Fundraising Fox

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.

JK
James KarrakerCo-founder
MGMattieu Gamache-Asselin
Mattieu Gamache-AsselininFounder
NE
Nichola EliovitsNamed on SEC filing
NK
Nathaniel KanNamed on SEC filing
RS
Robert SpinnerNamed on SEC filing

Board

NSNeil Shah
Neil Shahin𝕏Board directorPartner at Greenoaks

Investors · 15

Funding

SEC filings, press & company announcements

$169.7M disclosed across 3 of 5 rounds · 2021–2024

  • Undisclosed amountconvertible noteNov 2024
    Source ↗
$132.2MraisedJan 2022 · 18 investors · Other Health Care
Rule 506(b)
Officers, directors & promoters on the filing
  • 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
Full filing on SEC EDGAR ↗
$36.4MraisedNov 2021 · 7 investors · Other Health Care
Rule 506(b)
Officers, directors & promoters on the filing
  • 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
Full filing on SEC EDGAR ↗
$1MraisedJan 2021 · 18 investors · Other Health Care
Rule 506(b)
Officers, directors & promoters on the filing
  • 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
Full filing on SEC EDGAR ↗

Source: SEC EDGAR Form D. Amounts as filed; amended filings shown once at their latest values.

Company profile

researched Aug 2026

Alto 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 filings
Jan 2026
Alto Pharmacy opens Philadelphia location

Alto announced the opening of a Philadelphia pharmacy location, expanding its medication delivery and digital pharmacy services in Pennsylvania.

source ↗

Jan 2026
Collaboration with The Carlos Rodón Foundation on fertility care access

Alto and The Carlos Rodón Foundation announced an effort to expand access to fertility care.

source ↗

Jan 2026
Partnership with Baby Quest for 10th anniversary fertility medication grant

Alto partnered with Baby Quest to launch a 10th anniversary fertility medication grant, and later announced the grant recipients.

source ↗

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

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.