Alto Pharmacy
San Francisco, US · Founded 2020 · 807 employees on LinkedIn · 15 known investors
Alto Pharmacy is a full-service pharmacy that offers patients medication delivery, cost transparency, and pharmacist access. It operates across 12 US cities, serving patients seeking easier access to prescription medicine.
Also known as Alto
Founders & leadership
Alto Pharmacy was founded in 2020 by James Karraker and Mattieu Gamache-Asselin.

Board
Investors · 15
Funding
SEC filings, press & company announcements$169.7M disclosed across 3 of 5 rounds · 2021–2024
- Undisclosed amountconvertible noteNov 2024Source ↗
▶$132.2MraisedJan 2022 · 18 investors · Other Health CareRule 506(b)
- Mattieu Gamache-AsselinDirector
- Neil ShahDirector
- Nathaniel KanDirector
- Nichola EliovitsDirector
- Kevin BurnsExecutive Officer, Director
- James KarrakerDirector
- Offering amount
- $162.3M
- Amount sold
- $132.2M
- First sale
- Jan 2022
- Incorporated
- Corporation, Delaware, 2020
- Federal exemptions
- 06b
▶$36.4MraisedNov 2021 · 7 investors · Other Health CareRule 506(b)
- Mattieu Gamache-AsselinDirector
- James KarrakerDirector
- Nathaniel KanDirector
- Kevin BurnsExecutive Officer
- Neil ShahDirector
- Nichola EliovitsDirector
- Offering amount
- $36.4M
- Amount sold
- $36.4M
- First sale
- Oct 2021
- Incorporated
- Corporation, Delaware, 2020
- Federal exemptions
- 06b
▶$1MraisedJan 2021 · 18 investors · Other Health CareRule 506(b)
- Mattieu Gamache-AsselinExecutive Officer, Director
- James KarrakerExecutive Officer, Director
- Nichola EliovitsDirector
- Neil ShahDirector
- Nathaniel KanDirector
- Robert SpinnerDirector
- Offering amount
- $1M
- Amount sold
- $1M
- First sale
- Jan 2021
- Incorporated
- Limited Liability Company, Delaware, 2020
- Federal exemptions
- 06b
Source: SEC EDGAR Form D. Amounts as filed; amended filings shown once at their latest values.
Company profile
researched Aug 2026Alto Pharmacy is a digital pharmacy that manages the prescription process end to end, including payment handling, delivery coordination, patient education and ongoing support. Patients can have prescribers send new prescriptions directly to Alto or transfer existing prescriptions through the company's app, then schedule delivery or pick-up.
The company operates its own pharmacy locations and provides same-day courier delivery and in-person pick-up in the areas it serves, plus home delivery of fertility medications to all 50 states. Beyond general prescription fulfillment, Alto supports fertility patients and patients managing complex conditions, including asthma, hepatitis C, hepatitis B, multiple sclerosis, Crohn's disease and ulcerative colitis, inflammatory arthritis and skin conditions, and growth hormone deficiency. Pharmacists are available for patient questions seven days a week, including nights and weekends.
Business model
Alto dispenses prescription medications directly to patients through its own licensed pharmacy locations and delivery network, handling insurance and payment on the patient's behalf. It also maintains channels for prescribing providers and for partner organizations.
Latest developments
Recent company updates include the opening of a Philadelphia pharmacy location expanding services in Pennsylvania, a fertility care access collaboration with The Carlos Rodón Foundation, and a 10th anniversary fertility medication grant launched with Baby Quest for which recipients were subsequently announced.
▸Full profile — market position, technology, go-to-market, geography
Market position
The company positions itself against traditional retail pharmacy queues by combining app-based prescription ordering, flexible delivery and pick-up options, cost savings support, and pharmacist availability seven days a week including nights and weekends.
Technology
Patients interact with Alto through a mobile app and website used to transfer prescriptions, review medication costs, schedule deliveries and message pharmacists.
Go-to-market
Alto reaches patients directly through its website and mobile app and through prescriber referrals via a dedicated provider channel, alongside a partners program. It also runs content and grant programs, such as fertility medication grants with nonprofit partners.
Patients filling retail prescriptions, fertility patients undergoing treatments such as IVF, and patients with complex or chronic specialty conditions; the company also serves prescribing providers and institutional partners.
Geography
Alto operates pharmacy locations across the United States with same-day courier delivery and pick-up in those markets, and ships fertility medications to all 50 states. It recently opened a location in Philadelphia, Pennsylvania.
Compiled by commissioned research from 1 cited public sources — announcements, filings, and press listed under research sources below.
Founder mafia
3 people who came through Alto Pharmacy went on to found or lead other companies.
Timeline · 3
launches, deals, and filingsAlto announced the opening of a Philadelphia pharmacy location, expanding its medication delivery and digital pharmacy services in Pennsylvania.
Alto and The Carlos Rodón Foundation announced an effort to expand access to fertility care.
Alto partnered with Baby Quest to launch a 10th anniversary fertility medication grant, and later announced the grant recipients.
Dated company events from announcements, filings, and press; legal rows summarize public dockets and regulator releases.
In the news
▸Research sources · 1
primary sources listed
- Alto Pharmacyalto.com · web
1 public sources were cited for this profile; the first-party ones are listed here.
Frequently asked questions
- What does Alto Pharmacy do?
- Alto Pharmacy is a digital full-service pharmacy offering prescription delivery, pharmacist support and specialty and fertility medication care.
- Who founded Alto Pharmacy?
- Alto Pharmacy was founded by James Karraker, Mattieu Gamache-Asselin in 2020.
- Who are Alto Pharmacy's investors?
- Alto Pharmacy's investors include Avego BioScience Capital, Bantam Group, Calm Ventures, CSC Upshot, Evolution VC Partners, Flucas Ventures, Formus Capital, Jackson Square Ventures and 7 more.
- How much funding has Alto Pharmacy raised?
- Alto Pharmacy has disclosed $169.7M raised across 3 of its 5 known rounds.
- Where is Alto Pharmacy headquartered?
- Alto Pharmacy is headquartered in San Francisco, US.







