An independent Hillcrest pharmacy that opened in 2023 inside the same building as Being Alive San Diego HIV/AIDS Services, Ivy Pharmacy took over the 3940 Fourth Avenue space previously occupied by the AHF San Diego pharmacy and health center before AHF relocated to its larger flagship site on Fifth Avenue. The dispensing program centers on antiretroviral therapy, PrEP, hepatitis C direct-acting antivirals, mental-health prescriptions, and a wide birth-control formulary, with lab and imaging handoffs frequently routed to Imaging Healthcare Specialists - Hillcrest for HIV-related monitoring scans and hepatitis follow-up imaging. The lead pharmacist holds the American Academy of HIV Medicine HIV Pharmacist (AAHIVP) credential, the only nationally recognized certification for HIV-specialized pharmacy practice. Emergency refill situations and acute medication concerns route to UC San Diego Health Hillcrest Emergency Department roughly half a mile east, the closest hospital-based emergency facility to the Fourth Avenue counter. The most intricate workflows involve hepatitis C direct-acting antiviral courses, where 8-to-12-week regimens require manufacturer prior authorization, specialty-pharmacy benefit verification, and weekly adherence touchpoints to protect cure-rate outcomes.