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Compare white-label telehealth platforms
A med spa can add prescription programs through a platform, or assemble the pieces directly. The difference is not quality. It is who owns the vendor relationships and how long the launch takes.
Aesthera against each platform
Nine head-to-head comparisons, each built around the one question that decides it. Every figure comes from the named vendor's own published pricing.
- Aesthera vs Cuvo HealthCuvo Health charges $997 per month plus $9,800 setup and $25 per consult. Aesthera charges $497 flat with $0 per patient. The two cost models compared.
- Aesthera vs QualiphyQualiphy sells good faith exams at $27.99 each. Aesthera runs whole prescription programmes for $497 a month. For most med spas these are not competitors.
- Aesthera vs OpenLoopOpenLoop runs 400+ virtual care brands and does not publish pricing. Aesthera is $497 flat for med spas. The question is scale, not features.
- Aesthera vs Fuse HealthFuse Health runs peptides, GLP-1 and longevity from $699 a month. Aesthera runs six aesthetic programmes for $497. The difference is scope, not quality.
- Aesthera vs Karpa HealthKarpa Health is from $297 a month with a $0 per patient fee. Aesthera is $497 with the same fee structure. A close comparison, decided on buyer.
- Aesthera vs LegUp RxLegUp Rx is $2,499 a year and states no medical licence is required. Aesthera is $497 a month for med spas that already prescribe.
- Aesthera vs AsherAsher leads with labs, peptides and longevity and publishes no pricing. Aesthera is $497 flat for six aesthetic programmes. The difference is diagnostics.
- Aesthera vs Altro HealthAltro Health starts at $249 a month against Aesthera's $497. It publishes no setup fee and no per-patient charge, which makes the real cost hard to establish.
- Aesthera vs RimoRimo and Aesthera both charge a flat fee with no revenue share and state that you own the patients. Rimo sells to D2C brands and does not publish the fee.
Comparing models rather than vendors
- Best white-label telehealth platforms for med spasEvery platform on this site, scored against the same criteria.
- What medication markup means for a med spaWhere the margin sits between wholesale and retail medication.
Should you use a white-label platform or build custom software?
| White-label platform | Custom build | |
|---|---|---|
| Time to first patient | Runs alongside certification | After software ships |
| Who maintains it | The platform | You or your developer |
| Clinical network | Included | Recruited by you |
| Software cost | Ongoing | Upfront and ongoing |
Custom software only pays off if the workflow itself is your advantage. For most med spas the workflow is not the product. The care and the local reputation are.
Is a turnkey platform better than a modular vendor stack?
A modular stack means buying clinical, pharmacy and payments separately. It gives you the most control and the most coordination work.
Four separate vendors means four onboarding processes. When a patient's order stalls, you are the one making three phone calls to find out why.
Should you use network providers or hire your own?
| Network providers | Your own clinicians | |
|---|---|---|
| Coverage | Multi-state from day one | Only where they are licensed |
| Recruiting | Not your problem | Entirely your problem |
| Continuity | Rotation across a network | Same faces each visit |
Bringing your own clinicians gives patients continuity. It also means you cannot treat anyone outside the states those clinicians are licensed in.
Should you launch nationwide or state by state?
Every state licenses practitioners separately. A patient in one state cannot be treated by a clinician licensed only in another.
Starting narrow is a legitimate choice. It keeps the clinical and compliance surface small. It also caps how fast the program can grow.
What should you compare first?
- Who holds the payment account, and who fixes it when it breaks.
- Which states you can actually treat in on day one.
- What happens to a patient whose order is stuck.
- Whether leaving later is possible, and what that costs.
Those four questions separate a real operating arrangement from a demo.
How does Aesthera compare with each platform?
- Aesthera vs Cuvo HealthCuvo Health publishes $997 to $2,000 per month, plus a $9,800 to $15,000 setup and $25 per completed consult.
- Aesthera vs QualiphyQualiphy publishes $27.99 per good faith exam, pay-as-you-go or monthly.
- Aesthera vs OpenLoopOpenLoop does not publish its pricing.
- Aesthera vs Fuse HealthFuse Health publishes $699 to $3,000 per month, with no setup fee stated.
- Aesthera vs Karpa HealthKarpa Health publishes from $297 per month with a $0 per patient fee, and does not publish a setup fee.
- Aesthera vs LegUp RxLegUp Rx publishes $208 per month, billed as $2,499 annually.
- Aesthera vs AsherAsher does not publish its pricing at all.
- Aesthera vs Altro HealthAltro Health publishes $249 to $499 per month, and does not publish a setup or per-patient fee.
- Aesthera vs RimoRimo publishes a flat fee but not the amount.
What the platform itself costs
- What a white-label platform runsThe clinical, pharmacy and payment layer, and what the med spa keeps.
- Programs you can offerWeight management, testosterone, hair loss, HRT, peptides and skin.
- What it costsSetup, the monthly fee, and what is not charged for.
Which model covers the most states?
A platform, because its clinicians are licensed across states. A single medical director usually covers one.
What does control cost?
Holding your own payment account means owning the underwriting work, the dispute ratio and the closure risk. A platform charges for removing those obligations.
Does a white-label platform limit pricing?
No. The med spa sets the retail price and keeps the margin. The platform charges for the layer underneath on a flat monthly fee.
What happens to the patient list if you leave?
That is decided by the contract, not by the model. Ask before signing rather than after.
Can you move from a platform to a custom build later?
Yes, and the cost is mostly in migration rather than in rebuilding. Confirm what carries over, including live refills, before committing to either.
What are the four models?
White-label platform: One provider runs clinical, pharmacy, certification and payments behind your brand. Main cost: Per-order cost and less control. Custom build: You build your own software and assemble the clinical and payment pieces. Main cost: Build cost and ongoing maintenance. Modular stack: Separate vendors for telehealth software, providers, pharmacy and payments. Main cost: Integration and more contracts. Own clinical team: You employ or contract your own prescribers. Main cost: Salary and single-state coverage.
Which model suits which med spa?
A single-location med spa selling one program in one state usually wants the lowest operating overhead: a platform. A multi-state group with an engineering team may want to hold its own accounts, because it can amortise the build across more locations.
What is easy to overlook?
Continuity. A patient whose order is stuck will contact the med spa, not the vendor. Whichever model you pick, one party has to own that answer, and the contract should say which. The second item is exit. Ask what happens to the patient list, the accounts and the live refills if you leave, before you sign rather than after.
Does a custom build ever win?
Yes, in specific conditions. Multiple locations, high volume, and either an engineering capability in house or a willingness to fund one. Below that threshold the maintenance cost usually exceeds the control gained.
What about hiring a medical director instead?
It covers prescribing in one state and nothing else. It does not supply a pharmacy, a telehealth payment account or certification help, and it does not cover the states a growing med spa will want next year.
Sources
Figures and rules on this page are checked against the primary sources below. Where a figure changes, the source is the current statement rather than this page.
- LegitScript, Healthcare Certification pricing. Application fee $975 per website, annual fee $2,150 per website, expedite and probationary fees. Checked 20 September 2026.
- LegitScript, Certification. Certification as the route to accepting digital payments and advertising in regulated categories. Checked 20 September 2026.