Alto Pharmacy Holdings, Inc. Overview
Pro stress-test →Alto is a digital pharmacy founded in 2015 that improves health outcomes by providing customers with faster, more convenient, and more affordable access to medication, allowing customers to work with pharmacists via phone or app and schedule same-day delivery of medication to their home or office. The company operates on a full-stack model, managing the entire process from prescription to medication delivery.
Strategic Profile
Pro stress-test →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.
Competitive Landscape
Pro stress-test →Alto competes with Truepill, PillPack, Drugs.com, Capsule, and CareZone in the digital pharmacy market. A single Alto distribution location covers the same geographic area as about 400 chain pharmacy locations with its free same-day delivery service, providing significant operational efficiency compared to traditional retail pharmacy competitors.
Industry Context
Alto Pharmacy Holdings, Inc. operates in Digital pharmacy and medication delivery.
Key facts
Founded: 2015 · Headquarters: San Francisco, US · Employees: 809 (as of June 2026) · Revenue: Over $700 million annual run rate (as of early 2022); Estimated $1.2B-$1.5B (as of mid-2026 based on 100%+ YoY growth trajectory) · Market cap: N/A