# Alto Pharmacy — user reviews > 164 indexed App Store user reviews of Alto Pharmacy by Alto Pharmacy LLC, rated 4.80/5 from 7,433 ratings. - Source: https://appshunter.io/ios/app/alto-pharmacy/id1251765858/reviews - App overview in markdown: https://appshunter.io/ios/app/alto-pharmacy/id1251765858.md - Rating breakdown: 5★ 6,889 · 4★ 206 · 3★ 44 · 2★ 57 · 1★ 237 ## What do users think of Alto Pharmacy? Overall sentiment: neutral **Pros** - 🚀 Fast and efficient delivery - 💳 Finds discounts and coupons - 📦 Convenient home delivery - 🕰️ Reliable and on-time delivery - 🤖 Helpful auto-refill and reminder features - 🧑‍💻 Responsive and friendly customer service - 🍬 Includes free caramel candies **Cons** - 🐛 Prescription mix-ups and delivery issues - 🕰️ Slow response times for customer support - 💰 More expensive than other pharmacies - 🔍 Lack of transparency around pricing - 🔌 App glitches and technical issues **Commonly reported bugs** - App crashes and login problems - Incorrect delivery status updates - Inability to transfer prescriptions **Most requested features** - Call support option for urgent issues - Detailed order history and tracking - Integration with more insurance providers ## Newest reviews (18 of 164) ### 4/5 — Basic functionality issues *2026-06-28, version 331.0.0* My past couple orders, the “track your order” button is broken in the app. I tap on it and the tracking link doesn’t open. I am now getting texts that my order is on the way, which is an improvement (this has not worked for me consistently), but please fix the app as well. ### 2/5 — Need notifications before the delivery is dispatched *2026-05-24, version 329.0.0* I’ve been getting too much medication and it’s honestly too late when I get my first dispatch notification. Please allow us to review the medication beforehand so we can cancel or reduce the amount so I just have what I need. ### 2/5 — Catfishing *2026-03-26, version 326.0.0* Honestly I feel like I’ve been catfished the last couple of times I’ve used this app. My insurance hasn’t changed, I’ll be shown the price for my meds and place the order, then a couple hours later get a phone call from a number with no one on the line, then see that alto has messaged me to show that my meds are now $50-70 more and I’d need to confirm delivery. This same thing has happened to me twice already and I’ve had to call them and waited forever to speak to someone, who then says the higher price is correct. What the hell Alto! ### 2/5 — The pharmacy is great.. the app is horrible *2026-03-21, version 325.0.0* When i use the keyboard it hides the area i am typing, i cant even see what Im typing until I’m done, and how do you expect me to put in my payment option manually? I can’t even see what credit card number I’m putting in let alone go the next input or click submit. ### 2/5 — Unable to schedule pickup *2026-03-12, version 325.0.0* Alto automatically assigned a pharmacy to me which is not the one I intend to pick up medication from. For reference, I want to pick up in southern CA but automatically assigned a Northern CA location hundreds of miles away. The app does not allow thru see to update pharmacy preference. Had to call, wait 20min to speak to a pharmacist who updated the pharmacy for me. However, once the pharmacy location was updated on Alto’s end, the “pickup” option disappeared all together in the app. Had to order directly from pharmacist. Process took over 30min in total. The convenience of app, and ordering myself was completely negated. Additionally, the next time I need to order medication, will have to go through the same lengthy process again. Suggestions for the developer: (1) allow user to select pharmacy and switch between locations as they see fit (2) allow user to see confirmation of order in app once a pharmacist places the order (3) allow user to select pharmacy location when there profile is set up initially this minimizing the need to select a diff pharmacy within app since that functionality is currently a limitation ### 1/5 — Poor Service *2026-03-04, version 325.0.0* They scheduled my delivery for a week after the script will run out. Tried calling several times to change it and nobody ever answers the phone. App freezes when I try to change it there. Not reliable. Don’t recommend. ### 1/5 — Great until you need help *2026-02-24, version 324.0.0* I’ve used alto for a few years and it is convenient. However, I need to change my email address and they require a verification code and the code