67
Quality Score
Solid
Alto Pharmacy
Medium confidence
✍️ bumetric analysis
“
Alto Pharmacy is an iOS app from Alto Pharmacy LLC in the Medical category, currently rated 4.8★ across 7,426 ratings. Initial signal reads as mostly critical sentiment so far: users flag rough edges and unmet expectations.
Quality Score is 67: Solid (established niche player). For a Medical app, that means established niche player. The full BU Investment Matrix below scores 8 dimensions including monetisation, growth, and operational risk.
Track changes month-over-month in the Performance section below: live snapshot history and revenue forecast included.
💰 Monthly revenue · now vs forecast
● Right now
$1.0K
per month
→
12-mo forecast
$904 – $3257
per month
→
24-mo forecast
$837 – $7535
per month
INDIE tierFREE
💡 Grow this revenue
Free AI audit of this app’s store listing
- Title & subtitle keyword fit
- Description hook & conversion structure
- Screenshots, ratings, reviews strategy
Typical impact: +2-5× organic installs
📊 Performance Tracking LIVE
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Rating
—
Reviews
—
Forecast Revenue / mo
—
Snapshots tracked
0
since first record
🤖Also on Android
$467/mo · 589 ratings · 4.9★
View →
ONE-TIME · BUILD💰 Estimated build cost
$150K
↳ What it cost to build · not monthly revenue
Likely range $110K – $200K
$25K · MVP floor$100K · indie scale$500K+ · studio build
📈Slow ROI — current MRR is well below build cost
Synthetic estimate. Inputs: category complexity, file size, screen count, monetization layer, platform reach, age × team-size proxy. Calibrated against 2024-2026 indie-agency rate surveys. Full math + source list on /methodology.
Where the money goes
| 🧱MVP baseline (design + 1-store ship) | +$28K |
| 📱5 unique screens × $4.5K | +$22K |
| 📦Asset bundle (82 MB) | +$12K |
| ⚙Medical complexity ×1.55 | +$34K |
| ⚙8.9y maintenance × ~1-person team | +$53K |
Total estimate$150K
ONE-TIME · EXIT VALUE💵 Estimated acquisition value
$25K
↳ What it would sell for · not monthly revenue
Marketplace range $20K – $30K · 23× MRR multiple
💸~0.2× build cost (under-water)
Synthetic estimate. Multiple band derived from ad-supported + age, rating quality, category demand, and user-base maturity. Calibrated against 2024-2026 indie-app-marketplace closed-deal medians. Full math + comparable deal list on /methodology.
How the multiple was built
| 📺Ad-supported base | 15× MRR |
| 📅8.9y proven track record | +20% |
| ⭐★ rating ≥ 4.7 (premium) | +15% |
| 🏷Medical category multiple | +12% |
Final multiple23× MRR
👥 Estimated audience size
285K
Lifetime downloads (US-equivalent)
Monthly active
41K
Daily active
8.3K
Synthetic estimate from ratings × category benchmarks. Calibrated against 2024-2026 mobile-attribution retention + DAU/MAU reports. Numbers are US-storefront-equivalent — true global audience can be 5-10× larger for international apps. Full math + source list on /methodology.
How we sized it
| 📲Medical engagement | ~55 installs / rating |
| 📅8.9y of rating accumulation | -30% |
| 🔁Medical D30 retention | 25% |
| 📍DAU / MAU stickiness | 0.20 |
DAU / MAU20% sticky
🛠 Estimated tech stack
🍎
Native iOS (Swift / UIKit)
Medium confidence · 60%
Also possible
React NativeFlutter
Heuristic guess from app bundle size, category, store description signals, and release-date stack era. Bumetric does not disassemble binaries — for binary-level certainty you would need an SDK intelligence tool or the manifest itself. Reasoning chain on the right. Full ruleset on /methodology.
