Armanious assumed his current role in 2009. He was previously Deputy CEO of Eva Pharma. Having been established in 1997, Eva Pharma today employs 5,000 people across the Middle East and Africa. The company exports products to 41 countries around the world. Its main facilities include the Haram Facility, Armanious Group Tower, Horus for Pharmaceutical Industries, and MARC Research Center. In December 2022, EVA Pharma and Lilly announced a collaboration to enhance sustainable access to affordable insulin in Africa. Armanious is a part of the Young Global Leaders Forum and a YPO member.