Companies
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Alto Pharmacy
Healthtech
Alto Pharmacy is a full-service digital pharmacy that manages prescription fulfillment, delivery, and cost support directly for patients and their doctors.
$483M
-$0.87
19.03%
30 days ago
$4.58
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Alto Pharmacy was founded in 2015 by Mattieu Gamache-Asselin and Jamie Karraker, who set out to rebuild the pharmacy experience around the patient rather than around the constraints of a retail storefront, arguing that the traditional pharmacy model, with in-person pickup, phone-tag with insurance companies, and limited price transparency, created unnecessary friction that led many patients to abandon needed medications. Alto operates as a full-service, vertically integrated pharmacy, meaning it fills prescriptions itself rather than simply routing orders to a third-party pharmacy, which lets it offer free same-day or next-day delivery, transparent pricing shown up front, and dedicated patient care specialists who work directly with insurance and manufacturer programs to lower out-of-pocket costs. The company has focused heavily on complex, high-cost specialty medications, such as treatments for cancer, autoimmune conditions, and fertility, where the administrative burden of prior authorizations, copay assistance programs, and complex logistics is especially high, and where Alto's coordination can meaningfully improve whether patients actually start and stay on their prescribed treatment. Alto integrates directly with physician practices' workflows so doctors can send prescriptions electronically and get real-time updates on fulfillment status, positioning itself as infrastructure for provider groups and health systems as much as a consumer-facing pharmacy app. The company operates in a number of major U.S. metro areas and has raised substantial venture funding from investors including Foresite Capital, Janus Henderson, and Naya Capital, reaching unicorn status, competing with other digital and specialty pharmacy players such as Capsule, Amazon Pharmacy, and the specialty pharmacy divisions of large PBMs like CVS Caremark and Express Scripts.
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