Signals we read
| 📦App bundle size | 82 MB |
| 🏷Category context | Medical |
| 📦Mid-large iOS bundle | → Likely native Swift / UIKit (pre-2020 era) |
💀 Maintenance status
Active
15%
Last shipped 2026-04-24 · 31 days ago
0 · Active50 · At risk100 · Abandoned
Heuristic risk score from time-since-last-update + ratings velocity proxy + Editor's Choice / curated featuring signals. Calibrated against 2024-2025 app-store ranking decay reports. Not a guarantee — a quiet app with a healthy codebase looks the same as an abandoned one until something breaks. Full math on /methodology.
Risk signals
| 📅31 days since last update | Healthy release cadence |
VerdictActive
🔬
How we forecast this revenue
MEDIUM CONFIDENCEBaseline
$1.0K/mo · ML-estimated from 234 triggers
Growth rate
+6.0% MoM · INDIE tier baseline (compound monthly)
6 months
$880 – $2.1K
12 months
$904 – $3.3K
24 months
$837 – $7.5K
Compound growth at +6.0% MoM (tier baseline for INDIE). Range widens with horizon — typical noise band ±40% at 6mo.. Ranges widen with horizon — distant futures carry more uncertainty.
📊
BU Investment Matrix
Pre-traction · 38/100INDIE TIERFREE (NO MONETIZATION)limited signalRevenue Strength
3.0
Product Quality
7.2
Market Position
0.3
Growth Velocity
5.0
Defensibility
4.2
Operational Safety
7.0
Founder Strength
3.0
Monetization Maturity
0.5
- 💰 Revenue: Modest — $413 - $2584/mo · INDIE tier · medium confidence, trajectory unclear.
- ⭐ Quality: 4.81★ across 7,426 reviews — solid.
- 📍 Market: Not yet charting in any of the 9 monitored markets.
- 📈 Growth: Insufficient signal to assess trajectory.
- ⚠️ Risk: Moderate — rating drift -2.43 ★ (recent 50 vs lifetime).
🎯 For competitors: Mixed picture. Worth competing if you have a clear UX or pricing edge — otherwise crowded segment.
💵 For acquirers: Estimated asking range 18-32× monthly = $18K-$33K.
Composite of 8 dimensions computed deterministically from public signals — no LLM, every score traces back to a measurable input. Default weights shown; "compete" / "acquire" / "invest" lenses re-weight without re-fetching.
Range:
💰 Forecast Revenue / mo
MODELRevenue forecast computed from BU's 234 trigger model on each snapshot. Calibrated against ground-truth from 58 verified-revenue apps.
🔬Forecast Breakdown — Why This Estimate?Top 12 of 12 triggers
Our ML model uses 200+ signals from public data. These are the most influential for this app:
| Excellent rating (4.8★)METRIC | +$2,200 | |
| bugsREVIEW | −$1,800 | |
| 5 starREVIEW | +$1,800 | |
| cancelledREVIEW | −$1,500 | |
| excellent appREVIEW | +$1,500 | |
| Low install base (7,426 ratings)METRIC | +$1,500 | |
| Mature app (8y old)METRIC | +$1,500 | |
| highly recommendREVIEW | +$1,400 | |
| slowREVIEW | −$1,200 | |
| priceyREVIEW | −$800 | |
| Ad-supported / freemiumMETRIC | +$600 | |
| Single-language (English only)METRIC | −$400 |
METRIC = structural app data · REVIEW = mined from user reviews · ✓ VERIFIED = Stripe-verified anchor (TrustMRR)
📈 Reviews Growth
LIVECumulative review count from first BU snapshot. Each point = a tracked update.
⭐ Rating Trend
LIVEAverage rating evolution. Updates with each new review batch.
App Specs
🔐 Own this app? Claim & verify MRR →💾 82 MB🔞 4+📱 iOS 14+🔖 v329.0.0🔄 updated 1mo ago🌐 EN📂 Medical💰 Free🚀 Launched 2017 (8y old)
📝 About this app
Alto Pharmacy powered by Fuze Health makes it simple to live your healthiest life, providing an easier, more supportive, and more affordable prescription experience. We’re redefining what a pharmacy can do with same-day prescription delivery, direct access to care specialists, and support with insurance and cost savings. After more than 2 million deliveries — and more than a thousand five-star Yelp reviews — we’re proud to say we’ve built a pharmacy that people love.
