Major pain in the ass, even for retailers who end up pooling resources and getting it shipped all at once by barge.
As an ORM-D item it has to be shipped by common carrier. Depending on where your relative lives will dictate options. If they live along the coast where freight boats have scheduled runs, it can be shipped to their company and sent by boat. For places like skAnchorage or Fairbanks it can be shipped through Lynden Transport.
The only way to make it pay off is to ship a large quantity.
If he lives in a village off the road system, he's basically screwed unless he sends a bunch back in checked baggage from skAnchorage or Fairbanks.