| Alkem Foundation, India | Wholly Owned Subsidiary | 
| Alkem Wellness Limited, India | Wholly Owned Subsidiary | 
| Alixer Nexgen Therapeutics Limited, India | Wholly Owned Subsidiary | 
| Adroit Biomed Limited, India | Wholly Owned Subsidiary | 
| Alkem Medtech Private Limited, India (Alkem Medtech) | Wholly Owned Subsidiary | 
| Alkem Medtech Ortho Private Limited, India (formerly known as Bombay Ortho Industries Private Limited) | Wholly Owned Subsidiary of Alkem Medtech | 
| Connect 2 Clinic Private Limited, India | Wholly Owned Subsidiary | 
| Cachet Pharmaceuticals Pvt Ltd, India | Subsidiary | 
| Indchemie Health Specialities Pvt Ltd, India | Subsidiary | 
| Enzene Biosciences Limited, India (Enzene) | Subsidiary | 
| Enzene Inc., USA | Wholly Owned Subsidiary of Enzene | 
| S & B Holdings S.a.r.l., Luxembourg (S & B) | Wholly Owned Subsidiary | 
| ThePharmaNetwork, LLC, USA (TPN) | Subsidiary of S & B | 
| Ascend Laboratories LLC, USA | Wholly Owned Subsidiary of TPN | 
| S & B Pharma LLC, USA | Wholly Owned Subsidiary of TPN | 
| Ascend Laboratories (Pty) Ltd, South Africa | Wholly Owned Subsidiary | 
| Alkem Laboratories Corporation, Philippines | Wholly Owned Subsidiary | 
| Ascend GmbH, Germany | Wholly Owned Subsidiary | 
| Ascend Laboratories SDN BHD., Malaysia | Wholly Owned Subsidiary | 
| Alkem Laboratories Korea Inc, Korea | Wholly Owned Subsidiary | 
| Ascend Laboratories (UK) Ltd., UK | Wholly Owned Subsidiary | 
| Ascend Laboratories Ltd., Canada | Wholly Owned Subsidiary | 
| Ascend Laboratories S.A.S, Colombia | Wholly Owned Subsidiary | 
| Ascend Laboratories SpA, Chile (Ascend Chile) | Wholly Owned Subsidiary | 
| Pharma Network SpA, Chile | Wholly Owned Subsidiary of Ascend Chile | 
| Ascend Laboratories S.A. DE C.V., Mexico | Wholly Owned Subsidiary of Ascend Chile | 
| Pharmacor Ltd., Kenya | Wholly Owned Subsidiary | 
| Pharmacor Pty Limited, Australia (Pharamcor) | Wholly Owned Subsidiary | 
| Pharmacor Limited, New Zealand | Wholly Owned Subsidiary of Pharmacor | 
| Pharmacor SpA, Chile | Wholly Owned Subsidiary of Pharmacor | 
| The Pharma Network, LLP, Kazakhstan | Wholly Owned Subsidiary |