The Alto app puts a full pharmacy at your fingertips, giving you control and convenience in managing your prescriptions.… View full description on the official store →
The Alto app puts a full pharmacy at your fingertips, giving you control and convenience in managing your prescriptions.… View full description on the official store →
🆕 What's New · v329.0.0
Thanks for using Alto! We're always working to improve your app experience, so today we're releasing a few bug fixes and performance improvements.
📅
What Worked™ · Development Pipeline
13 EVENTS TRACKEDDetected changes in this app over its tracked lifetime — each event links cause (what changed) to effect (what moved). Sorted newest first.See full history →Version history →
2026-05
⭐
Rating ↑ 4.25 → 4.81 (improved 0.56★)
2026-05
📈
Crossed 1,000 ratings — social-proof flywheel kicking in
2026-03
📈
Crossed 500 ratings — social-proof flywheel kicking in
2026-03
⭐
Rating ↓ 4.80 → 4.26 (dropped 0.54★)
2026-03
⭐
Rating ↑ 4.27 → 4.80 (improved 0.53★)
2026-03
📈
Crossed 500 ratings — social-proof flywheel kicking in
2023-08
📈
Crossed 100 ratings — social-proof flywheel kicking in
2023-06
📈
Crossed 50 ratings — social-proof flywheel kicking in
2023-04
📈
Crossed 10 ratings — social-proof flywheel kicking in
2023-04
⭐
Rating ↑ 3.00 → 3.40 (improved 0.40★)
2023-03
⭐
Rating ↓ 3.67 → 3.00 (dropped 0.67★)
2023-03
🚀
First tracked snapshot — initial data captured
2023-03
⭐
Rating ↓ 5.00 → 3.00 (dropped 2.00★)
🗣
Voice of Customer
Based on 500 reviews across 1 markets● 84% positive · ● 4% neutral · ● 12% negative · Rating drift: -2.43★ (declining — recent 50: 2.38★ vs lifetime: 4.81★)
VADER compound sentiment per quarter (−1 = fully negative, +1 = fully positive). Each point ≥ 5 reviews.
Top praise themes
customer service ×42 easy order ×18 service easy ×14 easy easy ×14 highly recommend ×14 user friendly ×12 delivery service ×11 excellent service ×9
Top complaint themes
customer service ×15 scheduled delivery ×6 place order ×4 mail delivery ×4 send message ×4 buggy slow ×3 pick medication ×3 allow user ×3
🔔
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Profile & Insights
Everything we know — and don't — about this app and its company.
Identification
- App name
- Alto Pharmacy
- Developer
- Alto Pharmacy LLC
- Bundle ID
- com.scriptdash.altopharmacy
- App Store URL
- Open in App Store
- Category
- Medical
- Content rating
- 4+
- Languages
- EN
Company
- Website
- Not found
- Tagline
- Pharmacy reimagined
- Description
- We’re redefining what a pharmacy can do, with fast and reliable prescription delivery, tools like auto refill and medication bundling, direct access to care specialists, and support with insurance and cost savings. Get started with Alto today!
- Founded
- Not found
- HQ / Address
- Not found
- Employees
- Not found
- Logo
- Available
Revenue
- Verified revenue / mo
- Not found
- AI revenue estimate / mo
- Not found
- AI annual estimate
- Not found
- ML model estimate / mo
- $1.0K/mo
- Top-grossing rank
- Outside top 100 in US Medical
- All-time revenue
- Not found
- Pricing
- Not found
Founder
- Name
- Not found
- X / Twitter
- twitter.com/altopharmacy?lang=en
- linkedin.com/company/altopharmacy
- GitHub
- Not found
- X followers
- Not found
- Public statements
- Not found
Funding
Funding data not yet collected for this app.
Press & Links
Press & Links data not yet collected for this app.
