Case Study: Alto achieves average $50 savings on high-value prescriptions with Plaid Auth (Plaid)

Alto empowers patient health with same-day medication delivery

Alto, a next‑gen digital pharmacy serving more than 50,000 patients across three U.S. cities, faced rising credit‑card fees on higher‑value out‑of‑pocket transactions (those over $1,000, which accounted for about 5% of orders). To reduce costs and preserve a seamless patient experience, Alto turned to Plaid and integrated Plaid Auth to enable feeless ACH payments.

After about a month of back‑end work, Plaid Auth provided instant bank authentication (avoiding slow microdeposits), letting Alto offer ACH with an incentive discount. The change saves Alto an average of $50 per order over $1,000 (sometimes up to $150), with the potential to save roughly $20,000 per month at current volume—savings Alto reinvests in growth and passes on to customers.

Alto

Jamie Karraker

Co-Founder