About Alto Pharmacy
Alto Pharmacy is a Healthcare company based in San Francisco (United States) founded in 2015 by Mattieu Gamache Asselin and Jamie Karraker, and was acquired by Paulus Holdings in March 2025. Alto Pharmacy is focused on providing convenient prescription delivery services. It operates on a Direct-to-Consumer (D2C) and HealthTech model. Alto Pharmacy has raised $591.64 million across 8 funding rounds from investors including Coinbase, FJ Labs and SoftBank Vision Fund. The company has 802 employees. Alto Pharmacy has completed 1 acquisition, including Round Health. Alto Pharmacy was last valued at $1.5 billion in October 2025. Its chief executive, as recorded, is Jamie Karraker. Its website alto.com draws about 227 thousand monthly visits. Alto Pharmacy offers products and services including Prescription Delivery and Fertility Medication Delivery. Its focus areas include Pharmacy and Online Pharmacy. Its competitors include Nurx, Cureatr and Icebreaker Health; 3 of its 3 listed competitors have raised funding.
Company details
Alto Pharmacy is engaged in delivering prescriptions and specialty medications directly to customers. Services are offered across the United States with same-day delivery and pickup options. The company is committed to supporting customers with expert pharmacist advice available seven days a week. Solutions are tailored for general and fertility medication needs, ensuring accessibility and convenience in the healthcare sector.
- Total Equity Funding$591.64M (USD)
in 8 rounds
- Latest Funding Round$200M (USD), Series E
Jan 2022
- InvestorsCoinbase
& 33 more
- Employee Count802
- Investments & Acquisitions
- Acquired byPaulus Holdings
(Mar 2025)
Products & Services of Alto Pharmacy
Alto Pharmacy offers a comprehensive portfolio of products and services, including Prescription Delivery and Fertility Medication Delivery.
Prescriptions are delivered directly to customers' doorsteps efficiently.
Fertility medications are provided with nationwide delivery options.
Apps and channels of Alto Pharmacy
Alto Pharmacy publishes 1 mobile app with over 50K+ downloads.
Funding Insights of Alto Pharmacy
Alto Pharmacy has successfully raised a total of $591.64M across 8 strategic funding rounds. The most recent funding activity was a Series E round of $200 million completed in January 2022. This substantial capital infusion reflects strong investor confidence in the company's business model, growth potential, and market opportunities. The funding enables strategic expansion, product development, market penetration, and operational scaling to drive long-term value creation and competitive advantage.
- Total Funding $591.64M
- Total Rounds 8
- Last Round Series E — $200M
- Investors Count 34
All 8 funding rounds of Alto Pharmacy with amounts and investors; the two latest post-money valuations are shown, the rest are part of the premium plan.
| Date | Amount | Transaction Name | Valuation | Lead Investors | Investors |
|---|---|---|---|---|---|
| Jan 2022 | $200M | Series E | $1B | SoftBank Vision Fund | – |
| Jan 2022 | $40M | Series D | – | Advance Venture Partners | |
| Oct 2021 | $36.43M | Debt – Conventional | – | – | – |
| Jan 2020 | $250M | Series D | – | SoftBank Vision Fund | |
| Jul 2019 | $28.64M | Series C | – | – | – |
| Dec 2018 | $50M | Series C | – | Greenoaks, Zola Global | |
| Jun 2017 | $23M | Series B | – | Greenoaks | |
| Jun 2015 | Seed | – | – | – |
| Date | Valuation | Stage |
|---|---|---|
| Jan 2022 | $1B | •••••••• |
Full valuation and stage history of Alto Pharmacy
Every valuation point, the growth-stage changes (minicorn, soonicorn, unicorn) and the dates behind them require an active premium plan.
- All valuation points
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Last known valuation $1.5B (Oct 2025). 34 investors in total: 30 institutional and 4 angel.
