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Alto Pharmacy Technician

Alto Pharmacist

It’s official: Alto Pharmacy is a great place to work! We’re honored to join the community ofGreat Place to Work-Certified™ companies based on team member feedback and a rigorous assessment of our company’s culture and benefits.

Join us in delivering our industry-leading pharmacy care to millions of people across the country. As a member of the team, you’ll play an integral role in improving our customers’ quality of life and redefining what’s possible in pharmacy.

Be Part of a Great Place to Work — Join Our Team

Hear first-hand from members of the Alto technology teams.

Read the latest Alto blog posts covering healthcare, family health, managing diseases, and other Alto highlights.

Blog | Alto Pharmacy

Update from the Alto team, March 17th, 2020: 
As the spread of COVID-19 continues to impact daily routines in the communities we serve, Alto remains open and ready to deliver your medications safely to your door. Our pharmacy locations are fully stocked, our couriers are ready, and our pharmacists can assist with coordinating early refills and longer fills to ensure you have access to your medications throughout this period. Reach out to our care team at 1 (800) 874-5881 (call/text) or via secure message on our mobile app. Delivery is always free; we're here to help.

Worried about coronavirus? 
Here’s what our pharmacists want you to know.

As the news continues to unfold about COVID-19 (also known as coronavirus) and its spread in our communities, you’re likely making preparations for you and your family’s medical needs.

Our pharmacists are here to help. Here are their recommendations for staying healthy, but we also recommend following guidance from the Centers for Disease Control and World Health Organization and checking their sites regularly for updates.

COVID-19 spreads much like the common cold or flu. The virus that causes COVID-19 is passed from person to person through close personal contact (things like touching or shaking hands), coughing, sneezing, or touching a surface with the virus on it and then touching your eyes, nose or mouth without washing your hands.

Though everyone is at risk for becoming infected, elderly patients and patients with diabetes, hypertension, and cardiovascular disease have been shown to be at higher risk for severe symptoms. This may change as we understand the disease more.

Symptoms range greatly and can begin to appear two to fourteen days after exposure. Fever and cough are the most common, although some individuals will have no symptoms and others may experience severe difficulty breathing and other respiratory issues. Given that this outbreak coincides with cold and flu season, it may be difficult to differentiate between the diseases.

Wash your hands! Often, vigorously, and with soap and water for at least 30 seconds. If soap and water aren’t available, use alcohol-based hand sanitizer.

Avoid touching your face with unwashed hands. 

Disinfect surfaces and commonly used objects regularly with bleach or chlorine.

Avoid close personal contact with people who are sick or who may have been exposed to the virus. Stay away from work, school or other high-traffic areas if you begin to exhibit symptoms like fever and cough.

Alto’s free home delivery service and automatic refills mean you don’t have to add worrying about your medication supply or going out in public to your list of precautionary measures. We’ll make sure you have the prescriptions you need on schedule. Stocking up on cold medicine or other over the counter medications? Our pharmacists can add those to your next delivery.

Our team is available 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; reach out via phone, text or the app.

If you think you’ve been exposed to COVID-19, contact your healthcare provider via phone or other digital means. Do not go to your healthcare provider’s office in person if you believe you may be exhibiting symptoms from exposure as public health officials will need to coordinate necessary precautions for staff and other patients.

From Your Pharmacy: What You Need to Know About Coronavirus

Stephanie Curry is famous at Alto. No, she’s not related to Steph Curry, she’ll say right upfront, but Stephanie is known at work for her joyful, carefree singing that echoes through our Alto Pharmacy headquarters in San Francisco. She brightens our day. And among Alto’s patients, Stephanie is beloved for her reliable, friendly service, delivering medications to their doorsteps — along with big, warm hugs.

Q: What do you do at Alto and how did you learn about Alto?

A: I drive for Alto and deliver medications to patients’ homes, six days a week. I’ve worked all my life from delivering newspapers when I was 11 to being a nursing assistant in home care centers and to driving for Uber. When I heard about Alto, that I could deliver medications to patients, I applied and got the job! I’ve been driving for Alto for almost two years and I love that it gives me space to do my thing and I get to see patients.

Q: Tell us about some of the patients that are most memorable to you?

A: There’s a patient I’ve been delivering medications to for months, and usually it’s a family member or caregiver who answers the door. I see the medical equipment so I figure the patient is ill or bed ridden. But then one day, I drive up to the house and I see this elderly woman, sitting on the porch. It’s the patient and she’s waiting for me! She told me that she hears my friendly voice every time I come and that she wanted to come out to meet me in person and tell me how much she appreciated me. She gave me a big hug and that’s how I started to get to know her.

