Expires 04/01/2021

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Alto Pharmacy Technician

Alto Pharmacist

Our mission at Alto is to fulfill medicine’s true purpose — to improve quality of life — for everyone who needs it.

Services that reduce travel and encourage social distancing are now more essential than ever, not only for vulnerable populations but all of us as members of our communities. Alto’s free same-day doorstep delivery ensures you have safe and reliable access to medications in this time of uncertainty. 

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Not sure of what to do with this year’s "fall back" as Daylight Savings ends? Here’s our best advice for savoring the moment.

How to Savor Your Extra Hour When Daylight Saving Ends

Easing Into the End of Daylight Saving Time

This Sunday night, something peculiar—though not unexpected—will take place in most parts of North America. At 2 a.m., while most of us are fast asleep, daylight saving time will end and our clocks will jump backward by an hour. 

Most of us know the drill. We’ve been observing this tiny time warp twice a year for our entire lives. We usually grumble as we “spring ahead” in March and lose a precious hour with our pillows, then reap our reward in November when we blissfully “fall back” into bed for an extra hour of sleep. 

Thankfully, we now find ourselves nearing the eve of the more popular daylight saving transition. Instead of prepping for a bout of morning fatigue, we’re considering how to invest the extra hour we’ll gain before dawn. Not sure of what to do with this year’s windfall? Here’s our best advice for savoring the moment.

Many of us feel such constant pressure to be productive that fatigue has become our baseline. We’re balancing household chores, after-school activities, and stolen moments of self-care on top of our already packed schedules. Not surprisingly, according to the CDC, we’re a sleep-deprived society—one in three Americans regularly clock less than the recommended minimum of 7 hours a night. 

If just the thought of “wasting” your extra hour in bed sets you on edge, then that’s your cue to stay tucked in. While a single hour of sleep is unlikely to refill your energy stores, it might provide a much-needed reminder of how good it feels to rest. If your circumstances allow it, turn off your alarms and notifications and enjoy rediscovering your natural waking time. It’s no accident that daylight saving time ends on a Sunday. 

For those early risers with a precisely set inner alarm, sleeping in simply may not be in the cards. That’s okay, there are still plenty of ways you can make your extra hour indulgent. Whether you enjoy a cup of coffee in silence as your family sleeps or take a leisurely sunrise stroll through your neighborhood, do your best to minimize distractions and focus on a single simple pleasure for one hour. 

A Few Tips to Help You Regain Your Rhythm 

Whether you’re an early bird or a night owl, your body contains an incredibly accurate internal clock. Known as your circadian rhythm, it ticks away each day and controls the release of hormones that regulate your mood, hunger, and sleep. Because this inner timekeeper is sensitive to external cues, it’s easily thrown out of whack. Here are a few ways to stay on track after this week’s time change.

Your internal clock is mainly regulated by one very important external cue—sunlight. Make it a point to get some sunshine in the morning and throughout the day to help your circadian rhythm reset. 

Your feeding and fasting cycles also contribute to your body’s sense of time. Try to eat your meals on your usual schedule, even though it will feel like you’re eating an hour late. It may help to keep a few snacks on hand to curb any hunger pangs. 

You may find that the last hour of your workday feels particularly long after the time change. If you can, save some light tasks for the end of the day until your body adjusts.

If you usually walk, run, or bike in the evenings, make sure to plan for an earlier sunset. Your normally well-lit route may be much darker, so be sure to wear lights or reflective accessories when you head out.

The darker evenings can be a downer for some. Plan for evening activities that will add a little post-sunset brightness, whether that means a bubble bath, a home cooked meal, or family game night. 

If your sleep schedule is disrupted, you might consider taking a low dose of melatonin in the evening for a brief time. This hormone helps regulate your circadian clock by signaling to the body that it’s dark and time for sleep. Though melatonin is sold over the counter as a dietary supplement, it can cause drowsiness and may interfere with some medications, so be sure to check with your healthcare provider or pharmacist first. Our pharmacists are available to talk over any supplements or medications you’re curious about via phone, text, or in-app chat.

Thankfully, the time change for daylight saving is fairly minor. Many of us will savor our extra hour of sleep, then continue our day feeling unaffected. But if you’re among those who do experience adverse effects, don’t be alarmed. With the help of these tips, your body should adjust to the new cycle of dark and light over the coming days. 

It’s about time you switched to a better pharmacy. Our team is available to answer your questions and help you make the transfer by phone, text, or through the app

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

Every year, we look forward to October, when we get a whole month to honor the extraordinary work of the pharmacists and pharmacy technicians at Alto and around the world.

Celebrating National Pharmacist Month at Alto

Every year, we look forward to October, when we get a whole month to honor the extraordinary work of the pharmacists and pharmacy technicians at Alto and around the world. National Pharmacist Month is a time to celebrate the many ways that pharmacy professionals positively impact their communities. At Alto, we get an intimate look at how pharmacists improve the health and well-being of others every single day through their expertise and exceptional care.

This year’s theme is “Essential Providers, Accessible Care,” recognizing the vital roles that pharmacists and pharmacy technicians are playing on the front lines of healthcare during the COVID-19 pandemic. From the common cold to chronic disease, pharmacists are always there to answer important health questions and make sure medications are not only accessible but used safely and effectively.

National Pharmacist Month is a great time to show your appreciation for the pharmacy professionals who help with your medications. It’s also an opportunity to learn more about the depth of their expertise. For example, did you know that becoming a pharmacist requires a doctorate degree? Pharmacists are not only experts on medication management, they also serve as patient educators, perform laboratory studies and health screenings, and act as skillful problem solvers. Whether we’re facing an acute issue or a chronic condition, many of us turn to our pharmacists to suggest supplements, over-the-counter medicines, or lifestyle adjustments that can help us feel better. 