never shows up in my texts. I have no way to access the email address to verify the code that way. I tried calling, was put on hold for 40 minutes, given a survey, and then was hung up on. So yeah, it’s good until you actually need to talk to someone and then you are screwed because it’s probably all done electronically now and an AI bot can’t help you. ### 1/5 — App is nice but not customer service *2026-02-17, version 323.0.0* One of the medication I have was not sealed. I contacted to have it replaced as I am not comfortable to inject something in my body that is not sealed! They rejected my request and asked me to do a refill instead. Why do I have to pay for your error? Ridiculous. ### 1/5 — Horrible App and Services *2026-01-25, version 321.0.0* This app and pharmacy used to work so well. The app is now very slow and freezes up often. It is impossible to get hold of anyone for support causing delays in prescriptions. They’ve added new delivery fees without any notice to customers. ### 1/5 — Bundled Rx’s - Erroneous Billing *2026-01-21, version 321.0.0* If you have 1 Rx in an already-scheduled delivery that you are paying an all-CASH rate on, it will force ANY other drugs that you try to “Bundle” or combine into an already-scheduled delivery. It will NOT run your insurance for that 2nd or 3rd drug you are adding into the delivery. You must call and speak to a pharmacy technician and have them manually run your insurance on it again and apply it. After that, THE Alto app WILL NOT SHOW THE RX PRICE on the scheduled delivery or homepage of the app. It will show as $0.00! They have a serious problem treating every single “item” in your cart independently. Instead it appears to force a delivery sub-total and amount calculation totally by it’s first drug’s calculation method (in this case, all-CASH rate) and either forces every item in that cart to also use that first method, or if you have a technician switch it back to insurance, it will then exclude that drug from calculating a correct sub-total entirely. So messed up. Not even signing out of the app and signing back in fixes it. ### 3/5 — Service is good, Auth has issues *2026-01-07, version 320.0.0* I'm very appreciative of the service that alto provides but it's cumbersome to log into the app, honestly - if you're using unique passwords, it will not save off of a chain and it appears to ignore my toggled permission for faceID. I also really wish it would save global tip settings - it doesn't appear to. These are minor quibbles with an app that generally works well otherwise but it's frustrating that I'm resetting my password constantly because of the Auth problems. ### 1/5 — Cannot sign into app anymore. *2026-01-04, version 320.0.0* I've sent several emails to Alto about this, with zero response from them. On the site it says to message them through the app about issues, but I can't sign into the app! I messaged them through my PC's browser, but still no response. ### 1/5 — Horrible App and Services *2025-12-17, version 319.0.0* This app and pharmacy used to work so well. The app is now very slow and freezes up often. It is impossible to get hold of anyone for support causing delays in prescriptions. They’ve added new delivery fees without any notice to customers. Clearly Paulus Holdings acquisition has restored this company ### 1/5 — The app is annoying *2025-12-10, version 319.0.0* I hate how often I have to update this app. Seems like every single time I go to log in and use it, I have to update the app before I can. ### 1/5 — Missing medication *2025-12-07, version 319.0.0* Received a package with some medication missing. Alto refuses to replace it. If you’re shipping medication, it’s absolutely imperative to make sure the package contains everything ### 1/5 — This pharmacy has been such a disappointment. *2025-12-05, version 319.0.0* They’ve stopped offering courier service for auto-refilling prescriptions. I asked them to not send my auto refills via mail because the mail delivery people don’t drop my prescriptions at my home, they wait until the last minutes of the work day, and then dump them at a depot I have to drive to get to. Having to drive to get a prescription defeats the purpose of having it delivered to my home. I was told their software didn’t support doing that, but I was welcome to do each delivery by hand, every month, myself to ensure my drugs got delivered to me. I asked them when they could fix their software and was told that service would never be