Alto Pharmacy is a highly-rated pharmacy known for its customer-focused services, including free hand-delivery and accessible pharmacists. With over one million deliveries and numerous five-star reviews, Alto has built a reputation that resonates with many users. However, some customers have expressed concerns regarding their delivery experiences. Instances of medications being delivered via USPS instead of the expected courier raised issues for some, as did situations where packages were left in unsuitable conditions, such as in the rain. Additionally, while many appreciate the order management system, a few bugs have been noted, though support has been helpful in resolving them. Customers also enjoy small touches, like receiving caramels with their orders, though some have missed these extras. Overall, Alto Pharmacy is dedicated to improving the pharmacy experience, but there are areas for enhancement in delivery and customer service.