Altro Health (formerly Lyv) vs Karpa: Telehealth Platform Comparison (2026)
Altro Health (formerly Lyv Care) vs Karpa: compare physician model, pharmacy integration, and program depth for peptide and GLP-1 clinics.
Last reviewed: October 15, 2026
TL;DR
Altro Health is a clinical infrastructure platform for wellness businesses built for health coaches, medspas, wellness centers, fitness studios, and chiropractors adding labs, GLP-1, peptide, and hormone programs without a medical license. Karpa Health is a turnkey platform for entrepreneurs and clinicians launching GLP-1, peptide, TRT, or HRT programs, with no medical license required. The key difference: with Karpa, you own the patient, you get paid first, and you launch under your own brand. With Altro Health, independent licensed clinicians across all 50 states and DC handle clinical review and prescribing; the business never prescribes.
Karpa Health
- Starting price
- $297/mo
- plus a one-time implementation fee
- Time to launch
- 7–30 days
- about 7 with your own website and LegitScript certification; about 30 when Karpa builds the website
Altro Health
- Starting price
- Starter $319/mo, Pro $599/mo
- Time to launch
- Not published
About Altro Health
- Funding
- $7M seed led by NFX (October 2026), with Founder Collective and Primetime Partners
At-a-Glance Comparison
Side-by-side comparison across features, pricing, and business model.
Karpa wrote this comparison and is one of the two platforms compared. Every competitor fact comes from a public source cited at the end of the page, reviewed October 15, 2026. “Not publicly specified” means we could not verify that detail from a public source.
Spot something wrong or out of date? Contact us with a public source, and we’ll review it and update the page.
| FEATURE | Karpa Health | Altro Health |
|---|---|---|
| PLATFORM DETAILS | ||
| Platform Type | Turnkey program launcher | Clinical infrastructure platform for wellness businesses |
| Best For | Individual practices adding peptide, GLP-1, TRT, or HRT programs, and entrepreneurs launching 50-state telehealth brands | Health coaches, medspas, wellness centers, fitness studios, and chiropractors adding labs, GLP-1, peptide, and hormone programs without a medical license |
| Physician Model | Karpa's 50-state network of independent licensed providers prescribes for every program, sync and async | Independent licensed clinicians across all 50 states and DC handle clinical review and prescribing; the business never prescribes Source |
| Peptide Support | Primary focus with dedicated workflows | Yes: peptide therapy is a named focus area (specific products not listed publicly) |
| GLP-1 Support | Primary focus with dedicated workflows | Yes: GLP-1s for weight management (specific products not listed publicly) |
| