Aesthera vs Qualiphy: Do You Need Both?
These two are not really competitors. Qualiphy sells the medical clearance exam a patient needs before an aesthetic treatment, at $27.99 per exam. Aesthera runs the full prescription programme around it, for $497 a month. Most med spas need the first and some need the second.
Most comparison pages on this site set two similar things against each other. This one does not, and pretending otherwise would waste your time.
Start with what a good faith exam is for
A good faith exam is the medical clearance a patient needs before an aesthetic treatment is carried out. A clinician reviews the patient's history and confirms the treatment is appropriate.
It is not a prescription programme. It does not include pharmacy, fulfilment or recurring medication. It is the exam, and the documentation that sits behind it.
So what does each one actually sell?
| Qualiphy | Aesthera | |
|---|---|---|
| Product | Good faith exams, patient-specific orders, on-demand telemedicine, at-home testing | A full prescription programme |
| Pricing | $27.99 per exam | $497 per month, $0 per patient |
| Pharmacy and fulfilment | No | Yes |
| Recurring medication | No | Yes |
| Built for | Med spas and clinics needing clearance | Med spas running programmes |
Read down the pharmacy and recurring medication rows. That is where the two stop overlapping entirely.
When you need Qualiphy and not Aesthera
You already have a programme stack, or you do not want one. What you are missing is compliant clearance for treatments you perform in the clinic.
At $27.99 per exam this is far cheaper than any platform fee, and Qualiphy builds for aesthetic practices specifically, down to customisable questionnaires and virtual backgrounds.
When you need both
This is the common case. A med spa performing in-clinic treatments needs exams for those, and wants to add prescription programmes for weight management, hair loss or hormone therapy.
Qualiphy covers the first. Aesthera covers the second. They sit alongside each other rather than competing, and buying both is a sensible answer if you have both needs.
When the per-exam cost stops making sense
$27.99 per exam is cheap at low volume and less cheap as it grows. A med spa running 200 exams a month is spending roughly $5,600.
That is not an argument against Qualiphy, because a platform fee is not a substitute for an exam fee. It is an argument for tracking your exam volume, so you know whether the pay-as-you-go rate or Qualiphy's monthly option is the better of its two prices.
What a good faith exam has to contain
A good faith exam is not a checkbox. It is a clinical record, and its contents are what protect the med spa if a treatment goes wrong.
A defensible exam documents the patient's history, the medications they take, the treatment proposed, contraindications considered, and the clinician's conclusion. It carries a name, a licence and a timestamp.
Ask any exam provider how their record would stand up if a patient complained six months later. That is the question that separates a real clinical service from a form.
What happens after the exam
An exam clears a patient for a treatment. It does not produce a prescription for ongoing medication, and it does not involve a pharmacy.
If a patient is cleared for an in-clinic treatment, the pathway ends there and you deliver the treatment. If they also want a prescription programme, a second pathway starts, and that is where a platform like Aesthera sits.
Understanding where the handoff falls matters, because two vendors means two records for the same patient. Ask both whether the exam record and the prescription record can sit in one place.
When the monthly option beats pay-as-you-go
Qualiphy publishes $27.99 per exam and a monthly option, without publishing the monthly figure.
Work out your exam volume first. An in-clinic treatment business doing 60 exams a month pays about $1,679 on pay-as-you-go. Once you have that number, ask what the monthly option costs and compare directly.
Do not assume the monthly option is cheaper just because it is flat. Providers price it so the light user pays more, and light users are the ones most likely to pick it.
How it fits alongside your existing intake
A med spa already has an intake process, whether that is a paper form or a booking system.
Ask whether the exam sits inside that flow or beside it. A patient filling in the same history twice is a bad experience, and duplicated intake is where records start to disagree with each other.
Qualiphy publishes a customisable questionnaire and an integration component. Whether that connects to what you already run is the question to ask before you commit.
What happens when an exam finds a problem
Not every patient is cleared. A good faith exam exists partly to catch the ones who should not be treated.
Ask what the platform does when a clinician declines. Does the patient get told why, in terms they can act on? Is the med spa notified, and in what timeframe? What is the record of that decision?
This is the moment the service earns its fee. A provider that clears everyone is not performing an exam, and a med spa relying on one carries the risk itself.
How long exam records are kept
Medical records have retention requirements that vary by state, and they matter if a patient complains months later.
Ask who holds the record, how long it is retained, and how you would obtain a copy for a patient request or a legal matter.
If the record sits with the provider and you cannot retrieve it, you have outsourced the clinical work but retained the liability. That is worth resolving before the first patient rather than after.
Who Qualiphy is not for
Qualiphy is a poor fit if you need pharmacy, fulfilment or recurring medication. It does not offer those, and no amount of exam volume changes that.
It is also a weaker fit at very high volume, where a per-exam fee grows faster than a platform fee would.
It is an excellent fit for a med spa with an established treatment business that needs compliant clearance and nothing else.
The honest conclusion
If you came here looking for a winner, there is not one. Qualiphy solves a single problem well and charges by the unit. Aesthera solves a different problem and charges flat.
The useful question is not which to choose, but whether you have both problems. Most med spas adding prescription programmes do.
Is Qualiphy a competitor to Aesthera?
Not really. Qualiphy sells good faith exams and patient-specific orders. Aesthera runs full prescription programmes including pharmacy and fulfilment. Most med spas needing both buy both.
How much does Qualiphy cost?
$27.99 per good faith exam, pay-as-you-go, with a monthly option. Published on its own site on 19 September 2026.
Do I need a good faith exam to prescribe?
A good faith exam is the medical clearance a patient needs before an aesthetic treatment. It is separate from the prescribing pathway, and it is the piece med spas most often handle awkwardly.
Can I use Qualiphy instead of Aesthera?
Only if you do not need a prescription programme. Qualiphy does not include pharmacy, fulfilment or recurring medication.
Does Aesthera include good faith exams?
Ask us directly about your specific treatments, because it depends on the programmes you run. Qualiphy is built for exam clearance as a standalone service.
See if Aesthera fits your med spa
Tell us which programs you want and how many patients you expect. We will map the compliant path to launch.