Alto Pharmacy
Alto Pharmacy is a digital-first pharmacy that dispenses prescriptions via a mobile app and same-day courier delivery, serving individual patients, fertility patients, and specialty care patients across 12 U.S. markets, with fertility medication delivery to all 50 states.
- Company typePrivate
- Founded2015
- HeadquartersSan Francisco, United States
- Headcount501–1,000
- GTM typeB2B and B2C
- OfferingServices
What Alto Pharmacy does
Alto Pharmacy is a digital-first pharmacy company founded in 2015 and headquartered in San Francisco, California, that dispenses prescription medications through a mobile app (iOS and Android) and same-day courier delivery network. The company serves individual patients seeking convenient home delivery, fertility patients requiring specialized medication handling (with delivery to all 50 states), specialty care patients with complex chronic conditions including multiple sclerosis, hepatitis, Crohn's disease, and inflammatory arthritis, and healthcare providers who refer patients for fulfillment. Alto's core product is a unified pharmacy platform featuring prescription transfer, automatic refills, medication bundling, real-time delivery tracking, seven-day pharmacist chat support, and an integrated Essentials store for over-the-counter products. The underlying technology stack includes proprietary logistics and fulfillment systems, AI/ML tools for scheduling, claims processing, and digital triage, and a recently launched B2B Alto Technologies Platform for industry partners' hub and dispensing solutions.
Alto's business model is a transaction-fee pharmacy revenue model: the company dispenses medications, bills insurance plans and pharmacy benefit managers, and accepts most major insurance along with FSA/HSA accounts. The company also generates revenue from specialty pharmacy services, fertility pharmacy partnerships (notably with Progyny), and direct-to-patient programs (such as the Genentech Xofluza $50 cash-pay initiative). Go-to-market is primarily product-led growth through app store presence and word-of-mouth, augmented by direct-to-consumer digital marketing, healthcare provider referrals, and enterprise partnerships (NYC government for COVID antivirals, Mark Cuban Cost Plus Drug Company, Cencora for distribution, FuturHealth for GLP-1 delivery). The company has served over 125,000 patients, completed more than 2 million deliveries, and reported an NPS of 86.
As of May 2025, Alto operates as a subsidiary of Fuze Health following a $1.5 billion acquisition, having previously raised over $520 million in venture funding led by SoftBank Vision Fund and reaching a peak valuation above $1 billion. The company holds VIPPS, URAC, and ACHC accreditations, maintains HIPAA and CCPA compliance, and reports having saved customers over $40 million on medications while achieving 30%+ higher medication adherence versus industry benchmarks.
Alto Pharmacy firmographics
Firmographics- Name
- Alto Pharmacy
- Legal name
- Alto Pharmacy LLC
- Website
- https://alto.com
- Company type
- Private
- Founded year
- 2015
- Operating status
- Acquired
- Headcount range
- 501–1,000 employees
- Short description
- Alto Pharmacy is a digital-first pharmacy that dispenses prescriptions via a mobile app and same-day courier delivery, serving individual patients, fertility patients, and specialty care patients across 12 U.S. markets, with fertility medication delivery to all 50 states.
- Ownership category
- akta.pro rank
Alto Pharmacy industry classification
Industry- Product category
- Digital Pharmacy Services
- NAICS
- Pharmacies and Drug Retailers (456110)
- SIC
- Retail-Drug Stores And Proprietary Stores (5912)
- akta.pro primary industry
- Pharmacy Fulfillment & Mail-Order Enablement for Telehealth (dispensing, shipping, tracking) (HLALAIAE)
- akta.pro secondary industry
- Mail-Order Pharmacy & Home Delivery (HLAEAKAF)
Keywords
Where Alto Pharmacy is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices5 records
Markets served
Alto Pharmacy business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Supply Chain, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Prescription Dispensing: Core pharmacy revenue from dispensing prescription medications to patients, billing insurance companies and pharmacy benefit managers for prescription fulfillment.
- Specialty Pharmacy Services: Specialty medication handling for complex disease states including fertility, hepatitis, multiple sclerosis, and other chronic conditions requiring specialized medications and support.
- Fertility Medication Services: Specialized fertility pharmacy services including medication delivery and support for fertility treatments, with partnerships with fertility benefits providers like Progyny.
- Over-the-Counter Products: Essentials store within the app offering over-the-counter pharmacy products that can be added to prescription deliveries.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Standard pharmacy service with insurance billing |
Go-to-market motion2 records
Distribution channels6 records
Marketing channels7 records
Alto Pharmacy product offering
Product offeringCore offering
Alto Pharmacy is a digital-first pharmacy that dispenses prescription medications and delivers them directly to patients' doorsteps via same-day courier service. The service is accessed through a mobile app (iOS and Android) and website, providing prescription transfers, automatic refills, medication bundling, pharmacist chat support, and cost-savings investigation including coupons and assistance programs. The company also operates a specialty pharmacy for complex conditions, a fertility pharmacy delivering to all 50 states, an OTC essentials store, and a separate Alto Technologies platform for industry partners.
