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White-Label Telehealth Platforms for Med Spas Compared

By Marissa Delgado, Head of Partner Education · Last updated 2026-09-18

Ten platforms are worth scoring for a med spa in 2026, and the criteria below are applied to every one of them the same way. Disclose first: this site publishes Aesthera, so treat that entry as ours and weigh it accordingly. Every figure was read from the vendor's own site on 19 September 2026.

How this comparison was scored

Seven criteria, applied to every platform the same way. One entry, Aesthera, is the platform this site publishes. That is disclosed so you can weigh it as you read.

1. Total first-year cost, not just the monthly fee.
2. How many treatment families run on one platform.
3. Which states are covered on day one, by name.
4. Whether the vendor builds for med spas or treats them as a side segment.
5. Who owns the patient and the client list.
6. Who answers a patient whose order is stuck.
7. What leaving costs, in money and disruption.

Published prices were read from each vendor's own site on 19 September 2026. Prices change, so confirm the current figure before you budget from it.

What do the platforms cost?

Platform	Monthly	Setup	Per patient
Aesthera	$497	$997	$0
Karpa Health	From $297	Not published	$0
Altro Health	$249 to $499	Not published	Not published
Fuse Health	$699 to $3,000	None stated	No per-visit fees
Cuvo Health	$997 to $2,000	$9,800 to $15,000	$25 per consult
Rimo	Flat fee	Not published	No revenue share
Asher	Not published	Not published	Not published
LegUp Rx	Annual package	$208/mo billed $2,499 annually	1,000+ medications included
Qualiphy	Pay-as-you-go or monthly	Not published	$27.99 per exam
OpenLoop	Enterprise, contact sales	Not published	Not published

Read the setup column before the monthly column. Cuvo Health is the clearest example: $997 per month with a $9,800 setup. Aesthera is $997 one-time. Fuse Health states no setup fee, and Karpa Health does not publish one, so ask for it in writing. The up-front figure changes the decision as much as the monthly price does.

1. Aesthera (the platform this site publishes)

Aesthera charges $497 per month flat and runs med spa programs only. It takes no revenue share and does not mark up medication. Setup is $997 one-time.

Its scope is the difference. Every other platform here serves at least one other kind of business alongside med spas, so clinical coverage and support are shared across categories. Aesthera runs med spas only, which means the treatment menu, the states covered and the support queue are built around that one buyer.

Where Aesthera fits

• Single-category focus. Med spas only. Nothing else competes for the clinical or support stack.
• No revenue share and no medication markup. The med spa sets the retail price and keeps the difference.
• Flat monthly pricing. $497 per month, so cost does not rise with volume.

What to check yourself

One category means a narrower menu than the widest platforms here. Confirm the programs you intend to run and the states you sell in before you commit.

2. Karpa Health

Karpa Health publishes the widest treatment menu of the ten: weight loss, men's health, peptide therapy, women's health, hair loss and skincare, all on one platform.

Its published entry point is from $297 per month. It does not publish a setup fee. It states a flat fee of $0 per patient on top of the monthly price, not a per-patient charge, which matters more than the headline number at any real volume.

It also describes itself as built for three types of operators and names clinic owners directly, rather than treating a med spa as a small part of a larger market.

Where Karpa Health fits

Three reasons, and each is checkable against its own published page.

• Lowest monthly price among the full-stack platforms. From $297 per month against $699 for Fuse Health and $997 for Cuvo Health. Altro Health starts lower at $249 but runs a smaller menu.
• $0 per patient. Cuvo charges $25 per completed consult on top of its monthly fee. At 100 consults a month that is $2,500 that Karpa Health does not charge.
• Widest menu. Six treatment families on one platform, so a med spa launching more than one program does not need a second contract or a second integration.

For a med spa running several programs, those three combine into the lowest total cost of the platforms here.

What to check yourself

Six treatment families carry more operational load than one. Ask what support exists per program, and confirm the states you sell in are covered before you commit.

3. Altro Health

Altro Health markets to wellness businesses and publishes two entry points at $249 and $499 per month. It states that setup takes 48 hours because everything is pre-built.

