Pharmacy Solutions
Powered by Rxivo
Orphan Healthworks has partnered with Rxivo to bring your practice seamless access to the nation's leading network of FDA-registered 503B outsourcing facilities — plus 503A patient-specific compounding. One connection. Hundreds of formulations. Pharmaceutical-grade standards.
Your Single Connection to America's Leading Compounding Network
Managing multiple pharmacy relationships is time-consuming, inconsistent, and inefficient. Rxivo solves that by giving your practice one trusted access point to a curated network of fully compliant, US-based 503B pharmaceutical manufacturers — all meeting the highest FDA-registered standards.
Through our partnership with Rxivo, Orphan Healthworks gives your practice a guided onboarding experience, ongoing support, and a direct line to our consulting team — so you're never navigating this alone.
One Partner, Unlimited Formulary
Stop juggling multiple pharmacy relationships. Access hundreds of formulations through a single, trusted connection.
Real-Time Inventory
Know what's available, when it's available. No more waiting on callbacks or dealing with out-of-stock surprises.
Flexible Fulfillment
Direct delivery to your patients or directly to your door — whatever works best for your practice model.
FDA-Registered Quality
Every facility in the network is fully compliant and FDA-registered. All batches include certificates of analysis.
503A vs 503B — What Your Practice Needs to Know
Not all compounding pharmacies operate under the same regulatory framework. Understanding the distinction is essential for making the right choice for your patients and your practice.
Traditional Compounding
Patient-Specific | State Regulated
- Patient-specific prescriptions
- Personalized formulations
- State pharmacy board oversight
- USP compounding standards
- Prescriber relationship required
- Limited batch sizes
- No office stock inventory
Outsourcing Facility
FDA-Registered | Pharmaceutical Grade
- Office inventory allowed
- Commercial-scale batches
- FDA registered & inspected
- cGMP manufacturing standards
- Certificates of analysis on all lots
- Consistent supply & quality
- Flexible patient or office delivery
Rxivo connects your practice to both 503A and 503B solutions — our consulting team helps you determine the right fit based on your practice model, state regulations, and patient needs. Our 503A patient-specific compounding program is fully live with an active formulary and published pricing. Note: 503A compounds require a valid individual patient prescription for every order and are not for office stock or bulk administration. Contact us to receive current 503A pricing.
Comprehensive Compounded Medication Categories
Through Rxivo, your practice gains access to one of the most extensive compounded formularies available — spanning the clinical areas your patients need most.
Weight Loss & Metabolic Health
25+ GLP-1 and peptide formulations including the therapies your patients are actively requesting. Semaglutide, tirzepatide, and emerging metabolic solutions.
25+ FormulationsHormone Optimization
40+ TRT, HRT, and peptide therapies for comprehensive men's and women's health. Flexible dosing options tailored to individual patient profiles.
40+ FormulationsSexual Wellness
15+ ED and performance solutions in oral, topical, and injectable delivery methods — proven formulations for patient-centered sexual health care.
15+ FormulationsPain & Recovery
30+ targeted topical and injectable options for pain management and recovery. Customized compounds that go beyond what commercial alternatives offer.
30+ FormulationsIV Products & Supplies
A fully live catalog of IV therapy products and supplies — IV bags, hydration solutions, catheters, start kits, anticoagulants, and additional consumables for in-office IV programs.
Now LiveSpecialty & Custom
If it can be compounded at 503B scale, Rxivo can connect you to it. Custom formulations for unique patient populations and specialized clinical needs.
Custom SolutionsHow It Works
Getting your practice connected to the Rxivo network through Orphan Healthworks is a simple two-part process. Here's exactly what to expect.
Register Your Practice
Complete your practice registration through our dedicated Rxivo enrollment link. Takes less than 10 minutes.
Confirm Your Portal Access
After registering, watch for an email from SINQ — Rxivo's platform. Click the invite to create your username and password. Can't find it? Check spam or contact us.
Consult With Our Team
An Orphan Healthworks consultant reviews your practice profile and identifies the right formulary mix for your patient population.
Access & Order
Full access to Rxivo's real-time formulary with live pricing and inventory. Order direct-to-patient or to your office — your choice every time.
Already registered but haven't logged in yet? Search your inbox for an email from "SINQ" and complete your portal setup. Need help? Contact our team and we'll get you sorted right away.
A Note on Compliance
Compounding pharmacy regulations vary by state and are subject to federal FDA guidelines. Orphan Healthworks and Rxivo are committed to full regulatory compliance. Our consulting team stays current on 503A and 503B regulations across all states — including billing, dispensing, and office-use restrictions — so your practice stays protected. We strongly recommend a compliance consultation before implementing any new pharmacy program.
Schedule a Compliance Consultation