

E980: The Next Unicorns: Alto Pharmacy CEO & Co-founder Mattieu Gamache-Asselin is working to fix the broken US pharmacy system by removing friction & aligning incentives among patients, doctors & insurers, shares insights on trading short-term profits for long-term success, combating the opioid cri
Sep 25, 2019
In this engaging conversation, Mattieu Gamache-Asselin, CEO and co-founder of Alto Pharmacy, shares his mission to transform the broken U.S. pharmacy system. He discusses unique strategies for aligning incentives between patients, doctors, and insurers. Mattieu dives into the opioid crisis, addressing accountability and ethical practices, while advocating for long-term gains over short-term profits. With anecdotes about his journey, he emphasizes operational excellence and resilience as key traits for startup founders.
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From ScriptDash to Alto
- Mattieu Gamache-Asselin and his co-founder initially named their pharmacy startup ScriptDash because the .com domain was available.
- They later changed the name to Alto Pharmacy, realizing ScriptDash wasn't ideal.
Meeting Justin Kan
- Mattieu, with no prior pharmacy experience, pitched his startup idea to Justin Kan.
- Justin, impressed by Mattieu's vision, bought him an existing pharmacy to learn the business.
Broken Pharmacies
- Pharmacies have a negative Net Promoter Score, indicating customer dissatisfaction.
- Alto aims to improve this by addressing long wait times, unexpected costs, and impersonal service.