective Integrated Pharmacy Network Services should assign clear responsibility when a case stalls and keep key information available throughout the care process.
Q5
How Can Integrated Pharmacy Network Services Improve Access in Puerto Rico?
In Puerto Rico, local operating conditions require solutions that account for the island’s healthcare environment. Alivia Health developed a localized pharmaceutical hub to support manufacturer programs and operates an island-wide delivery network with validated cold-chain capabilities. It also provides home infusion with certified nurses and offers retail pharmacy home delivery through an online portal. These capabilities extend Integrated Pharmacy Network Services beyond dispensing and into access, delivery and home-based care.
Q6
How Does Alivia Health Support Continuity Across the Care Journey?
Alivia Health combines Integrated Pharmacy Network Services with additional clinical and social support. Nutritionists, psychologists and social workers work alongside clinical teams when non-medical barriers affect treatment. Its network serves more than 213,000 patients annually and dispenses more than 1.6 million prescriptions, supported by compliance and quality teams, internal audits and ACHC and URAC accreditations. The company is also expanding into rare diseases, genetic therapies and advanced home-based services.