In addition to our month-long celebration of pharmacy professionals, the third Tuesday of October has its own special designation: National Pharmacy Technician Day. On this day, we recognize the unique and invaluable contributions of pharmacy technicians. A critical part of any healthcare team, pharmacy technicians work closely with pharmacists to make sure patients get the medications they need. Technicians not only assist in the preparation and distribution of medications, but they also work directly with community members to collect patient information and help process billing claims.

Both pharmacists and pharmacy technicians are essential in providing us with access to safe and effective treatment when health issues arise. This year, more than ever, we are grateful for their steadfast dedication to your care. 

In honor of the 116 incredible men and women who perform these vital roles at Alto, here are five facts you may not know about the pharmacy profession:

October 12th is Women Pharmacists Day! About 55% of pharmacists are women, making pharmacy a predominantly female field. 

Pharmacists are the most frequently visited healthcare providers in America. They can be found working in a variety of settings—from hospitals to the neighborhood pharmacy—and we turn to them most often for health advice. 

The world’s oldest prescriptions were etched into tablets around 2100 B.C

Benjamin Franklin is considered one of the founding fathers of pharmacy. He helped to establish the first public hospital and hospital pharmacy in the United States. 

Agatha Christie, the crime novelist, worked as an apothecary’s assistant, or what we would now call a pharmacy technician. Her interest in medicine was apparent in much of her writing, inspiring her many plot lines about poisoning and disease. 

We at Alto could not be more proud of our incredible pharmacists and pharmacy technicians. Through your skills as educators and guides, you uplift the health and well-being of the communities you serve. 

Want to express your gratitude to the pharmacists at Alto? You can reach out by phone, text, or through the app to say thanks and brighten their day. 

Dr. Lisa Sterman, M.D., MPH, is an expert in the field of HIV medicine who has been in private practice in San Francisco for over 20 years. She kindly agreed to sit down and talk with us about pre-exposure prophylaxis (PrEP), an HIV prevention method that's available by prescription.

HIV Health Spotlight: A conversation about PrEP with Dr. Lisa Sterman

This interview has been edited for length and clarity.

Dr. Lisa Sterman, M.D., MPH, is an expert in the field of HIV medicine who has been in private practice in San Francisco for over 20 years. After obtaining her Master’s in Public Health, she completed her training in medicine and HIV at UCSF. She’s been involved in clinical research for HIV medications and has worked in the community as an educator and advocate, including serving on the Board of Directors for the San Francisco AIDS Foundation, for many years. 

Dr. Sterman kindly agreed to sit down and talk with us about pre-exposure prophylaxis (PrEP), an HIV prevention method that's available by prescription. The most important thing she wanted us to know? This conversation is for everyone.

Can you tell us a little about how you got started in your field?

It’s been a long road. I started working with HIV in the ’80s. I was at college in Berkeley, and I do a lot of rock climbing. My friend and rock climbing partner was a nurse at SF General, at their famous HIV ward. I knew I wanted to go into medicine and she said, “You should come volunteer on our ward.” It was the ‘80s, so it sounded totally controversial and dangerous and I was like, “I’m in.” That’s my personality, so that's how I got started. Really, it was the doctors and nurses there that inspired me to go into HIV. They were just incredible. 

What’s something everyone should know about PrEP?

Everyone needs to know that there is a pill that prevents HIV. So many people haven’t even heard of the concept. Nearly everyone is eligible with a short screening set of labs, so talk to your provider and find out if you might want to consider PrEP.

A lot of people may think, “I’m not at risk” or, “that’s not my group of people.” The way I teach it is: if you’ve ever had sex, you’re at risk for HIV. If you’ve ever shared drug needles, you’re at risk for HIV. Everyone should know their status. 

Editor’s Note: To learn more about PrEP and how it works, see our article, “All About PrEP for HIV Prevention.”

If you’re using condoms every time you have sex, would you still recommend PrEP? 

Yes, condoms break or fall off, and then you can have exposure. They are not 100%. I would say we’ve come as far as we can with condoms, that piece of HIV prevention efforts is great, and this is the next step. Condoms may prevent or reduce the risk of other STIs, but they are not the only or appropriate way to protect yourself from HIV if you are at higher risk for HIV.

Some groups of people at risk for HIV can’t always ask their partner to use condoms. They may not have the power in the relationship or they may be under pressure because they’re exchanging sex for commodities like housing, money, food, shelter, or drugs. PrEP helps empower many people who are at risk and can be taken without a partner’s knowledge or consent. In this way, some groups of people have a better chance of protecting themselves against HIV.

How can you go about talking to a doctor about PrEP? 

It would be nice if doctors asked every patient the right questions. I ask anybody who walks through my door, “Do you have risks for x, y, and z?” Part of that is taking a sexual history, but not every provider is going to do that. For a motivated patient who wants to go out and find a PrEP provider, there are great websites like pleaseprepme.org where you can find providers that do video calls, or for other folks, a trusted relationship with an in-person provider. There are more conservative areas in the US where you might perceive yourself to be at risk for HIV, but you can’t talk about who you are having sex with, who your partners are having sex with, or how you exchange all those things. If you worry about feeling stigmatized by your provider, there are other resources out there. It’s just that a lot of people don’t know about them.

Need help finding a PrEP provider? Try: 

If you decide to use PrEP, what does the process look like? 

We need to verify that you’re HIV-negative, but we’ll probably send you off with a prescription for PrEP at the initial appointment. If you’re at high risk, we want to get the medication into you before we even necessarily know the results of your HIV test. We’ve come to find that a rapid start to HIV prevention is important. We don’t want to miss the opportunity to protect someone during the week when their labs are being done. There is very little risk in taking a week’s worth of PrEP even if you are HIV positive.