Product overview
Alto Pharmacy operates as a digitally-powered telehealth pharmacy offering a unified platform combining prescription delivery, specialty pharmacy services, and fertility care. The core offering is the Alto Pharmacy service accessible via web and mobile app (iOS/Android), which provides same-day courier delivery, medication bundling, automatic refills, and pharmacist chat support. Adjacent offerings include a partner-facing Alto Technologies platform for industry hub and dispensing solutions, a specialty pharmacy module for complex conditions (MS, Hepatitis, Crohn's), fertility pharmacy services with national delivery, and an Essentials Store for OTC products. All services integrate with major insurance plans and offer cost savings assistance.
Differentiator
Problem solved
Functional benefit
Products and services
- Alto Pharmacy Core Service A digitally-powered prescription dispensing and delivery service for individual patients. Provides prescription transfers, automatic refills, medication bundling, same-day courier delivery, insurance support, and pharmacist chat consultations 7 days a week.
- Alto Pharmacy Mobile App iOS and Android mobile application providing full pharmacy management including prescription ordering, delivery scheduling, medication reminders, chat with pharmacists, treatment adherence tools, and access to the OTC Essentials store.
- Specialty Pharmacy Services Specialized pharmacy care and medication delivery for complex disease states including Asthma, Hepatitis B and C, Multiple Sclerosis, Crohn's Disease, Ulcerative Colitis, Inflammatory Arthritis, Skin Conditions, and Growth Hormone Deficiency. Includes clinical support and ongoing medication management.
- Fertility Pharmacy Services Specialized fertility medication pharmacy service with home delivery to all 50 states, price quote assistance, injection guidance, and support for fertility treatments including IVF medications and injectables. Available through partnership with fertility benefits providers such as Progyny.
- Essentials Store In-app over-the-counter pharmacy product store allowing users to add OTC items to their prescription deliveries for added convenience.
- Alto Technologies Platform A B2B pharmacy technology platform launched in October 2024 offering sophisticated hub services, logistics, and dispensing solutions for industry partners in the pharmaceutical supply chain.
- Alto Mobile App for Providers A mobile application designed for healthcare providers enabling e-prescribing, practice management integration, and patient referral to Alto Pharmacy.
Quantifiable outcome
- 30%+ higher medication adherence rates compared to industry average
- +5 more outcomes
Companies that use Alto Pharmacy
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles4 records
Alto Pharmacy technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability4 records
Feature5 records
Alto Pharmacy partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core, minor and flagship.
- Genentech (Roche)coreGenentech partnered with Alto as a pharmacy partner for its direct-to-patient Xofluza (flu treatment) program offering $50 cash pay option with same-day home delivery for underinsured/uninsured patients.
- Carlos Rodón FoundationminorPartnership to make fertility care more affordable and accessible through financial support programs.
- FuturHealthminorFuturHealth uses Alto Pharmacy for next-day home delivery of FDA-approved GLP-1 medications including Wegovy, addressing patient needs as compounded semaglutide faces restrictions.
- Fuze HealthflagshipFuze Health acquired Alto Pharmacy in May 2025 for $1.5 billion as part of its strategy to expand pharmacy services with same-day medication delivery and specialized women's health offerings.
- CencoracoreCollaboration to optimize patient experience, combining Cencora's pharmaceutical distribution expertise with Alto's digital pharmacy platform.
- Baby QuestminorPartnership for the Alto 10th Anniversary Fertility Medication Grant supporting families with fertility treatment costs.
- The Broken Brown EggminorPartnership supporting BIPOC individuals and couples in family building through the Awareness, Hope, and Activism (AHA) Grant program.
- Mark Cuban Cost Plus Drug CompanycorePartnership to deliver hundreds of low-cost medications to patients across the U.S., combining Cost Plus Drugs pricing model with Alto's delivery infrastructure.
- ProgynycorePartnership providing fertility medication delivery and support services for Progyny's fertility benefits members, including grant programs.
Scale indicators7 records
Recent moves10 records
Expansion highlights6 records
Alto Pharmacy competitors and assessment
Company assessmentDirect peers
- Capsule Pharmacy: Capsule is a DTC digital pharmacy offering same-day prescription delivery in major U.S. metros via a mobile app. It is the most direct head-to-head competitor to Alto's core offering, with overlapping customer segments and identical value proposition (convenience, transparency, courier delivery).