Editor’s note: At Alto, we’ve heard from countless patients who have also been touched by Stephanie. Not only the patients, but often the patient’s caregivers, children and dogs look forward to Stephanie’s Alto deliveries.

Q: Do you know all your patients by name?

A: I work the East Bay regularly so I get to know the roads, the houses and the patients pretty well. Whenever I see a patient, I always greet them by name, like “Hello, Miss Maria”. No one taught me that — I just think it’s natural really, the only way to communicate with one another. People already have so much going on, having to take medications — they don’t want to feel like another number. So I want them to know that I know them. I love that this company is about dealing with people — it’s personal, you know who you can talk is a live person, you can see their face.

Q: And what makes you memorable to patients?

A: My hugs. A lot of patients ask me for hugs, and I don’t hesitate. Oh, and my car. Patients tell me that when they get a notification from Alto that their delivery is a few minutes away, they look out the window. They always know it’s me when I step out of my shiny, black Lincoln car. I know it’s not a typical car for a courier, but I love it. My husband bought it for me and he’s the love of my life. We were married 31 years and we have three beautiful children together. So I drive that car wherever I go.

Q: What do you do for fun, outside of Alto?

A: I love to play Bingo — I’m the Bingo Queen, I just came back from Vegas. I also love to cook. I used to run a restaurant in Sacramento and my family raves about my Gumbo. I just live, enjoy life, because as I tell my friends and family, you can’t take nothing with you when you leave!

Delivering Care to Patients: An Altoid Profile

Today, we are excited to announce a $250 million Series D funding round, bringing our total funding to over $350M.

Bringing Alto to a Neighborhood Near You

Mattieu Gamache-Asselin, CEO & Co-founder

Today, we are excited to announce a $250 million Series D funding round, bringing our total funding to over $350M. We are honored to welcome Softbank to our team of investors and thrilled that our existing investors — including Greenoaks, Jackson Square Ventures, OliveTree Capital, and Zola Global — have reinvested to accelerate our mission to bring the Alto experience to 100 million people by 2025.

Over the past four years, we’ve delivered over 1 million prescriptions directly to our patients’ doors, and created a service that makes our patients happier — our patient NPS is over 80 for the fourth year in a row — and healthier — our medication adherence rate is 77% compared to an industry average of 50%.

This has been possible because we’ve learned from experienced community pharmacists, we’ve reimagined and rebuilt the underlying infrastructure of pharmacy, and, most important of all, we’ve built an amazing and diverse team that truly lives out our values every day. Never in my wildest dreams did I imagine I’d get to work on such a meaningful mission with such a genuinely passionate and talented team. Whenever I have a tough day and need a boost of energy, I walk through our pharmacies and look around in awe at all the hard work, care and perseverance that goes into making this type of service possible for our patients — from our pharmacists and patient care champions to our couriers and product managers, all working together.

This new round of funding will enable us to take everything we’ve built and learned over the past four years and bring it to more people and more patient demographics. I’ve seen many companies scale too quickly, hire too fast, and in that process lose sight of the heart of the company’s values and mission. What is most important to me as Alto enters this next chapter is that we maintain the same empathy and human connection we’ve had since we were a small community pharmacy.

I want to thank our team for joining us on this mission, to thank our investors for believing in us, and most importantly, I want to thank our patients for reminding me every day of why we’re on this journey.

Alto’s launch in the Seattle market extends our industry-leading patient care model to Washington state.

Alto Pharmacy Launches Local Daily Delivery in Seattle Metro Area

Starting Tuesday, January 21, fertility patients in the Seattle metro area can now choose Alto’s same-day doorstep delivery and have their medications delivered by our Alto team.

Our evening delivery windows allow patients to more easily plan to be available to receive their packages. Patients schedule deliveries to the location of their choice — home, work or hotel — and on the day of their choosing. They can even track our couriers in real time on our mobile app. Next-day mail order service is also available for patients outside of the courier zone.

Courier delivery windows
Monday — Friday: 6–9 pm PT
Saturday: 2–5 pm PT

Walk-in hours
Monday — Friday: 12:30–7 pm PT
Saturday: 10–5 pm PT (closed on Sundays)

Fertility patients interested in using Alto’s services for their medication needs can ask their care team to send all prescriptions to Alto Pharmacy (via ePrescribe, phone or fax).