So, you would start PrEP and then we’d follow up in a week to go over your labs. We’d treat any STIs, make sure your renal function is normal, and then we’d continue these tests on a regular basis while you’re on PrEP. The standard protocol is every three months. Some patients with

very high risk of STI exposures may need more frequent testing for other STIs.

I think the key is to make sure everyone knows it’s out there and for everyone to be able to have that conversation with a healthcare provider they feel comfortable with. People need to understand where they are at risk and where they are not. PrEP for HIV is not for everyone. We think about PrEP as having “seasons of risk.” A person’s need to use it may come and go depending on what their lifestyle is like. You need to be having an ongoing conversation about how your risk changes over time. 

How do you think Alto can be helpful to people on PrEP? 

Alto is a wonderful way for people to access their meds, especially during COVID. It’s convenient. It shows up when you need it. For PrEP and HIV meds I can have them provide all sorts of support for the patients. Everyone is knowledgeable—I’ve worked with some of Alto’s pharmacists in other capacities. I’ve had great experiences with Alto and I think my patients would say the same. 

Is there anything else you’d like to tell our community?

Your relationship with your healthcare provider is so important. If you don’t feel like you can tell them everything that is going on, you need a new provider. If you’re feeling stigmatized and someone is not supportive of your lifestyle, then switch, if possible, to an online pharmacy or a community health center that works with the LGBTQ community and get your PrEP that way. Any online pharmacy that handles PrEP will have someone sensitive to these communities, lifestyles, and risk factors.

Even though I do everything I can to encourage an open dialogue, I don’t always get all the information out of people either. Sometimes people feel embarrassed, but we can’t support someone if we don’t know what they’re doing. The first step is to have a healthcare provider that you really trust. The second step is to be really honest with that person. Help them help you prevent HIV.

For more information about Dr. Lisa Sterman and her practice, you can view her profile here. 

HIV Health Spotlight: A conversation about PrEP with Dr. Lisa Sterman 

Rather than letting every cough or sniffle cause a panic, let’s sort through the most likely symptoms of the three respiratory illnesses to look out for this season: the cold, flu, and COVID-19.

Cold, Flu, or COVID-19? Your Seasonal Symptom Guide

For most of the year, we’ve had one virus on our minds. But as cold and flu season moves into full swing, an onslaught of new symptoms could sow confusion. Rather than letting every cough or sniffle cause a panic, let’s sort through the most likely symptoms of the three respiratory illnesses to look out for this season: the cold, flu, and COVID-19.

We can usually get an idea of what the flu season holds in store for us by studying recent flu activity in the Southern Hemisphere. This year, reported infection rates were 99% below normal, which epidemiologists credit to the fact that people were wearing masks, social distancing, and washing their hands frequently. The same precautions that prevent the spread of the coronavirus will also stop the flu (and the common cold too).

Still, experts are urging everyone to get their flu shot this year. More people getting sick could cause more than just confusion over symptoms. It could put a strain on testing supplies and medical care. Getting your flu shot will not only make you less likely to get sick with the flu, but it can also reduce the severity of your symptoms if you do get sick.

There’s a reason we call it “the common cold.” According to the American Lung Association, most adults come down with two to four colds per year. With more than 200 viruses that can cause the common cold floating around out there, it’s not all that surprising. Here are the main symptoms most cold sufferers can look forward to: 

The CDC reports that a cold usually begins gradually with a sore throat and a runny nose and then progresses to include coughing and sneezing. It is rare for cold symptoms to include fever, and diarrhea is not considered a symptom of a cold. 

There is no cure for the common cold, but most people recover within 7-10 days. The best way to feel better is to rest and drink plenty of fluids, although over-the-counter cold medications can help ease your symptoms. Since colds are contagious, try to be mindful and cover up when you cough or sneeze. 

The flu tends to hit us like a ton of bricks. Unlike the more gradual onset of a cold, flu symptoms are known to appear suddenly and with force. Along with a tell-tale fever often comes headaches, body aches, and a general feeling of exhaustion. 

The CDC reports that the following symptoms are common with the flu:

Vomiting and diarrhea (more common in children)

You may have noticed that the common cold shares some of these symptoms. Deciphering the differences is not always cut and dry. Generally, it’s that “hit by a bus” feeling that differentiates the flu. If you’re suddenly sidelined by a fever, chills, aches, and pains, you’re probably not dealing with a cold. It’s important to note, however, that not everyone experiences fever with the flu. 

Your healthcare provider can determine if you have the flu with a simple swab test. As with a cold, you should drink plenty of fluids and try to rest. You should feel better after a few days. Antiviral drugs can be used to reduce symptoms and shorten the amount of time you are sick. Antiviral medications are available by prescription only and work best when started soon after you get sick. When you send your prescription directly to Alto, we can make sure you get your flu medication delivered safely to your home that very same day. 

Here’s where our symptom detective work gets really tricky. Not only are the symptoms of COVID-19 all over the map, many of them closely mimic those of the flu. The coronavirus has confounded experts by showing up in strange and disparate ways. The only true way to know if you have symptoms of coronavirus infection is to get tested, but there are a few red flags to watch out for.

What’s so confusing is that COVID-19 is a respiratory illness like the cold and flu, but it’s not only a respiratory illness. Experts consider it to be a multi-organ disease. Symptoms may appear from head to toe, range from mild to severe, and often come on gradually. While there isn’t a clear set of symptoms that always distinguishes COVID-19, these four seem to be the most common:

The CDC also lists the following symptoms of COVID-19:

Shortness of breath or difficulty breathing

Interestingly, a sudden loss of smell or taste seems to be emerging as a defining symptom of coronavirus infection. While it doesn’t occur in every patient, some studies have indicated that nearly 65% of people with COVID-19 experience this symptom. Additionally, while you may be accustomed to having your temperature checked when you visit a restaurant or store, fever is a common symptom of COVID-19, but by no means always present. About 55% of all infections are accompanied by a fever. 

