Alto Pharmacy

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.

Alto Pharmacy is profiled on the APIs.io network. Tagged areas include Company, Pharmacy, Digital Health, Healthcare, and Prescriptions.

Alto Pharmacy’s developer surface includes engineering blog, support, and 7 more developer resources.

🌐 Visit website 📡 Source on GitHub

12.8/100 minimal ▬ flat Agent 0/100 human only Full breakdown ↓
scored 2026-08-17 · rubric v0.11.0

0 APIs

CompanyPharmacyDigital HealthHealthcarePrescriptionsSpecialty PharmacyFertilityMedication DeliveryPharmacy TechnologyHealth Plans

Kin Score

Kin Score How this is scored →
scored 2026-08-17 · rubric v0.11.0

Composite quality — 12.8/100 · minimal

Contract Quality 0.0 / 21

Developer Ergonomics 1.1 / 17

Commercial Clarity 3.6 / 17

Operational Transparency 0.6 / 11

Governance 0.0 / 10

Discoverability 4.9 / 9

Regulatory Posture 2.6 / 15

Agent readiness — 0/100 · human only

Machine-Readable Contract 0 / 18

Agentic Access Contract 0 / 10

MCP Server 0 / 12

Machine-Readable Auth 0 / 10

Idempotency 0 / 9

Stable Error Semantics 0 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 0 / 7

Typed Event Surface 0 / 6

Agent Skills 0 / 5

Well-Known Catalog 0 / 4

Consent & Bot Identity 0 / 3

A2A Agent Card 0 / 8

Dry-Run / Simulate Mode 0 / 4

Regulatory Posture applies to this provider. Its tags matched the Health regime, so Regulatory Posture carries 15 points of the composite. If this regime is wrong for your business, say so on your provider repo — the applicability map is public and we will correct it.

The six quality facets above are damped to 85 points between them, because the conditional facet above carries the other 15. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 85% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/alto-pharmacy: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

LLMsTxt

LLMsTxt

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Access & Security 1

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Operate 1

Status, limits, changes, and where to get help

Support

Support

Commercial 2

Pricing, plans, and the legal terms of use

TermsOfService

TermsOfService

PrivacyPolicy

PrivacyPolicy

Company 2

The organization behind the API

Website

Website

Blog

Blog

Other 1

Properties that don't map to a standard resource type

SecondaryMarket

SecondaryMarket

Source (apis.yml)

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
image: https://www.alto.com/logo
x-type: company
x-source: harvest:secondary-market
x-tier: stub
x-tier-reason: harvest
specificationVersion: '0.20'
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'