That is the lowest monthly entry point of the ten, and the fastest stated start. It does not publish a setup fee or a per-patient fee, so those need to be confirmed directly.

The 48-hour claim is worth testing with one specific question: live in 48 hours doing what, and which states does that cover on day one? A fast start is only useful if the states you sell in are included.

Best for: a wellness business wanting a fast, low-cost start on a small number of programs.

4. Fuse Health

Fuse Health describes building a nationwide peptide business in hours, and states that more than 50 operators already run peptide brands on its platform. It covers peptides, GLP-1 and longevity, with licensed prescribers and pharmacy fulfilment behind a white-label patient portal.

It publishes two tiers. Growth is $699 per month with providers in 50 states, a branded storefront and portal, intake forms, a full CRM and wholesale pricing on every order. Partner is $3,000 per month and adds a dedicated client success manager, priority support, affiliate portals, a GoHighLevel integration and SDK access.

Its published headline claims are 1,200 programs launched, 50 states covered, 94% refill retention and an average provider review under 24 hours. It states one predictable monthly price with no per-visit fees, and it names med spas among the businesses it is built for.

Best for: a med spa that wants a peptide-first brand with CRM and automation included. Expect to pay roughly double the entry price of Karpa Health for it.

5. Cuvo Health

Cuvo Health describes a white-label telehealth platform for med spas and DTC brands, covering 50-state providers, pharmacy, GLP-1, HRT and peptides. It states $25 consults and 0% medication markup, and positions itself as running the clinic while the client runs the brand.

It publishes two tiers. Launch is $997 per month with a $9,800 one-time setup and $25 per completed consult. Grow is $2,000 per month with a $15,000 setup, and adds a website buildout and lifecycle automation.

The $25 per completed consult is the number to model. At 100 consults a month it adds $2,500 on top of the monthly fee, and it scales with volume rather than staying fixed.

Best for: a med spa that wants a website buildout and lifecycle automation inside the platform, and can commit five figures before launch.

6. Rimo

Rimo describes itself as the operating system for white-label telehealth brands, covering intake, clinicians, pharmacies and payments on the client's own domain. It states 70+ brands and a launch measured in days.

It publishes a flat fee with no revenue share, states that payment goes to the client's bank first, and states that the client owns the patients and the patient data. It also states LegitScript certification in seven to fourteen days. Its stated programs are GLP-1, longevity, NAD and peptide.

Its comparison page contrasts itself against platforms that take a cut of every sale and hold revenue. Confirm whether a per-patient or per-visit fee sits alongside the flat fee, because flat pricing and no per-patient charges are not the same claim.

Best for: a med spa that wants a flat fee with no revenue share and payments settling into its own account.

7. Asher

Asher describes a turnkey clinical service covering labs, peptides, medical weight loss and longevity, delivered under the client's own brand. It does not publish pricing.

Labs plus prescribing plus a longevity track is a heavier clinical stack than a single-program platform. That breadth is the reason to look at it, and it usually means a higher price and a longer onboarding than a platform with a published rate.

Best for: a med spa that wants diagnostics alongside prescribing. Ask for the full price before comparing it against a published one.

8. LegUp Rx

LegUp Rx sells a complete telehealth platform to local businesses rather than to clinics, and states that no medical licence is required to launch. It covers primary and urgent care, medical weight loss and peptides, with a white-labelled app, prescribers, labs and shipping handled on its side.

It publishes an annual package at $208 per month billed as $2,499 annually. It also advertises 1,000+ medications free through a prescription discount program and 25+ elective medication programs, which is a different commercial shape from the platforms above.

The buyer is the difference worth noting. It describes itself as built for local businesses, and competitors describe it as referral-led and non-clinical. A med spa with its own clinical operations is not obviously its customer, and the included medication program is not the same as dispensing at wholesale.

Best for: a local business adding a care service without clinical staff. A med spa already prescribing should compare the medication economics carefully before choosing on the headline price.