The rule of thumb is this: if you think your symptoms could be COVID-19, you should act as if you’ve been infected until you can be tested. Call your doctor right away and self-quarantine while you monitor your symptoms and wait for further instructions. It’s crucial that you take every precaution to ensure you don’t transmit the virus to anyone else.  According to the CDC, you should also be on alert for more dangerous symptoms, which include trouble breathing, pain or pressure in the chest, bluish lips or face, confusion or incoherence, and an inability to wake or stay awake. Seek emergency medical care if any of these symptoms occur.

Coronavirus infections tend to last longer than the flu, but those with mild cases should recover on their own in about two weeks. Even if you have only mild symptoms, you need to call your doctor and self-quarantine immediately. With more severe cases, doctors may provide patients with intravenous fluids, medicines to reduce a fever, or oxygen to help with breathing.

If all you know is that you’re feeling terrible, give your doctor a call. Generally speaking, if you’re sniffly, sneezy, and slightly rundown, you’re probably battling the common cold. If you suddenly come down with a fever or chills, body aches, and heavy fatigue, the flu may be to blame. However, with COVID-19 so tricky to identify, it’s vital that you rule it out whenever troubling symptoms crop up. 

If you have questions about which medications can help you deal with your seasonal symptoms, our pharmacists are standing by. And if you do come down with the flu, we can hand-deliver your antiviral medication quickly and safely, while you stay home and get that all-important rest. 

Want Alto by your side this cold and flu season? Our team is available 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; call or text 1-800-874-5881 or download the mobile app for secure messaging.

We combed through the latest advice from the experts to give you some actionable steps that may help protect your health.  

Managing Diabetes During COVID-19

Pre-existing condition. These two words have echoed across news broadcasts and government briefings about COVID-19, stirring up fears in those living with chronic disease. But as we’ve gathered data and learned more about the novel coronavirus, a clearer picture has emerged. We now better understand how people with underlying medical conditions like diabetes can take careful precautions to decrease their likelihood of getting sick. 

According to the ADA, it does not appear that people with diabetes are more likely to get COVID-19. They do, however, have a higher risk of developing serious symptoms and severe complications that require hospitalization if exposed. This increased risk makes prevention and early detection critical. 

If you are living with diabetes, it’s important to focus on what you can control right now. In addition to following the CDC’s prevention guidelines, which include wearing a mask, washing your hands frequently, and avoiding unnecessary social contact, you can manage your risk by planning ahead. With this in mind, we combed through the latest advice from the experts to give you some actionable steps that may help protect your health.  

The world is full of very real stressors right now. It’s easy to let healthy habits slip when you’re anxious or under pressure, however, it’s more important than ever to stay on top of your health. The ADA advises that your risk of experiencing severe illness from COVID-19 is likely to be lower if your diabetes is well-managed. Dr. Janaki Vakharia, MD, clinical fellow in the Endocrinology Division at Massachusetts General Hospital, explains, "Studies have reported that patients with well-controlled diabetes who have been hospitalized for COVID-19 have a higher rate of survival. Better controlled diabetes is also associated with lower markers of inflammation, which may explain this better rate.” 

Do your best to stick to the care plan you’ve created with your doctor—keep taking your insulin and/or other medication, test and track your blood glucose, exercise at home, and maintain a healthy diet. Make sure you have enough medication on hand to last you several weeks and continue your doctor’s appointments virtually if telemedicine is an option. 

In his FAQs about Diabetes + COVID-19 for Johns Hopkins Medicine, Mohammed Al-Sofiani, MBBS, MSc, writes, “I strongly encourage all people with diabetes to make sure that they have enough supply of insulin and all the tools they typically use to manage their glucose...I also encourage people with diabetes to avoid going to the clinics or pharmacies unless it is for urgent matters.”

You should never have to risk your health to obtain your insulin and other medications. That’s why we offer free contactless delivery when you fill your prescription through Alto. Simply let us know where and when to drop it off, and we’ll make sure your medications and supplies arrive safely. 

We’re about to enter cold and flu season. More viruses going around means more chances of getting sick so experts are urging everyone to get a flu shot. This year, a sore throat or runny nose could produce more anxiety than usual, but try not to let yourself slide into fearful thinking. Stay home and report your symptoms to your doctor, especially if you experience a fever, dry cough, or shortness of breath. There is a wide range of symptoms associated with the onset of COVID-19, but the CDC offers this list as well as an interactive coronavirus self-checker. Mild symptoms can often be managed and monitored from home, but don’t make that decision without your doctor. 

If you develop any emergency warning signs for COVID-19, seek medical attention immediately. According to the CDC, these emergency signs include difficulty breathing, chest pain or pressure, confusion or inability to arouse, or bluish lips or face, though they stress that severe symptoms of any kind should be immediately reported to your medical provider. 

Preparing for the possibility of getting sick is especially important right now. The ADA recommends having enough supplies to last you several weeks in case you are symptomatic and unable to leave your home. If you do get sick and your doctor has recommended that you remain at home, take that as good news and try to focus your attention on resting while keeping an eye on your glucose levels and symptoms. 

