Alliance Healthcare
Alliance Healthcare is the UK's leading pharmaceutical wholesaler, delivering to over 17,800 dispensing points from 16 service centres nationwide. It is included here solely because it distributes Teva pharmaceutical products across the UK market, generating revenue for Israel's largest company.
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As the UK's leading pharmaceutical wholesaler owned by Cencora (NYSE: COR, Fortune 500 #11), Alliance Healthcare's distribution of products from Israel's largest company, which the ICJ found faces a 'plausible' genocide case (January 2024), creates reputational exposure with NHS trusts, pharmacy chains, and the publicly listed parent company's ESG-conscious investors
Alliance Healthcare's role as a distribution intermediary means it could face pressure from pharmacies requesting non-Teva alternatives; however, all major UK wholesalers currently distribute Teva products, limiting the impact of individual wholesaler pressure
Owned by Cencora (formerly AmerisourceBergen), a publicly listed US corporation with over $200 billion in annual revenue; public market listing creates sensitivity to ESG-driven shareholder resolutions and institutional investor pressure on supply chain ethics
UK procurement law and emerging due diligence legislation may create obligations for wholesale distributors sourcing from companies contributing significant revenue to states facing international legal proceedings
Strategic Analysis
In-depth assessment of the company's position, vulnerabilities, and recommended approaches for effective engagement.
Lower severity, high vulnerability — momentum builders that fold quickly
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Alliance Healthcare is included in this directory solely because of its role as the UK's leading distributor of Teva pharmaceutical products. We are not making a broader judgement on Alliance Healthcare's business practices. The focus is on the supply chain relationship that generates revenue for Israel's largest company.
Why Alliance Healthcare Matters
Teva supplies approximately one in six of all prescription medicines dispensed in the UK. As the UK's leading wholesale distributor, delivering to over 17,800 dispensing points from 16 service centres with twice-daily deliveries, Alliance Healthcare is a critical link in Teva's access to UK community pharmacies, dispensing doctors, and hospitals. While Alliance Healthcare does not manufacture Teva products, its distribution network is essential to Teva's UK market presence and revenue generation.
The Wholesaler Challenge
All major UK pharmaceutical wholesalers currently distribute Teva products, including AAH Pharmaceuticals and Phoenix Healthcare Distribution. This means simply switching wholesaler does not reduce Teva's market access. The effective action is for pharmacies to request non-Teva generic alternatives from their existing wholesaler, including Alliance Healthcare. The generic pharmaceutical market is highly competitive, and equivalent alternatives from non-Israeli manufacturers exist for most Teva products. Alliance Healthcare's own Almus brand already offers a range of generic medicines that may substitute for Teva equivalents.
Key Leverage Points
- Pharmacy Demand: Pharmacies can specify non-Teva generics when ordering from Alliance Healthcare. Wholesale purchasing is demand-driven — if pharmacies stop ordering Teva products, Alliance Healthcare's procurement from Teva decreases
- NHS Procurement: Hospital pharmacy leads and ICB procurement officials can include ethical sourcing criteria in tender specifications, influencing wholesale distribution patterns
- Public Market Sensitivity: Parent company Cencora (NYSE: COR) is a Fortune 500 company with over $200 billion in annual revenue. As a publicly listed entity, it is subject to ESG-driven shareholder resolutions and institutional investor scrutiny on supply chain ethics
- Alphega Pharmacy Network: Alliance Healthcare operates the Alphega Pharmacy network supporting over 6,800 independent pharmacy members across Europe, providing a channel through which ethical sourcing policies could influence Teva procurement at scale
Engagement Strategy
In addition to pressuring Alliance Healthcare directly, an effective approach targets the demand side: engage pharmacists and pharmacy owners to request non-Teva alternatives when placing wholesale orders. Alliance Healthcare's own Almus generics range may offer direct substitutes for some Teva products. For comprehensive medication alternatives, see our Teva alternatives guide, which covers substitutions across all major therapeutic categories. Given Cencora's public listing, institutional investors and pension funds may also be engaged on ESG grounds regarding the parent company's role in distributing products from Israel's largest company.
Evidence & Sources
Verified sources including NGO reports, regulatory filings, and primary documents. Use these to substantiate your correspondence.
Confirms position as the UK's leading pharmaceutical wholesaler, delivering to over 17,800 dispensing points from 16 service centres nationwide with twice-daily deliveries
Open sourceTeva confirms it supplies approximately one in six of all prescription medicines dispensed in the UK, distributed through the wholesale network including Alliance Healthcare
Open sourceParent company rebranded from AmerisourceBergen to Cencora, trading on NYSE under ticker COR, unifying 46,000 employees globally under one identity
Open sourceAmerisourceBergen (now Cencora) acquired Alliance Healthcare from Walgreens Boots Alliance for approximately $6.5 billion, comprising $6.275 billion in cash and 2 million shares
Open sourceResearch shows Teva contributed approximately 10% of Israel's total industrial GDP (2003-2012), establishing why distribution of Teva products is strategically significant
Open sourceUpdates & Milestones
- Central Logistics Centre Opening
New 300,000 sq ft automated Central Logistics Centre in Birmingham set to open, creating over 200 jobs and increasing UK warehouse space by 25%
- Parent Rebrands to Cencora
AmerisourceBergen rebranded as Cencora (NYSE: COR), unifying Alliance Healthcare under the new global brand identity
- Acquired by AmerisourceBergen
AmerisourceBergen (now Cencora) acquired Alliance Healthcare from Walgreens Boots Alliance for approximately $6.5 billion
- Walgreens Boots Alliance Formed
Walgreens completed acquisition of Alliance Boots, forming Walgreens Boots Alliance. Alliance Healthcare continued as the wholesale division
- Rebranded to Alliance Healthcare
The wholesale distribution division of Alliance Boots was rebranded as Alliance Healthcare
- Alliance Boots Merger
Alliance UniChem merged with Boots Group in a deal worth approximately 7 billion pounds, forming Alliance Boots plc
- Alliance UniChem Formed
Alliance Sante SA merged with UniChem PLC to form Alliance UniChem, creating one of Europe's largest pharmaceutical distributors
- UniChem Founded
UniChem group established in the UK to serve wholesale pharmaceutical products to independent pharmacies