Pistoia to Alessandria trains might be a good value for money solution: travelling in Italy by train is often rather cheap and faster than taking a bus indeed Trains leave from Pistoia and arrive at Alessandria every about 1 hour on average. If travelling with Trenitalia, you need to know the Pistoia to Alessandria train schedule: the first train leaves at 05:51, while the last ride is at 17:44. A Pistoia to Alessandria train cost about 31.6 €. But how long is the train ride from Pistoia to Alessandria? Your journey takes about 5 hours on average. Thanks to Trenitalia, offers, you can save on your trip from Pistoia to Alessandria and find low cost tickets starting from 27 €!