Remember—any infection, including COVID-19, will likely cause your blood glucose levels to start rising. It’s important to pay close attention to your blood sugar, continue taking your medications, and drink plenty of fluids to prevent dehydration. If your blood sugar becomes hard to manage and your body doesn’t have enough insulin, you are at risk of developing diabetic ketoacidosis (DKA). The ADA advises that if your blood sugar has registered high (greater than 240mg/dL) more than twice in a row, you should use an over-the-counter kit to test your urine for ketones. If ketones are present, call your doctor right away. 

Continuing to take your insulin and other medications must be your top priority, so be sure that you don’t risk running out. According to ADA, the leading manufacturers of insulin and other supplies are not reporting any impact on their manufacturing and distribution capabilities due to COVID-19. There have been, however, widespread reports of mail delays that could affect the timely delivery of mail-order prescription drugs. 

When you fill your prescriptions through Alto, we’ll coordinate your refills automatically, then one of our couriers will hand-deliver them to your home. Your prescriptions will never change hands during the delivery process and you can designate a safe place for your courier to leave your medications for contact-free drop-offs. 

Finally, if like so many you are currently experiencing unemployment, loss of insurance, or economic hardship, there are options to get help. The ADA offers this list of resources and the team at Alto is always here to help you find options that can save you money. Reach out to us at any time via text, phone call (1-800-874-5881), or in-app messaging.

So many of us are feeling anxious and uncertain right now, and that can interfere with our ability to sleep well, manage stress, and practice self-care. Be sure to keep in touch with the people you love and talk to them about your fears. Joining an online community for people with diabetes can also help you get the emotional support you need. 

We're here to support you through COVID-19 with free home delivery. Our team is available 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; call or text 1-800-874-5881 or download the mobile app for secure messaging.

Switching to Alto is easy and takes only a few minutes. Here's what you can expect to know about savings, free same-day delivery, and access to our expert pharmacists.

How Do I Transfer a Prescription to Alto?

It really is possible. In just a few minutes, your days of standing in line at the pharmacy could be over for good. From now on, your refills will arrive safely at your doorstep exactly when you need them — no more wondering if they’ll make it on time or if they’re even on their way. And you’ll have ongoing support from a team of pharmacists through private chat or text, helping you feel comfortable discussing any health concerns freely. 

You can switch to Alto in minutes using our app, by going online at alto.com, or by calling Alto at 1 (800) 874-5881. 

We’ll contact your current pharmacy to arrange the transfer right away. It may take a few business days to receive your prescription from your old pharmacy, but we’ll keep you up to date along the way. As an alternative, you can ask your doctor to send a new prescription directly to Alto.

Not only are the services we provide at Alto completely free, but we’ll also do our best to identify ways to save you money. It’s true—your copay stays the same when you switch to Alto and there are absolutely no hidden delivery or service fees. We’ll investigate coupons, copay cards, and other savings options in order to find you the best price — we’ve saved our patients more than $23 million on their medications! 

Once your transfer is complete, we’ll reach out with a text or call to schedule your free delivery. You select the delivery date and window that works best for you, and you can follow your courier in real-time as they make their way to your door. Your medications will be hand-delivered by a member of our local courier team. In most instances, you can designate a safe place for your medications to be left in the event you are not home or if you prefer contact-free delivery. 

Finally, if you’re wondering if we carry your medication, the answer is yes. We fill all types of medications, including specialty, over-the-counter, brand, and generic. And if you have questions about your medications, our pharmacists and patient care team are just a text, chat, or an email away - Monday through Friday 9 am - 9 pm PT and Saturday and Sunday from 10 am - 6 pm PT.

If you’re excited about the benefits of switching to Alto — whether it’s the potential savings, free same-day delivery, or easy access to expert pharmacists — there’s no reason to hesitate about transferring your or your family’s prescriptions. We’ve designed the process to be quick and easy. 

Ready to make the switch to a better pharmacy? Our team is available 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; call or text 1-800-874-5881 or download the mobile app for secure messaging.

How Do I Transfer a Prescription to Alto? 

Our pharmacists share a few tricks that can save money, time, and avoid confusion later on. Let’s walk through the ideal prescription experience one step at a time. 

How to be a prescription overachiever!

You’ve just been handed a new prescription by your doctor. While you could have it sent to the nearest pharmacy, pay what they tell you is owed, and take the medication without question, a prescription overachiever knows a few tricks that can save money, time, and avoid confusion later on. 

If straying from business as usual sounds like a hassle, we’ll let you in on a little secret. We consider ourselves the ultimate prescription overachievers—nothing brings us more joy than taking care of the details for you. From savings investigations to free drop-offs, there are some serious perks on the table. Let’s walk through the ideal prescription experience one step at a time. 

Don’t let the concept of “doctor knows best” deter you from asking questions. Every time you get a new prescription you should be sure you understand what, how, and why. 

You’ll always have access to a team of experts at Alto, but it’s still important to have this initial conversation with your doctor. If you’re unsure what you should be asking, here’s a solid start: 

Why is this medication the best choice for me?

What would happen if I don’t take my medication correctly?

Don’t be afraid to seek as much clarity as you need. This information will help you stick to your plan and there are no wrong questions when it comes to your health. 

2. Decide where and how to get your prescription filled 

While you could take your prescription to the nearest pharmacy and wait in line, a busy retail atmosphere may prevent you from getting much one-on-one time with your pharmacist. Mail-order options offer convenience but can be problematic if you need your prescription right away. Thankfully, at Alto, we’ve built a better pharmacy experience.

Ask your doctor to send your prescription directly to us and we’ll reach out to set up your account. As soon as your medication is ready, we’ll send you a text or give you a call to schedule your free delivery. As a full-service pharmacy, we can fill all medications, including specialty, over-the-counter, brand, and generic. And you’ll have access to a team of experts who’d be happy to answer questions and discuss your concerns. 