Fertility is Complicated. Your Medications Don’t Have to Be.

Alto knows fertility pharmacy. With more than 50,000 patients served, we understand the treatment complexities and concerns of fertility patients. Our dedicated patient care team is available in the evenings and on weekends to walk you through your first injection or answer questions about medication storage, dosing or interactions. Our fertility deliveries include all necessary ancillary supplies, such as syringes, sharps container and alcohol swabs, and are carefully packaged for temperature control. Delivery is always free.

Alto will automatically connect you with all manufacturer-sponsored financial assistance programs for qualifying prescriptions. Alto also works with many fertility benefits programs, including ProgynyRx, and many leading financing and loan providers. If we cannot bill your insurance, we’ll find you a pharmacy that can.

At this time, Alto is only offering fertility medication services in the Seattle market. Any updates to service areas and offerings will be available at alto.com/locations.

Alto Pharmacy Expands Local Courier Delivery to Sacramento and San Diego

Expansion of daily courier delivery to Sacramento and San Diego means greater control and reliability for fertility patients across California.

Fertility patients in the greater Sacramento and San Diego metro areas can now choose Alto’s same-day doorstep delivery and have their medications delivered by our Alto team.

Our evening delivery windows allow patients to more easily plan to be available to receive their packages. Patients schedule deliveries to the location of their choice — home, work or hotel — and on the day of their choosing. They can even track our couriers in real time on our mobile app. Next-day mail order service is also available for patients outside of the courier zone and for Saturday deliveries.

San Diego courier delivery windows:
Monday — Friday: 6–9 pm PT
Saturday — Sunday: Not available at launch

Sacramento courier delivery windows:
Monday — Friday: 7–10 pm PT
Saturday- Sunday: Not available at launch

At this time, Alto is only offering fertility medication services in the Sacramento and San Diego markets. Any updates to service offerings will be available at alto.com/locations.

Alto Pharmacy Expands Local Courier Delivery to Sacramento 
and San Diego

Alto Pharmacy Launches Local Daily Delivery in Denver-Boulder Metro Area

Alto’s launch in the Denver-Boulder market marks Alto’s first courier-based expansion outside of the West Coast.

Starting today, October 14, fertility patients in the Denver-Boulder metro area can now choose Alto’s same-day doorstep delivery and have their medications delivered by our Alto team.

Courier delivery windows:
Monday — Friday: 6:30–9:30 pm MT for Denver metro area, 7–10 pm MT for Boulder
Saturday: 2–5 pm MT for Denver metro area, 2:30–5:30 pm MT for Boulder

Walk-in hours:
Monday — Friday: 1- 6 pm MT
Saturday: 9:30 am — 6 pm MT (closed on Sundays)

At this time, Alto is only offering fertility medication services in the Denver-Boulder market. Our team will be revisiting the northern boundaries of our courier zone in the coming weeks; any updates to service areas will be available at alto.com/locations.

Our mission is to fulfill medicine’s true purpose — to improve quality of life — for everyone who needs it. That takes a dedicated team of mission-driven, value-minded people. Read on to figure out if Alto is the right career move for you.

Help Us Shape the Future of Healthcare

Working at Alto isn’t just a job. For every team member, from product designers to pharmacists to patient care gurus, Alto is a means to a fulfilling career focused on making a difference in the lives of people who rely on prescription medicine to lead healthy, happy lives. In the process, we’re also changing an industry that has long gone unchecked.

At the highest level, Alto is a pharmacy. But we are not a traditional pharmacy. Instead of operating dozens of small-volume distribution sites across a metro area like chain pharmacies, we own and operate high-volume pharmacy fulfillment centers staffed by small, highly efficient teams supported by proprietary technology. We have one fulfillment center per metro area that we serve, including San Francisco, Los Angeles, and Orange County, and a centralized operations facility in Denver. Out of our fulfillment centers, we process and fill prescription orders and deliver directly to patients’ homes or offices by way of our free, same-day courier service.

On top of the convenience and accessibility of same-day delivery, Alto has three product pillars that allow us to deliver an exceptional experience to our users: the Alto Patient app, Alto MD, and Wunderbar. Learn more about our products and our industry-disrupting business model.

Alto is the world’s most patient-centric pharmacy. Our goal is not simply to distribute prescription medications but to improve patients’ health outcomes and their quality of life and to make those improvements accessible to everybody.