Investors in Alto Pharmacy
Alto Pharmacy has secured backing from 34 investors, including venture fund, institutional, and angel investors. Prominent investors backing the company include Coinbase, FJ Labs and SoftBank Vision Fund.
| Investor | Description | Founded Year | Domain | Location |
|---|---|---|---|---|
Venture capital investments in technology and startups. | 2016 | visionfund.com | London, United Kingdom | |
PE firm focused on software, media & commerce based sectors | avp.vc | San Francisco, United States | ||
Venture capital investments in software startups from pre-seed to Series A stages. | unusual.vc | |||
Early-stage startups are funded by Acrew Capital venture firm. | acrewcapital.com | Palo Alto, United States | ||
Series A and growth-stage investments are made by Alpha Edison. | alphaedison.com | Los Angeles, United States | ||
Venture capital firm focused on early-stage fintech, enterprise, web 3, consumer, and multiple sectors | 1995 | foundationcapital.com | Palo Alto, United States | |
Venture capital investing with a focus on diversity and inclusion in the ecosystem. | gaingels.com | |||
Tech-enabled businesses are funded by Greenoaks venture capital firm. | greenoaks.com | San Francisco, United States | ||
Seed and early-stage tech investments in the US are made. | jsv.com | San Francisco, United States | ||
Provider of a venture capital firm that invests in technology and life sciences companies | olivetreecapital.com | Boston, United States |
Investor details for Alto Pharmacy
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People of Alto Pharmacy
41 people are tracked at Alto Pharmacy (19 in leadership, 22 in team); the tracked headcount is 802.
| Name | Role | Group |
|---|---|---|
Mattieu Gamache Asselin | Co-Founder | Leadership |
Jamie Karraker | Co-Founder & Co-CEO | Leadership |
Alicia Boler Davis | Co-CEO | Leadership |
Shannon Wilson | Chief People Officer | Leadership |
Michael McClay | CTO | Leadership |
Jamie C. | Chief Financial Officer | Leadership |
Ben McElhiney | Head Of Retail - Fertility, Specialty & Chronic | Leadership |
Danielle Young | Director Human Resources | Leadership |
Nir Sheep | Vp, Product Engineering | Leadership |
Karina Edmondson | Senior Human Resources Business Partner | Leadership |
Sarah Dornstauder | VP Of Finance | Leadership |
Kelsey Underwood | Director, Data Science & Analytics | Leadership |
Jesse McKim-Rana | Head Of Information Technology | Leadership |
Lesley Eberle | Senior Director, Finance | Leadership |
Arianna Sanders | Head Of Supply Chain Product Management | Leadership |
Sandra Aziz | Vice President, Pharmacy Operations | Leadership |
Tad Larsen | Vice President, Principal Accounting Officer | Leadership |
Ophir Lotan | Chief Product Officer | Leadership |
Serena Fong | Head Of Procurement & Vendor Management | Leadership |
Alex Esmailian | Sr. Finance Manager | Team |
21 more people are available in the full profile.
Complete people profiles for Alto Pharmacy
Full employee and board profiles, team structure, tenure and professional contact details require an active premium plan.
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Investments & Acquisitions by Alto Pharmacy
Alto Pharmacy has strategically engaged in corporate development activities, having acquired 1 company. Notable acquisitions include Round Health.
| Company Name | Description | Domain | Location | Founded | Acquired | Amount |
|---|---|---|---|---|---|---|
Medication reminder & pill tracker | roundhealth.co | San Francisco, United States | 2015 | Aug 2017 | •••• |
Complete acquisition details for Alto Pharmacy
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Timeline of Alto Pharmacy
6 dated milestones of Alto Pharmacy across 10 years, from founding to its latest funding, stage changes and deals.
- Founded Alto Pharmacy is founded.
- Funding First funding round.
- Acquisition Acquires Round Health.
- Funding Latest funding round, Series E, of $200.0M.
- Milestone Reaches Unicorn status.
- Exit Acquired by Paulus Holdings.
Competitors of Alto Pharmacy
Alto Pharmacy has 3 listed competitors in our database, 3 of them funded. They include Nurx, Cureatr and Icebreaker Health.
| Company Name | Domain | Founded | HQ Location | Total funding | Employees | Description |
|---|---|---|---|---|---|---|
| nurx.com | 2015 | San Francisco, United States | $95.92M | 400 | Online prescriptions and delivery of contraceptives and PrEP are facilitated. | |
| cureatr.com | 2011 | New York, United States | $40.75M | Cloud-based medication management software is provided for healthcare providers. | ||
| lemonaidhealth.com | 2014 | San Francisco, United States | $55.46M | 182 | Provider of remote patient consultation services and online delivery of medical care products |
Detailed competitors of Alto Pharmacy
The full competitor set, operating metrics and side-by-side benchmarks require an active premium plan.
