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: '0.23'
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'