To get to that point, we need to understand what’s preventing patients from accessing all the benefits medicine has to offer. We believe it’s especially important to address the high-level problem of non-adherence, which is when patients don’t take the medication they’re prescribed. It also means learning how to scale our technology and processes to bring our products to more people in current and new markets. To achieve both of these things, we need to first scale our team. Learn more about Alto’s potential for growth and plans for the future, and how our team contributes to our success.

Loving what you do starts with doing something you believe in. It’s enriched by working alongside people who share your goals in an environment conducive to your work style and aspirations. At the foundation of Alto’s culture is our mission; our core values like acting empathically, thinking rigorously, making impact, staying humble, and putting patients first; the diverse backgrounds of our team members; and the supportive but highly autonomous way we get work done. Learn more about the Alto’s values and culture through the eyes of our CTO and co-founder, Jamie Karraker.

If Alto sounds like an environment you would thrive in, we would love to hear from you! We’re always on the lookout for great people to fill in our product, design, engineering, analytics, people, recruiting, finance, sales, business operations, logistics, pharmacy, and patient care teams. Check out our open positions to see if there is an opportunity that’s right for you!

To Alto’s CTO, an ethical, altruistic, supportive workplace is everything.

Every morning (ok, most mornings), I wake up motivated — eager, even — to get out of bed and go to work. But it’s not because I am some super-performing success-bot. This is not another blog post about a c-level executive’s otherworldly, highly-meticulous-yet-seemingly-effortless morning routine, and I have no prescriptive regimen for staying happy and mindful while still managing to “get it all done.” I only have one piece of advice, but it is one that has served me (and my mornings) well:

Work with people who share your passion and values.

At Alto, the company I co-founded in 2015, everyone, from me (the CTO) to product engineers to part-time prescription couriers, is dedicated to the same mission and vision. Every day, we strive to improve health outcomes by optimizing technology and processes to become the world’s most people-centric pharmacy. I am never not excited to work alongside the few hundred Alto employees that daily act in concert to support the success of our company and make a difference in the lives of people who use Alto.

Underlying this relentless drive toward mission and vision is a set of shared core values that defines our internal culture:

Patients come first — even before our bottom line and industry partners. We will always prioritize the wellbeing of the people who use Alto to manage their prescription medications.

Leave no person behind. It’s more important to be good for all than to be great for a select few.

Start with empathy. We strive deeply to understand the thoughts and feelings of everyone we interact with.

Focus on impact. We prioritize impact over activity and focus on the work that makes the biggest strides toward our goals.

Think rigorously. We’re open to changing our minds and never hesitate to question assumptions and first principles. There is nothing sacred about the status quo.

Be humble. Our work — however expert, technical, or specialized — is in service of our team, the people who use Alto, and the greater good. Everyone’s contributions count, and no one is too important to take out the trash, so to speak. And we are certainly not above other players in the industry whose mission to help patients aligns with our own.

For me and my teammates, it’s extremely fulfilling to contribute to this smart, caring, talented team working tirelessly to help so many people. Everyone’s role is different but invaluable, and our efforts have real meaning. I can say with confidence that working in this environment makes a huge difference in how I carry myself, because I know from previous professional experiences what the opposite looks and feels like.

When my co-founder Matt and I started Alto in 2015, we were both software engineers at Parse, a Facebook-owned company. Having spent years in Silicon Valley, we were already jaded by the tech ecosystem and were ready for a change. In thinking about what we wanted to pursue next in our lives, we noticed that other companies were not working on society’s most meaningful problems; they were focused on catering to the 1%. In contrast, we wanted to use our time and skills to build something that makes a tangible, positive impact on the daily lives of all people, especially those ignored by the tech industry.

And so, we found ourselves drawn to healthcare — a big, broken industry that affects most people negatively, especially the underprivileged. We did a lot of research to figure out what our wedge into healthcare would be, and pharmacy jumped out to us. Essentially, pharmacy is the healthcare industry’s consumer product, and consumer products just happens to be our area of expertise.

If you think about it, pharmacy is a product not unlike Facebook; almost everybody in the country uses at some point in their life. But evidence suggests it’s generally a bad one. The net promoter score of chain pharmacies is somewhere in the vicinity of -10. That’s shockingly bad. (For reference, American Airlines has a net promoter score of four.) Our research also found that more than 35% of all medications sent to pharmacies are never picked up as a result of some upstream issue.