According to a recent report from the Organization for Economic Cooperation and Development, on average, Americans spend about $1,200 on prescription drugs a year. However, if you know where to look, there are opportunities to get a better deal. Every time you send a new prescription to Alto, our team works tirelessly behind-the-scenes to find you the best price. We’ll automatically look for any savings, including prescription discounts, coupons, and assistance programs, then show you which option provides the lowest possible cost. If it turns out that paying out of pocket is cheaper than going through insurance, we’re going to let you know. So far, we’ve saved our patients more than $23 million on their medications. 

Now that you have your prescription in hand, it’s a good idea to review the details. Should you take it on an empty stomach or with a meal? Are there special instructions to keep in mind or side effects to expect? Understanding the facts can go a long way in reducing your risk of adverse effects. If any questions still linger, our patient care pharmacists are a simple text or phone call away. 

Whether you thrive on responsibility or you’re more of the “wing it” type, it never hurts to enlist a little help in sticking to your plan. Setting a recurring alarm will ensure you never miss a dose, so we went ahead and included one within the Alto app. If your prescription is ongoing, you can use calendar alerts to help you remember your refills or simply leave it to us! We’ll automatically reorder your medication before you run out and get in touch to schedule delivery. 

Questions may come up in the days and weeks to come, so be sure to have your healthcare provider’s contact information handy. If you experience any unusual symptoms or are unsure if a certain supplement will interact with your medication, don’t hesitate to check in with your doctor or the team at Alto.

Remember—being a prescription overachiever might sound like more work, but you don’t have to put in the extra effort when you have Alto on your side. We thrive on handling the details so you can stay focused on your health. 

Curious if your prescription could cost you less? Our team is available 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; call or text 1-800-874-588 or download the mobile app for secure messaging.

Our hearts work so hard for us. Is there a way we can return that effort and hopefully keep them beating for a long time to come? We answer this question and more as we explore your top heart health FAQs.

Your Top 5 Questions About Heart Health, Answered!

The human heart is astonishingly tireless. Over an average lifetime, it will beat 2.5 billion times and pump out millions of gallons of blood. With such an impressive output, it’s amazing it doesn’t malfunction more often. However, as exceptionally reliable as our hearts may be, they’re still susceptible to wear and tear. Heart disease is the leading cause of death in the United States, although the CDC estimates that it’s 80% preventable. 

What is the link between cholesterol and heart health?

Cholesterol gets a bad rep, but it isn’t inherently bad. Our bodies need it to build cells. We produce enough cholesterol on our own, but we also take it in when we eat animal products like meat and dairy. Additionally, foods that are high in saturated and trans fats can stimulate our bodies to make more cholesterol than we need. 

When there’s too much cholesterol in our blood it can build up in our artery walls, limiting or even blocking the flow of oxygen-rich blood to the heart. Even worse, if a chunk breaks off and blocks an artery that leads to the heart or brain, a heart attack or stroke may occur. 

The American Heart Association recommends having your cholesterol levels tested every 4 to 6 years unless your doctor determines that you should check more frequently. High cholesterol can be addressed through diet and lifestyle changes or your doctor may prescribe a cholesterol-lowering drug, such as a statin. 

We need the sodium in salt to live. But, as is often the case, we can have too much of a good thing. Excess sodium causes the body to hold on to more fluid. More water in the bloodstream increases the volume of blood, which in turn increases blood pressure. High blood pressure can put a strain on our heart and is a major risk factor of heart disease, so make sure your doctor checks yours regularly.

Most Americans consume far more sodium than they need. The American Heart Association recommends no more than 2,300 mg of sodium per day, which is equivalent to one teaspoon of salt. Some of the biggest hidden-sodium culprits are processed meats, canned foods, frozen dinners, and prepared sauces and condiments. If you’re seeking convenience, look for an option that’s labeled “low sodium.” 

How do I make heart-healthy food choices?

Beyond reducing sodium, The American Heart Association recommends including plenty of vegetables, fruits, and whole grains at every meal. A high-fiber diet has been shown to reduce the risk of heart disease.

Limiting saturated and trans fats will have the biggest impact on lowering your cholesterol. Try to choose skinless poultry, fish, and legumes over red meat and stick to low-fat dairy when you can. You’ll also want to favor nontropical vegetable oils like olive, corn, or canola over saturated oils like coconut or palm and avoid hydrogenated margarine and shortening. There are plenty of ways to substitute ingredients in your favorite meals to make them better for your heart.

Finally, while there are many vitamins and supplements out there claiming to promote heart health, studies on some, such as calcium and vitamin E, have been conflicting. After completing a review of the relevant research, a team of researchers at Johns Hopkins cautioned against relying on supplements. Physician Edgar R. Miller III, M.D., Ph.D., summed up their findings by saying, “The bottom line is, we don’t recommend supplements to treat or to prevent cardiovascular disease.” One possible exception is omega-3 fatty acids, however Miller recommends dietary sources such as fish or walnuts. 

What lifestyle choices will help keep my heart healthy?

We’ve already discussed the importance of monitoring your blood pressure and cholesterol levels as well as reducing sodium intake and choosing heart-healthy foods. Here are three more ways to give your heart a boost. 

Quit smoking: According to the CDC, smoking is a major cause of heart disease, accounting for about a quarter of all related deaths in the United States. It’s not easy, but you can give up cigarettes for good—the American Heart Association provides some helpful tips. 

Don’t forget your cardio: Activities like walking, running, swimming, and biking will help to condition your heart and lungs. Try to get your heart rate up by exercising at a moderate intensity for at least 2-3 hours per week. How do you know if you’ve hit the sweet spot in terms of intensity? Well, the CDC explains that the “talk test” can help. You’ll know you’ve reached moderate intensity if you can comfortably talk but not sing. 

