Alto Pharmacy

Alto Pharmacy is a digital pharmacy company founded in 2015 and based in San Francisco, California. It emerged from the acquisition of AG Pharmacy, a community pharmacy. The founders, Jamie Karraker and Mattieu Gamache-Asselin, both former Facebook engineers, set out to enhance the prescription drug industry by merging expert pharmacist care with technology for a more convenient and patient-centered experience. Alto Pharmacy operates as a fully licensed pharmacy, offering services such as home delivery of prescriptions, personalized pharmacist care, and a mobile app for medication management. The company integrates with healthcare providers to streamline prescription fulfillment and ensure timely access to medications. Alto serves a diverse customer base, particularly individuals with chronic conditions who benefit from ongoing support and management. With over 900 employees and a commitment to innovation, Alto continues to grow, focusing on improving patient outcomes through technology and personalized care.

Hospital & Health Care San Francisco, United States Founded 2015 ~478 employees

Work at Alto Pharmacy in HR or recruiting? Claim this page

Employees
478
+0.2% in the 3 months to Jun 2025
Revenue / employee
$1.5M
Revenue ~$700M
Total funding
$727M
Last round Sep 2023
12-month attrition
22.7%
Tech: 41.3%
H1B filings, FY2026
2
Sponsors visas

Headcount trend

Alto Pharmacy went from 608 employees in Jul 2023 to 478 in Jun 2025. Jan to Jun 2025: 32 people joined, 20 left.

Headcount data through Jun 2025

Org structure

Headcount by department

Other299
Operations84
Engineering44
Sales17
Finance14
HR7
Success6
Marketing5

Funding

  • Sep 2023 · $120M
  • Jan 2022 · Series E · $200M · Softbank Vision Fund
  • Oct 2021 · Debt Financing · $36.4M · Olive Tree Capital, Greenoaks
  • Jan 2021 · $1M · Olive Tree Capital, Greenoaks, Jackson Square Ventures
  • Feb 2020 · Series D · $250M · SoftBank's second Vision Fund, Greenoaks Capital, Jackson Square Ventures
  • Dec 2018 · Series C · $50M · Olive Tree Capital, Greenoaks Capital, Jackson Square Ventures
  • Dec 2018 · Series C · $50M · Greenoaks Capital, Jackson Square Ventures.
  • Jun 2017 · Series B · $20M · Greenoaks Capital, Jackson Square Ventures

Salaries at Alto Pharmacy

All salaries

5 salary profiles in the US

Most reported roles

Pay by level, gender and ethnicity

H-1B sponsorship

H-1B Sponsorship Limited
H-1B Filings by Department
Engineering10
Operations3
Finance1
Marketing1
Legal1

The department split adds up all the years listed above. FY2026 alone: 2 filings.

Peer reviews

Worked with someone at Alto Pharmacy?

Anonymous peer reviews on OffTheRecord

Read or write a review

Similar companies

Alto Pharmacy FAQ

How many employees does Alto Pharmacy have?

Alto Pharmacy has about 478 employees, up 0.2% over the 3 months to Jun 2025.

Does Alto Pharmacy sponsor H1B visas?

Yes. Alto Pharmacy filed 2 H1B (LCA) applications in FY2026, according to the latest U.S. Department of Labor disclosures. Most of them were for Engineering roles.

What is Alto Pharmacy's revenue per employee?

Alto Pharmacy makes about $1.46M in revenue per employee, based on $700M annual revenue and 478 employees.

How much does Alto Pharmacy pay?

6figr has 5 salary profiles for Alto Pharmacy in the US, with pay broken down by role, level, gender and ethnicity on the Alto Pharmacy salaries page. See Alto Pharmacy salaries

How much funding has Alto Pharmacy raised?

Alto Pharmacy has raised $727.47M in total funding.

Data from Company Prospectus, DOL LCA disclosures, WARN notices and 6figr salary profiles.