Alto Pharmacy

aid: alto-pharmacy
name: Alto Pharmacy
description: Alto Pharmacy is a San Francisco-based digital pharmacy and pharmacy-technology company (founded 2015 as ScriptDash)
  that combines a full-service licensed pharmacy with a proprietary pharmacy operating system, Alto OS. Alto fills retail,
  specialty and fertility prescriptions with same-day courier delivery, pharmacist care and automated benefits investigation,
  and it sells that stack to industry partners as Alto Hub+, Alto Dispensing and Alto Complete — hub services, dispensing
  and end-to-end pharmacy-as-a-service for pharmaceutical manufacturers, health plans, health systems and digital health companies.
  Alto markets intake, transfer and Surescripts-based integrations to those partners, but publishes no public developer portal,
  API documentation or machine-readable specification; technical access runs through its partnerships team.
url: https://raw.githubusercontent.com/api-evangelist/alto-pharmacy/refs/heads/main/apis.yml
deliveryModel:
  model: saas
  open_source: false
  commercial: true
  callable_host: false
  label: Hosted service · you call their endpoint
  confidence: medium
  source:
  - pricing
  generated: '2026-08-28'
  method: derived
accessModel:
  pricing: unknown
  onboarding: unknown
  trial: false
  try_now: false
  public: false
  label: Unknown
  confidence: low
  source:
  - security
  generated: '2026-09-02'
  method: derived
image: https://www.alto.com/logo
x-type: company
x-source: harvest:secondary-market
x-tier: stub
x-tier-reason: harvest
specificationVersion: '0.23'
created: '2026-08-06'
modified: '2026-08-06'
tags:
- Company
- Pharmacy
- Digital Health
- Healthcare
- Prescriptions
- Specialty Pharmacy
- Fertility
- Medication Delivery
- Pharmacy Technology
- Health Plans
apis: []
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
- FN: APIs.json
  email: info@apis.io
common:
- type: DomainSecurity
  url: security/alto-pharmacy-domain-security.yml
- type: LLMsTxt
  url: llms/alto-pharmacy-llms.txt
- type: Website
  url: https://www.alto.com/
- type: Blog
  url: https://www.alto.com/blog
- type: GitHubOrganization
  url: https://github.com/scriptdash
- type: Support
  url: https://www.alto.com/contact
- type: TermsOfService
  url: https://www.alto.com/legal/terms-and-conditions
- type: PrivacyPolicy
  url: https://www.alto.com/legal/privacy
- type: SecondaryMarket
  url: https://forgeglobal.com/alto-pharmacy_stock/
x-enrichment:
  date: '2026-08-06'
  status: minimal
  artifacts_added: 3
  pass: local-v1
x-coverage:
  state: gated
  reason: sales-gate
  detail: Alto's Partner Solutions page advertises "intake and transfer APIs" and "Surescripts or transfer API intake" but
    routes every technical inquiry to partnerships@alto.com — there is no developer portal, no API reference and no spec anywhere
    on alto.com, and the live API host api.alto.com answers a bare plaintext "404 page not found" on every documented path
    while serving 200 only on /healthz.
  evidence:
  - url: https://www.alto.com/blog/post/partner-solutions
    status: 200
  - url: https://api.alto.com/openapi.json
    status: 404
  - url: https://api.alto.com/healthz
    status: 200
  - url: https://api.alto.com/graphql
    status: 404
  - url: https://www.alto.com/llms.txt
    status: 404
  - url: https://www.alto.com/.well-known/agent-card.json
    status: 404
  - url: https://developer.alto.com/
    status: 0
  checked: '2026-08-06'