Manage stress: Research suggests that high levels of cortisol from long-term stress can increase cholesterol, blood sugar, and blood pressure—all common risk factors for heart disease. Plus, some of the unhealthy ways we deal with stress, like smoking and comfort foods, are contributors as well. For a more positive outlet, The American Heart Association suggests these stress-busting activities. 

What are the warning signs of a heart attack?

Though we’re used to seeing dramatic depictions in the movies, not all heart attacks occur with sudden intensity. Many come on gradually with only mild discomfort, but that doesn’t make them any less dangerous. 

According to the American Heart Association, chest discomfort—whether tightness, pressure, squeezing, or pain—is a major symptom to watch out for. The sensation may even radiate across your arm, back, neck, or jaw. Another major warning sign is shortness of breath, which can occur with or without chest discomfort. Additional symptoms of a heart attack include sweating, nausea, vomiting, or lightheadedness. 

If you experience these symptoms or any unusual sensations in your chest, call 911 right away. Getting immediate medical care could save your life. Every minute matters, so even if you’re not sure, don’t hesitate to get help. 

Staying curious about the many facets of heart health could help you live a longer, healthier life. Your heart needs your help maintaining its steady, life-giving pulse. Ask your doctor how you can reduce your risk of heart disease and make sure to get your blood pressure and cholesterol levels checked regularly. At Alto, we’re specialists in cardiac medications, so if you need a prescription to take care of your heart, we’ll be here to take care of you. 

Switch to Alto and you’ll always have a team of experts on your side. We’re available from 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; reach out via phone, text, or the app.

We don’t know exactly what COVID-19 will mean for this year’s cold and flu season, but it’s safe to say we should double down on our usual protective measures. Our pharmacists share their best tips for ensuring you stay healthy this fall.

Immunity-Boosting Tips for Fall

If you’re looking ahead to this year’s cold and flu season with uncertainty, you’re not alone. On the one hand, we’re wearing masks and social distancing. That should help, right? But on the other hand, we have another serious virus to contend with this season. According to Harvard Health Publishing, there are two main reasons we get sick more often in winter: we spend more time indoors with other people, and some viruses, like the flu, can stay airborne longer in colder weather. 

We don’t know exactly what COVID-19 will mean for this year’s cold and flu season, but it’s safe to say we should double down on our usual protective measures. That means washing our hands frequently, wearing a mask, social distancing, avoiding touching our face while we’re out and about, and getting a flu shot. It also means staying home when we experience cold symptoms to avoid spreading any type of virus. Preventing exposure is by far the best way to keep from getting sick. Despite our best efforts, however, illness-causing intruders can sometimes sneak past our defenses. It’s then that our immune systems must step up and fight.

Your immune system is an intricate network of organs, cells, and proteins that work together to defend the body from infection and disease. Due to its complexity, it’s better to focus on living a healthy lifestyle in general than to pin your hopes on a single supplement or superfood. That being said, recent research points to a few specific strategies that seem to hold promise in shoring up the body’s defenses. Let’s explore four healthy habits that might be worth adding to your immunity arsenal this fall.

Night owls, take note. Here’s one more reason to prioritize sleep—it’s a seriously powerful immune booster. According to the National Sleep Foundation, lack of sleep causes the body to make fewer cytokines, a specific protein that targets inflammation and infection. Plus, when you’re fatigued, your body releases stress hormones to keep you alert, which is known to have an immune-suppressing effect. Recent research has even revealed that sleep can enhance the efficiency of T-cells, a type of white blood cell that plays a critical role in fighting infection. In fact, a 2015 study found that people who slept seven hours or more every night were four times less likely to catch a cold than those who slept less than six. 

When it comes to immunity, we tend to think of bacteria as the bad guy. But we now know that nearly 70% of our immune system is located in our digestive tract and the beneficial bacteria and microorganisms in our gut play an important role in defending us from illness. In one study, workers who were given a daily dose of the probiotic Lactobacillus reuteri took 55% less sick days due to gastrointestinal or respiratory tract infections, suggesting it may be worth tending to our microbiota during cold and flu season. The simplest way to introduce more good bacteria into your body is by eating fermented foods like yogurt, sauerkraut, miso, and kombucha. Additionally, a diet rich in fiber and complex carbohydrates can help keep these friendly bacteria fed. 

As we journey toward winter and the days grow shorter and colder, we inevitably spend less time in the sun. Without direct sunlight on our skin, our body can’t produce vitamin D—one of the most important nutrients for our immune system. About 40% of U.S. adults are thought to be deficient in vitamin D and it’s not found in many foods, so it’s something you’ll want to consider supplementing throughout the colder months. Studies have found that taking this immune enhancer daily significantly reduces the risk of getting sick with the common cold or flu. The recommended daily dose is 600 IU for children and adults aged 1 to 70 years and 800 IU for people over 70.

Exercise is one of the best ways to increase circulation, which helps infection-fighting white blood cells and antibodies travel where they’re needed. A good sweat can also reduce the levels of immune-suppressing stress hormones in the body and increase overall health and vitality. A study following 1,000 people during the fall and winter months found that those who exercised at least five days a week were nearly half as likely to develop an upper respiratory infection as those who were sedentary. Plus, when regular exercisers did get sick, their symptoms were greatly diminished. Just be aware that when it comes to exercise, more isn’t always better. Don’t go so hard that you over stress your body; aim for 30-60 minutes of moderate exercise every day. 

While these immune-boosting strategies are helpful at any time of year, fall is an especially important time to put them into play. We want our bodies’ defenses to be as strong as possible to guard against viral invaders and help us rebound more quickly if we do catch a cold or flu.