- Full competitor set
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Web traffic of Alto Pharmacy
The website of Alto Pharmacy (alto.com) receives about 226.5K visits a month and ranks #144,506 among all websites worldwide, #4,428 in Health.
- Monthly visits226.5K
▼ 3.6% vs previous month
- Unique visitors96.2K
per month
- Global rank#144,506
among all websites
- Category rank#4,428
Health · Health
- Bounce rate25%
- Pages per visit5.0
- Average visit1 min 56 sec
- DevicesDesktop 31% · Mobile 69%
Websites whose visitors overlap most with Alto Pharmacy. Affinity shows how closely the audiences match.
| Website | Domain | Audience affinity | Monthly visits | Global rank | Profile |
|---|---|---|---|---|---|
birdirx.com | birdirx.com | 100% | #1,041,523 | – | |
| carelonrx.com | 100% | 273.1K | #169,442 | View details | |
| uberhealth.com | 100% | #213,303 | View details | ||
| ramaonhealthcare.com | 100% | #1,900,457 | View details | ||
| hitconsultant.net | 80% | 680.7K | #747,525 | View details | |
| •••••••••• | ••••••.com | ••% | •.•M | #••••• | – |
| •••••••••• | ••••••.com | ••% | •.•M | #••••• | – |
| •••••••••• | ••••••.com | ••% | •.•M | #••••• | – |
All 16 similar websites and full traffic analytics for Alto Pharmacy
The complete similar-websites list, audience overlap and engagement analytics require an active premium plan.
- 16 similar websites
- Audience overlap
- Engagement analytics
- Traffic by brand
Verified entity values are shown only after access is granted.
Top companies in Pharmacy & Healthcare Retail Systems
3 companies that operate in the same segment as Alto Pharmacy (Pharmacy & Healthcare Retail Systems) in United States, ranked by their profile score on The Company Check.
| Company | Description | Founded | Location | Total funding | Revenue | Employees |
|---|---|---|---|---|---|---|
Optum is recognized as a leading health solution and care delivery organization. | 2011 | Eden Prairie, Minnesota, United States | USD 250 K | USD 383.36 M | 140 | |
Materials management and business analytics solutions for healthcare are provided. | 1992 | Mountain View, California, United States | USD 20 M | USD 1.18 B | 3,670 | |
Prescription drugs refill management solutions | 2015 | San Francisco, California, United States | USD 105.54 M | 99 |
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Related news about Alto Pharmacy
Complete news archive for Alto Pharmacy
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Frequently Asked Questions about Alto Pharmacy
Alto Pharmacy was founded in 2015.
Alto Pharmacy is headquartered in San Francisco, United States. It is registered at San Francisco, California, United States.
Jamie Karraker is the CEO of Alto Pharmacy, as recorded in our data. They have also founded this company.
Alto Pharmacy is a funded company, having raised a total of $591.64M across 8 funding rounds to date.
Alto Pharmacy has 802 employees.
Alto Pharmacy is engaged in delivering prescriptions and specialty medications directly to customers. Services are offered across the United States with same-day delivery and pickup options. The company is committed to supporting customers with expert pharmacist advice available seven days a week. Solutions are tailored for general and fertility medication needs, ensuring accessibility and convenience in the healthcare sector.
Alto Pharmacy's top competitors include Icebreaker Health, Nurx and Cureatr.
Alto Pharmacy offers Prescription Delivery and Fertility Medication Delivery.
Alto Pharmacy has made 1 acquisition, including Round Health.
Alto Pharmacy has 34 investors. Key investors include Coinbase, FJ Labs, SoftBank Vision Fund, Foundation Capital, and Advance Venture Partners.
The valuation of Alto Pharmacy is $1.5B as of Oct 2025.
Alto Pharmacy operates through Alto Pharmacy.