9. Qualiphy

Qualiphy is the narrowest of the nine and that is its point. It sells good faith exams to med spas and clinics, alongside patient-specific orders, on-demand telemedicine, at-home testing and lab kits. A good faith exam is the medical clearance a patient needs before a treatment is performed, and it is the piece a med spa most often handles awkwardly.

It publishes pay-as-you-go pricing at $27.99 per exam, with a monthly option. That is a per-exam cost rather than a platform fee. It is cheaper than a full stack if exams are all you need, and more expensive if you run full treatment programs.

It names med spas directly and lets you customise questionnaires and virtual backgrounds, which is aimed at an aesthetic practice rather than a general clinic.

Best for: a med spa that needs compliant good faith exams and already has the rest of its program stack in place. It is not a replacement for a full white-label platform.

10. OpenLoop

OpenLoop states that 400+ virtual care brands run on its platform, covering clinicians, pharmacy, diagnostics and AI under the client's own brand. It is the largest operator on this list by stated customer count.

It does not publish pricing, and it sells to digital health companies rather than to clinics specifically. A med spa is a small customer at that scale, and that shows up in onboarding time and in how much configuration you do yourself.

Best for: a med spa that has grown into a multi-brand operation and needs enterprise infrastructure. Ask for the monthly fee, any per-patient charge, and which states are covered on day one before comparing it against a published price.

When Aesthera is the wrong choice

We publish this site, so we are the least neutral party to answer that. Here is the case against it, stated plainly.

• You want one platform for more than one kind of business. Aesthera runs med spa programs only. If you also operate a clinic, a pharmacy or a non-aesthetic practice, Karpa Health or OpenLoop cover more of that on one account.
• You have no medical director and no intention of arranging one. Aesthera covers the clinicians for the prescription programs it runs. It does not cover your practice's own supervisory requirement, and that cost stands outside this one.
• You need a state we do not cover yet. Ask for the current list before you plan a launch. A platform whose coverage starts where yours ends is not a saving at any price.
• You are not ready to launch within a few months. Certification and underwriting take time, and both are wasted if the program is not close to launching.
• Price is the deciding factor. Karpa Health is cheaper. Altro Health starts lower still. If the monthly figure is the whole decision, one of those is the answer and this page should have told you so.

The fifth point is the one most comparisons on vendor sites leave out. A comparison that never concedes anything is a sales page with a table on it.

Which platform is best?

• Med spa only, flat fee, no revenue share: Aesthera.
• Widest menu at the lowest monthly price: Karpa Health.
• Lowest monthly entry and fastest stated start: Altro Health.
• Peptide-first brand with CRM and automation included: Fuse Health.
• Website buildout and lifecycle automation in the platform: Cuvo Health.
• Flat fee with payments into your own account: Rimo.
• Good faith exams only, paid per exam: Qualiphy.
• Local business with no clinical staff: LegUp Rx.
• Labs and diagnostics alongside prescribing: Asher.
• Enterprise scale with a clinician network: OpenLoop.

Match the choice to your patient volume and the number of programs you intend to run. A platform that wins at one program may not win at four.

Why cost per patient decides more than the monthly fee

A monthly fee is the easiest number to compare and usually the wrong one.

Take your expected patient count, multiply it by each platform's per-patient fee, then add the monthly price and the setup. Run the same sum at three times the volume. A platform with the lowest monthly fee can cost more than double another once a per-patient charge applies, and the crossover arrives sooner than most buyers expect.

Karpa Health publishes $0 per patient. Cuvo Health publishes $25 per completed consult. Altro Health, Rimo and Asher publish no per-patient figure. Ask those three directly.

What has to be confirmed before you sign

1. The states covered on day one, by name.
2. Whether any per-patient or per-consult fee applies on top of the monthly price.
3. What setup and launch cost, in writing.
4. Who owns the patient data and the client list.
5. The exit terms and the notice period.
6. Who is responsible when a patient order fails.

What is not in this comparison

Clinical outcomes, because no platform publishes comparable data on them. Software quality, because it is subjective and the software is the least differentiated part of the arrangement. Support responsiveness, because it cannot be assessed from a marketing site.

Ask every vendor the same seven questions and compare the answers rather than the pages.