Remember—the best way to stay healthy this season is to limit your chances of being exposed to a virus. If you start feeling sick, help keep others safe by staying home and reporting your symptoms to your doctor. Mild symptoms can usually be treated with simple rest and self-care, however, if your doctor prescribes an antiviral medication, there’s no need to drag yourself out of bed. We’ll hand-deliver it to your door for free. 

Alto can make the whole prescription process easier. Let us show you how. Our team is available 9 am - 9 pm PT Monday - Friday and 10 am - 6 pm PT on weekends; call or text 1-800-874-588 or download the mobile app for secure messaging.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

If generic and brand-name medications work the same way, what accounts for the disparity in price? Let’s unravel the facts to discover how this system works. 

What’s the Difference between Generic and Brand-name Medications?

What’s the difference between generic and brand-name medications? 

We tend to feel mistrustful of anything we deem a “knockoff,” assuming we’ll end up with a lesser version of the real thing. With “we get what we pay for” a familiar refrain, we learn to associate better quality with a higher price. So when it comes to generic medications, which can cost 85% less than their brand-name counterparts, it’s no wonder we may cast a suspicious eye. However, unlike a bootleg movie or copycat handbag, generic medications are tightly controlled by the FDA, ensuring they offer the same safety, quality, and results.

Is a generic medication exactly the same as the brand-name version?

According to the FDA, “Generic medicines use the same active ingredients as brand-name medicines and work the same way, so they have the same risks and benefits as the brand-name medicines.” In order to get approval, a generic medication must have the same dosage, strength, safety, manufacturing standards, quality, and effectiveness, and it even needs to be administered in the exact same way.

There is some room for variability between the different versions, however. As C. Michael White, Pharm.D., Professor and Head, Department of Pharmacy Practice, University of Connecticut, explained in an article for the Huffington Post, “the [generic] pill needs to get you within 10 percent above or below the blood concentrations achieved with the brand for the FDA to approve the generic, and in reality, they only usually vary by 3-4 percent in one direction or another. So yes, they are very similar in terms of the active ingredient...Most people will never notice a difference.” According to the FDA, this level of variability is unlikely to have an impact, and could also occur between two batches of the same brand medication. 

Additionally, the inactive ingredients, or the ones with no therapeutic purpose, may differ. Manufacturers might use different binding materials, dyes, and preservatives, but they must prove to the FDA that they’re safe. It is possible, however, that you could be sensitive or allergic to something that’s in one particular version but not another.

How do the different versions come about?

When a brand-name medication enters the market, it is protected by patents and granted a period of exclusivity. In other words, the company that first created the medication has the sole right to sell it for a certain period of time. It takes an incredible amount of money to develop a new medication and see it through the necessary clinical trials—it’s estimated between $2-3 billion per new drug—so this helps drug companies recoup some of that cost. 

Most drugs are granted protection from competition for 5 years, though it can be more or less under certain circumstances. Once the period of exclusivity expires, generic versions of the medication are allowed to seek approval from the FDA to enter the market. 

Why are the generic versions so much cheaper?

Generic medications usually (but not always) cost much less than their brand-name counterparts because they do not have to repeat the expensive research and clinical trials that brand-name drugs undergo to prove they’re safe and effective. Plus, once one or more generic versions enter the market, competition can help drive down the prices. 

So a generic medication can really achieve the same effect for a fraction of the price?

In most cases, yes. According to Harvard Health Publishing, “The bulk of research out there shows that taking the no-name brand not only saves you money, but also provides you with a medication that is just as effective as the original.”

That being said, individual sensitivities can vary, so listen to your body and always report side effects to your doctor. 

If you’re prescribed what is known as a “narrow therapeutic index drug (NTI),” your doctor may recommend that you stick to the brand-name version. That’s because small changes in blood concentration can either render these medications ineffective or possibly cause harm. If you are taking an NTI, such as certain antiseizure medications and blood thinners, it doesn’t mean that you can’t switch to a generic version if it’s available. You’ll want to fully discuss it with your doctor and ensure that you’re closely monitored if you’re cleared to make the switch. 

And again, it’s possible to have sensitivities to a specific version of your medication. If you experience side effects after switching to a generic drug, you may want to consider resuming the brand-name version or trying another generic option. 

Unless your doctor has specified that your prescription is only for the name-brand medication, your pharmacist can suggest a generic option instead. Your insurance company may even require that you take the less expensive generic option or pay the difference for the brand-name version. The team at Alto will always help you find the best price for your prescription by presenting you with all of the options. If you’re curious about whether a generic version is available for any of your current prescriptions, we’d be happy to talk it through with you. Our pharmacists are just a chat, text, or phone call away.

In the world of prescription medications, “brand-name” doesn’t mean better. Most of the time, you can achieve the exact same results for a fraction of the price with a generic drug. According to a report by the IQVIA Institute, generics account for approximately 90% of all prescriptions but only about 20% of the overall costs. They estimate that generic medications saved the U.S. healthcare system $1.67 trillion from 2007 to 2016. If you’re cleared to take a generic version of your prescription, you can do so with full confidence—and hopefully some hefty savings. 

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HIV Health Spotlight: A conversation about PrEP with Dr. Lisa Sterman

Cold, Flu, or COVID-19? Your Seasonal Symptom Guide

Managing Diabetes During COVID-19

How Do I Transfer a Prescription to Alto?

How to Be a Prescription Overachiever!

Your Top 5 Questions About Heart Health, Answered!

Immunity-Boosting Tips for Fall

What’s the Difference between Generic and Brand-name Medications?

Too Stressed to Sleep? These Strategies Can Help.

All about PrEP for HIV Prevention

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