If you want to understand Alchemy’s 2025, start with the doors. Not metaphorical doors. Real ones. Pharmacy doors opening in communities where access had been missing, fragile, or taken away entirely. That is what this business is about, and that is where this year-in-review begins.
Opening Pharmacies Is the Point
In 2025, Alchemy helped launch several new in-house pharmacies with community clinics across the country. That fact alone might sound like a metric, but it represents something far more tangible: patients no longer traveling across town for medication, clinics no longer outsourcing one of the most critical parts of care, and teams finally gaining control over access, continuity, and sustainability.
This was the year organizations like Someone Cares, BEAT AIDS, and Quality Comprehensive Health Center brought pharmacy services in-house. It was the year Raphael Health Center restored pharmacy access to Indianapolis’s Near North Side. It was the year The Center opened a new downtown pharmacy in Las Vegas, marking a new era of access in one of the country’s most important HIV service hubs.
Each launch looked different, but the underlying goal was the same. Bring care closer. Keep it local. Build something clinics can actually own and sustain.
Building the Infrastructure Behind Those Doors
Opening pharmacies at scale only works if the infrastructure underneath them actually holds. Throughout 2025, that reality shaped everything we built on the product side.
What started with foundational improvements like patient messaging, shipping labels, consent workflows, and signature logs, and quickly expanded into systems designed for real-world pharmacy operations. Home delivery made access possible beyond clinic walls. Prescription batching reduced operational drag for high-volume teams. Real-time metrics replaced guesswork with visibility.
By the end of the year, advanced financial, pharmacy, and patient analytics tied everything together. Clinics could finally see, in one place, how prescriptions were moving, how patients were engaging, and how the pharmacy was performing financially. The result was not just better software, but more confident decision-making for teams that depend heavily on the safety net working for them.
Showing Up Beyond the Pharmacy Counter
As the year went on, it became increasingly clear that opening pharmacies, launching clinical programs and shipping software was not enough. The forces shaping access to care were bigger than any single clinic or platform.
In 2025, Alchemy showed up on Capitol Hill, joining briefings and standing alongside community partners to advocate for sustained HIV funding, pragmatic 340B reform, and policies that reflect how safety-net care is actually delivered. We also put our name behind the goals of World AIDS Day and published our own recommendations for strengthening the 340B program.
Just as importantly, we chose to speak publicly when our clients were put in an impossible position. When manufacturers restricted 340B pricing for STD clinics, we broke down what was happening, challenged narrow interpretations of the law, and explained why these actions ran counter to the purpose of the program. We did not do this for attention. We did it because our partners needed someone willing to go on the record.
Changing the Economics for Safety-Net Clinics
One of the most consequential developments of the year came through our partnership with McKesson. Together, we announced new discounted 340B drug pricing designed specifically for safety-net clinics, translating directly into meaningful savings for organizations operating on razor-thin margins.
This work also highlighted a deeper truth we saw repeatedly in 2025: pharmacy infrastructure, HIV prevention, and CDC Section 318 grants are tightly connected. When aligned, they reinforce one another and create stability instead of short-term fixes.
Turning Infrastructure into Real-World Impact
That alignment showed up in concrete outcomes. One of our partners secured a $670,000 State Opioid Response grant to launch a mobile clinic program, supported by Alchemy and the operational credibility and pharmacy strategy we brought to the table. It was a clear example of how infrastructure, when done right, unlocks funding and expands reach.
Later in the year, Alchemy received the 2025 Action Award, recognizing our work on behalf of clinics and communities across the safety-net. We see that recognition as a responsibility, not a finish line.
A Moment on the National Stage
And then there was the moment that put a spotlight on everything this work supports.
In partnership with NMAC, Alchemy helped bring Magic Johnson to keynote the 29th United States Conference on HIV/AIDS. It was a powerful reminder that community-driven care, resilience, and advocacy belong on the biggest stages and that the work happening quietly inside clinics every day matters nationally.
Looking Back, and Forward
When we look back on 2025, what stands out is not any single announcement or release. It is the accumulation of progress. Pharmacies opened. Clinical programs launched. Software shipped. Policies challenged. Partnerships strengthened. None of it happened by accident. And none of it happened alone, and we are grateful for the partnership with our many clinic partners across the country.
We can build pharmacies, launch new clinical programs, ship software, and advocate at the highest levels, but none of it matters without our pharmacists, technicians, and pharmacy staff. You show up every day for patients who rely on you, navigating complexity with care and professionalism, and turning systems and workflows into real access and better outcomes. Every prescription filled, every question answered, and every patient supported is the heart of the work we do at Alchemy–thank you!
As we head into 2026, the work continues. More doors to open. More access to protect. More systems to build. If this year proved anything, it is that when you combine infrastructure, conviction, and a team willing to do the hard things, the safety-net can move forward.
Onwards to 2026!