Contacts & Socials
- Socials
- facebook facebook.com/altopharmacy · instagram instagram.com/altopharmacy/?hl=en · linkedin linkedin.com/company/altopharmacy · twitter twitter.com/altopharmacy?lang=en
- Not found
- Phone
- 1 (800) 874-5881
- Contact page
- alto.com/contact
- About page
- alto.com/blog/post/misconceptions-abo…
📈Ratings growth7,426 ratings+19% lifetimeShow 3-year history estimate ▾
Tracked (51 weeks) Pre-tracking estimate (34 weeks) · model-based, ±5% noise · anchored to release date and current value
🌍Geographic ReachNot ranked
This app is currently outside the top 100 grossing in all 9 countries we monitor (US, UK, DE, FR, JP, CA, AU, BR, IN). Niche or new apps often launch this way — popularity rankings appear once daily revenue clears the regional threshold.
Profile is built from iTunes Lookup + developer site scrape + ML revenue model. Empty fields show "Not found" — additional sources (Crunchbase, X, IndieHackers, Acquire.com) coming.
Full revenue analysis
Read the article-style breakdown for Alto Pharmacy: category rank, percentile, growth signal, comparable apps, and how the forecast is calibrated against verified-MRR anchors in this niche.
About this analysis
Why medium confidence: 7,426 ratings · no founder-verified revenue (model estimate only).
❓ Frequently Asked Questions
10 answers · auto-generated from this app's public dataHow much does Alto Pharmacy make per month?▴
Based on our ML-calibrated revenue forecast, Alto Pharmacy earns approximately $1.0K/mo. This is a US-storefront-equivalent estimate; global revenue can be several times larger for internationally-distributed apps. See the methodology page for the full formula and confidence bands.
Is Alto Pharmacy profitable?▴
With estimated build cost $150K and monthly revenue $1.0K, Alto Pharmacy looks well below break-even — current monthly revenue is much smaller than the estimated build cost. Profitability also depends on paid-acquisition spend and refund rate which the public model doesn't see.
How many users does Alto Pharmacy have?▴
Estimated audience: ~285K lifetime downloads, ~41K monthly active users, and ~8K daily active users. Derived from ratings count × category installs-per-rating × age decay. US-storefront-equivalent — global audience can be 5-10× larger for internationally-distributed apps.
What apps are like Alto Pharmacy?▴
Browse the full Medical category catalog to find similar apps with revenue, build cost, audience and tech stack data. Each /p/{slug} page also shows a Compare side-by-side widget with three peer apps from the same niche.
What is Alto Pharmacy built with?▴
Our heuristic places Alto Pharmacy on the Native iOS (Swift / UIKit) stack (Medium confidence, 60%). Signals: app bundle size, category context, store-description markers, release-date era. We don't disassemble binaries. Alternative possibilities: React Native, Flutter.
Is Alto Pharmacy still actively maintained?▴
Maintenance status: Active (15% abandonment risk). Last shipped version was 1 months ago. The risk score combines time-since-last-update with Editor's Choice / curated featuring + user-base maturity adjustments.
How much would Alto Pharmacy sell for?▴
Estimated acquisition value: $25K (marketplace range $20K – $30K). Calculated as 23× monthly revenue using the standard multiple for the detected monetization model + adjustments for age, rating quality and category demand. Calibrated against 2024-2026 Flippa / Acquire.com / MicroAcquire closed-deal medians.
When was Alto Pharmacy last updated?▴
Alto Pharmacy last shipped a new version on 2026-04-24 — 1 months ago. This is the date Apple / Google last accepted a new build, not a content-only push.
Who makes Alto Pharmacy?▴
Alto Pharmacy is published by Alto Pharmacy LLC on the Apple App Store. See the full publisher portfolio (other apps by the same developer) via the More by developer block on the product page above.
What is Alto Pharmacy's BU Score?▴
Alto Pharmacy has a BU Score of 67/100 (Solid). The score combines App Store rating, ratings count, monetization model and revenue signals calibrated against founder-verified MRR anchors. See the BU Score formula.