It became clear to us that none of the pharmacy incumbents thought of themselves like a product, and especially not one that is consumer focused. None of them had the mindset to prioritize and optimize the user experience, which is the mindset Silicon Valley applies to photo-sharing apps and ad optimization tools and all sorts of other products we aren’t so passionate about. Instead, pharmacy incumbents focus on extracting value from the system and pushing the cost off onto patients. In that gap, we saw opportunity — and a moral imperative.

Today, Alto is making pharmacy convenient, accessible, and user-friendly. We make it easy for consumers to get information on their medications so that they can make informed healthcare decisions. To get there, we have built and continually work to improve a robust set of user-facing and internal tools to guide consumers through the complex and often barrier-laced process of prescription procurement, payer authorization, and medication fulfillment.

Because health outcomes are what we care about, we’re not pushing pills for profit. We are just as happy if a patient pursues an alternative therapy so long as it is in his or her best clinical interest. Our unique business and operational models make that possible.

In disrupting an industry that can be predatory to the most vulnerable among us, I am proud to say Alto attracts some of the most ethical, altruistic talent I have ever worked with. They make coming to work a pleasure and a privilege, and that makes all the difference, not just in my mornings but also my professional satisfaction and overall well-being. If any of that resonates with you, you might be just our type.

"Work With People Who Share Your Passion"

ScriptDash is a modern pharmacy that delivers your prescriptions, same-day, to your home or office. We’ve automated most of what your local pharmacy does and we deliver. It’s pretty rad.

My First Week at ScriptDash

Beginnings are special. After four amazing years building the Optimizely rocketship, I’ve begun a new journey with ScriptDash.

A Slack bot posts every NPS survey response we get from a patient that’s just received a delivery. Throughout the day these will light up Slack, and they’re a joy to read.

What’s struck me most this week is how deeply everyone here cares about patient outcomes and improving healthcare. The current system is outdated. Broken. It not only causes millions of headaches, it also costs thousands of lives. Hundreds of thousands, in fact.

When people don’t take their medication as directed (or at all), the results can sometimes be fatal. This is called non-adherence. The CDC says non-adherence causes 125,000 deaths annually, or ~340 deaths per day. How does this happen?

The patient isn’t able to get to a pharmacy on time, safely, or at all.

The patient can’t afford the copay because their doctor inadvertently selected a drug that wasn’t covered by their insurance.

The patient can’t afford their meds because the pharmacy didn’t apply a coupon making the drug free or affordable. This coupon process is murky and manual.

The drug prescribed isn’t covered by insurance and requires special approval (“prior authorization”) from the insurance provider. Either the pharmacy or the doctor dropped the ball in this manual, shitty process, and the patient never got their prescription.

The patient didn’t take their prescription as-directed because they were given multiple meds with different instructions (this can be confusing!)

ScriptDash is a pharmacy built for 2016, from first principles, as a software company. We’ve built our own Pharmacy Management System that lets us solve patient and doctor issues that have been lingering for decades.

We automagically find and apply relevant manufacturer drug coupons, prior authorizations, and renewals. If there’s an alternative medication that’s cheaper or covered by your insurance, we’ll contact your doctor to switch the prescription.

We offer same-day delivery to your home or office via our own fleet of in-house couriers so you don’t have to burn time at the pharmacy waiting. Many people can’t get to a pharmacy safely or at all because of their work hours, and this makes a huge difference in their lives.

Others had same-day surgery or are suffering from ailments that limit mobility or energy.

We offer SmartPacks that group multiple drugs into easy-to-take little packets. It’s pretty cool.

When I’ve explained ScriptDash to a few friends, they think we’re just picking up your prescription from a regular pharmacy. We are the pharmacy! No pickup! Just delivery! From our pharmacy!

We love software engineering, operations, design, pharmacy, and pizza. Every other Thursday we volunteer at the nearby SF Marin Food Bank. This week our group and a number of others re-packaged some 3,000 lbs of cashews. Hella nuts. It feels good to do good.

Most of the hard work lies ahead of us. We’re looking for a few more good humans that want to explore the intersection of software, logistics, and healthcare. Check us out or say hi the cool way:

// Send a POST to https://www.scriptdash.com/careers/apply
{
  "name": "Your name",
  "about": "Tell us about yourself!",
  "email": "Your email address",
  "links": [ "link to your resume", "link to anything else cool" ]
}

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