provided, this was the new normal. If you want your drugs delivered to your home, this isn’t the service for you. ### 1/5 — Auth is broken *2025-12-02, version 318.0.0* The app uses the wrong auth system in iOS so it can’t autocomplete from your saved passwords. This discourages secure passwords. It needs to use an ASAutheticationSession instead of a normal webview. I just use their website now. They’re also completely unreliable about applying the right pricing with my discount card so I need to contact them for every single order. I’ll probably switch to my local CVS. ### 3/5 — Ok. *2025-11-24, version 318.0.0* It’s been great but why do we have to pay for same day delivery now? I got medications that recommended to take immediately but I have to wait for tomorrow afternoon because delivery costs $16 now like y’all some mobile dispo.. yes you’re bringing it to us but you’re alto not a server living off tips.. ## Most critical reviews (10 lowest-rated) ### 1/5 — AVOID *2026-09-08, version 336.0.0* Alto pharmacy used to be a godsend for convenient home delivery’s and affordable pricing but has lately been incredibly unreliable and inconsistent. Most of my recent orders are always out of stock despite ordering them ahead of time and there’s never any direct communication why the order doesn’t come. If you remotely care about your health, avoid. ### 1/5 — unauthorized charges *2026-07-17, version 333.0.0* i got alto through my doctor and they took my insurance as well. i got my prescription scheduled for delivery and everything was good until alto did an unauthorized charge of 1,329.25$ on my account. i reached out to customer support and they said they would look into it, when a few hours later i had another charge of 1,329.25$ from alto. i will never use this app again nor will i recommend it to anyone i know. ### 1/5 — Trash and lies *2026-07-04, version 332.0.0* Don’t go through alto if you actually want your prescription to go through. I waited and gave them months several months to get everything together and make sure that it got through my insurance and I don’t think that they even tried. I reached out to them on to make sure that the process was moving along and spoke to them on the phone. The person that I spoke with on the phone was short and rude and hung up on me abruptly without any clear next steps, leaving me confused and a bit concerned. I took her word, though, that it would be addressed. I should not have, though, because it never was. I continued to be brushed off time and again in their chats. They claimed that they were going to have their physician look back into it to get the order processed and that she would be in touch with me- that was about a month ago and, though I’ve reached out to them, there has been no resolution and they still have my money for services that were never rendered. Basically a scam. Terrible experience. Don’t waste your time or money. ### 1/5 — The En-Sh/tification Has Made it Unuseable *2026-07-03, version 332.0.0* Alto had so much promise! As a person who is supposed to reduce stress as much as possible and relies on medication to function a hand delivery is exactly what I wanted and needed… Instead I’m bullied by spam messages that I cannot opt out of and now they’ve moved onto delivering medication’s I don’t need and don’t know are coming, that REQUIRE ME TO BE PRESENT to sign for them, without our prior approval the delivery in the app. They apparently will Auto cancel it once and then they reschedule it and decide you’re just going to be there on a holiday weekend… this is not the first time I’ve had them rescheduling deliveries for holiday weekends because they didn’t have meds available last time and so they just kept bouncing my Delivery day by day as if I’m just going to be home waiting for the delivery that has now gone from one delivery of three meds to three separate days… I no longer have the ability to keep up with this and have to take my chances with mail order delivery again and just see where USPS delivers .. I don’t know which is more stressful, but despite reaching out to Auto for Support multiple times there’s no way to just get Auto refill notifications when your meds are ready so you can just pop in and do it at your convenience now they’re just sending it to you whether you’re home or not. And if you turn off auto refill you don’t know when they’re ready to refill it’s very unclear user interface that had so much potential! Incredibly disappointed. If they’re still