Make a difference with every delivery

Build your own schedule, bring prescriptions to our customers in a timely manner, and get paid every week. Delivering for Alto is a better way to drive, and an easy way to earn.

Drive with Alto pharmacy

Why drive with Alto

Alto courier drivers have flexible schedules


Choose your own hours to build a work schedule that fits into your life.

Alto couriers get guaranteed weekly pay


With guaranteed pay for every shift, there’s no secret to maximizing earnings.

Alto couriers help our patients get the medications they need when they need them


Each delivery you make is critical to our customers’ health and to our mission.

Just a few simple requirements needed to drive with Alto

To drive with Alto, you’ll need:

  • To be at least 18 years old
  • A valid driver’s license
  • Authorization to work in the U.S.
  • Access to a reliable vehicle with climate control
  • Insurance and valid registration

Get started in three simple steps

Step one, apply to drive

Click "Apply now"

Fill out an application on our Openings at Alto page to get started.

Step 2, get paid while you're trained

Get trained (and paid!)

Start training to be an Alto delivery driver and get paid while you train.

Step 3, start driving and delivering medications

Start driving

You can start driving and taking shifts as soon as your training is complete.


Yes, drivers need access to their own reliable vehicle, along with a valid driver's license and insurance.

Drivers start their shift by arriving at their local Alto Pharmacy location to pick up the packages for their assigned route. See all of Alto's locations and courier delivery zones at

Alto's dispatchers create routes based on the needs of the business and assign routes to drivers. Routes are different each day.

This job is not an on-demand delivery service where drivers come and go as orders are processed. Instead, couriers are assigned one-way routes that may reach as far as 65 miles from the pharmacy. Alto's dispatchers build the routes to be as efficient as possible, and drivers will deliver packages one-by-one along the route.

Alto couriers are paid weekly on Friday via direct deposit into a bank account. Funds are representative of all hours earned in the prior week of Monday through Sunday.