- Mark Cuban Cost Plus Drug Company: Cost Plus Drug Company is an online pharmacy offering low-cost generic medications on a transparent markup model. While a direct partner of Alto's, it also competes on cash-pay prescription fulfillment and price transparency for self-pay patients.
- Hims & Hers Health: Hims & Hers is a DTC telehealth platform with integrated online pharmacy for primary care, mental health, and wellness categories. Comparable to Alto's digital-first consumer health model, particularly in cash-pay, subscription-based medication categories.
- Ro: Ro operates a DTC telehealth and pharmacy platform covering men's health, women's health, weight loss (GLP-1s), and primary care with integrated prescription fulfillment. Overlaps with Alto's specialty and DTC medication delivery model.
Broad incumbents
- Amazon Pharmacy: Amazon Pharmacy is a nationwide online pharmacy integrated with Prime, offering prescription delivery and competitive cash-pay pricing. It competes directly with Alto on the DTC digital pharmacy front but with vastly larger logistics infrastructure and capital base.
- CVS Pharmacy (CVS Health): CVS operates ~9,000 retail pharmacy locations plus Caremark mail-order and the Signify Health/MinuteClinic ecosystem. It is a broader incumbent competing across retail pharmacy, mail order, and digital — the primary scale threat to Alto's DTC model.
- Walgreens Boots Alliance: Walgreens operates a large retail pharmacy footprint and a digital/mail-order business. As an incumbent with national reach, it competes with Alto on convenience and increasingly on same-day delivery in select markets.
- OptumRx (UnitedHealth Group): OptumRx is one of the largest U.S. PBMs with a national mail-order pharmacy operation. As a vertically integrated incumbent, it competes with Alto in mail-order fulfillment and increasingly in specialty pharmacy via Optum Specialty Pharmacy.
- Express Scripts (Cigna): Express Scripts is a leading PBM with a national mail-order pharmacy and Accredo specialty pharmacy. Competes with Alto in mail-order, specialty, and digital pharmacy channels, particularly for employer-sponsored and PBM-routed prescriptions.
- Walmart Pharmacy: Walmart operates one of the largest U.S. retail pharmacy networks and offers mail-order and digital prescription services. As a low-cost incumbent with national reach, it competes on price and convenience for Alto's core customer.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Alto Pharmacy social profiles
Digital presenceAlto Pharmacy compliance and trust
Trust signalCompliance6 records
Alto Pharmacy financial estimates
Financial estimateRevenue estimate
Valuation estimate
Alto Pharmacy leadership team
Management profileNumber of profiles
Profiles4 records
Alto Pharmacy funding detail
Funding detailFunding overview
Funding rounds11 records
Investors30 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Alto Pharmacy M&A and investment
M&A and investmentM&A2 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Alto Pharmacy
What does Alto Pharmacy do?
Alto Pharmacy is a digital-first pharmacy that dispenses prescription medications and delivers them directly to patients' doorsteps via same-day courier service. The service is accessed through a mobile app (iOS and Android) and website, providing prescription transfers, automatic refills, medication bundling, pharmacist chat support, and cost-savings investigation including coupons and assistance programs. The company also operates a specialty pharmacy for complex conditions, a fertility pharmacy delivering to all 50 states, an OTC essentials store, and a separate Alto Technologies platform for industry partners.
Is Alto Pharmacy a public or private company?
Alto Pharmacy is a private company. It is classified as corporate owned and is currently acquired.
When was Alto Pharmacy founded?
Alto Pharmacy was founded in 2015. It employs 501 to 1,000 people.
Where is Alto Pharmacy based?
Alto Pharmacy is headquartered in San Francisco, United States, in the North America region.
How does Alto Pharmacy make money?
Four revenue lines are on record. Prescription Dispensing is the primary driver. The others are specialty Pharmacy Services, fertility Medication Services and over-the-Counter Products.
Who are Alto Pharmacy's main competitors?
Direct peers on record are Capsule Pharmacy, Mark Cuban Cost Plus Drug Company, Hims & Hers Health and Ro. Broad incumbents are Amazon Pharmacy, CVS Pharmacy (CVS Health), Walgreens Boots Alliance, OptumRx (UnitedHealth Group), Express Scripts (Cigna) and Walmart Pharmacy.
Does Alto Pharmacy have an API?
No public API is recorded for Alto Pharmacy.
What industry is Alto Pharmacy in?
Alto Pharmacy's product category is Digital Pharmacy Services. Its primary akta.pro industry code is HLALAIAE, Pharmacy Fulfillment & Mail-Order Enablement for Telehealth (dispensing, shipping, tracking), with a secondary code of HLAEAKAF, Mail-Order Pharmacy & Home Delivery. Its NAICS code is 456110 and its SIC code is 5912.