around in the year hopefully I can give them another chance. ### 1/5 — Concept is good but app is very glitchy *2026-06-24, version 331.0.0* App is extremely glitchy ### 1/5 — would rate lower if possible *2026-06-08, version 330.0.0* one of the worst apps ever, each update makes all bugs and issues worse ### 1/5 — Not for Meds You Need *2026-05-21, version 329.0.0* Orders continue to be canceled without warning, or reverified by phone/ cancelled if I miss their call to verify my already verified & reverified, EVERY TIME I REFILL, and now today waiting on Alto and groceries this evening wondering if Alto’s running behind I log in to see my order has been cancelled and rescheduled for the next day (pending my approval), before a long weekend when everyone is heading out of town… seriously? This time it’s cancelled because “something has changed with my insurance” - what changed you ask? And so do i! Would be nice if they flagged the change? The medicine? Cost adjusted? Generic? No idea… fantastic… … waiting on hold so I can spend another night sitting around waiting for Alto- HOPEFULLY with meds before the weekend… because this is what I do now lol ### 1/5 — Slow and buggy *2026-05-06, version 329.0.0* The app is very slow and buggy. I’m not able to place an order after going through multiple pages of confirmation that everything looks good. I’m stuck on the final stage of checking out. The Card or bank account is auto selected as the payment method. The “select payment method” drop down option is frozen and so is the Apple Pay option. So there’s no way to enter payment information or switch to Apple Pay as both are frozen. ### 1/5 — The medicine was not sent within the promised time. *2026-03-14, version 325.0.0* I used this app based on someone else's recommendation. Initially, when I tried to transfer my prescription, the app showed my insurance was outdated and I hadn't updated it, so I left and chose to pick up my medication at a nearby pharmacy. When I got there, the pharmacist told me that Alto had taken my prescription, so I couldn't pick up my medication. Yesterday, I called Alto, and he told me the medication could be mailed today, but when I confirmed, the date automatically changed to tomorrow. This is completely useless and a waste of my time. Why would the pharmacist lie to me? They promised yesterday that the medication couldn't be mailed today. I've spent a lot of time calling Alto and another lot of time processing a simple prescription these past few days. Why does Alto bother people like this? And they haven't done anything properly. I feel bad ### 1/5 — The app is annoying *2026-03-09, version 325.0.0* I hate how often I have to update this app. Seems like every single time I go to log in and use it, I have to update the app before I can order my meds. ## Most praised reviews (10 highest-rated) ### 5/5 — Great Service *2026-06-05, version 330.0.0* I found Alto Pharmacy through a ChatGPT recommendation. Really great service ### 5/5 — First time user *2025-12-02, version 318.0.0* Good job by Tom on delivery ### 5/5 — Alto *2025-11-21, version 318.0.0* This service has been a major success for me. I am no longer able to drive. With Alto I don’t have to rely on my family to pick up my prescriptions. I’m so grateful for this service! LOL Florida Transplant ### 5/5 — Outstanding *2025-07-11, version 308.0.0* It’s well-known that there is a shortage back order of Olympic and I was down to my last weeks dos. When I called. Alto advise them and had excellent service from pharmacy. Tech and prompt response from Alto. Resulting in on time delivery, keeping me on schedule and feeling great. Thank you all at Alto. You’re a professional courteous and effective team and I appreciate it. ### 5/5 — PCA *2025-04-29, version 296.0.0* Excellent ### 5/5 — Amazing! Walgreens is finished *2025-02-25, version 291.0.0* Wow, why did it take so long for a pharmacy to deliver like this? Cut the hassle out of going to busted and dusty Walgreens. ### 5/5 — Amazing! *2025-02-23, version 291.0.0* By far the best app for ordering prescriptions. And the customer service is unbelievable ### 5/5 — Best service *2025-02-22, version 291.0.0* Easy to use. Always on target. ### 5/5 — Amazing App! *2025-02-19, version 290.0.0* So easy to use! Love this App and wish all my deliveries went through it ### 5/5 — Thank you! *2025-02-18, version 290.0.0* So convenient and thankful for this service! --- *Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-09-11.*