Alto has solidified its position as the leader in disrupting the $500 billion retail pharmacy industry, with revenue over $700 million annual run rate, up more than 100% in the last 12 months. The company expanded coverage to more than 36 million people by launching its full-service telehealth pharmacy service in New York, Dallas, and Houston, and expanding in San Jose.
Cyborg Score Rationale
Alto achieved over $700 million annual run rate with 100%+ year-over-year revenue growth and raised a $200 million Series E led by SoftBank Vision Fund. The company demonstrates market leadership in digital pharmacy but remains private and operates in a capital-intensive, highly regulated segment with intense competition.
Top Insights
Alto achieved $700 million+ annual run rate with 100%+ year-over-year growth, demonstrating strong market demand for digital pharmacy services and validating the business model's ability to scale profitably.
In the prior year, Alto raised $250 million and expanded into Las Vegas, Seattle, and Denver while offering enhanced expertise in complex therapeutic areas including diabetes, heart and lung health, fertility, and HIV care.
Alto was acquired by Fuze Health on March 21, 2025, which may accelerate integration with other healthcare platforms and expand customer acquisition and distribution channels.
Named Competitors
PillPack — Pharmacy-by-mail with convenient packaging and delivery
Truepill — Digital pharmacy platform for prescription delivery
Capsule — Same-day prescription delivery service
GoodRx — Digital prescription discount and price comparison platform
Instacart Pharmacy — Pharmacy delivery integrated with grocery delivery platform
NowRx — Digital pharmacy with medication delivery and health insights
Recent Developments
(March 2025) Acquired by Fuze Health
(January 2022) Raised $200 million Series E round led by SoftBank Vision Fund
(2024-2025) Expanded into Las Vegas, Seattle, Denver, New York, Dallas, Houston
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