Jamie Karraker and Mattieu Gamache-Asselin

Courtesy of Alto Pharmacy
  • Age
    33, 33
  • Title
    Cofounders
  • Company
    Alto Pharmacy

Mattieu Gamache-Asselin and Jamie Karraker left engineering jobs at Facebook to found Alto Pharmacy in 2015. Their goal was to disrupt the very offline business of prescription drugs, but first they bought and ran a brick-and-mortar pharmacy, which gave them plenty of experience-improving insights (such as the importance of eliminating the need for fax machines). Today, the company’s technology streamlines the drug-prescription process for prescribers, pharmacists, and patients—who get their meds delivered to their homes. The goal of those improvements: making sure that more people who need prescription drugs actually receive and use them. Alto has been rewarded with rave reviews from consumers—a net promoter score of 86—and $550 million in venture capital funding. Other impressive milestones: The company hit $1 billion in revenue in 2022, and landed Amazon S-Team exec Alicia Boler Davis as its new CEO this summer.       Follow: Twitter: Mattieu; Jamie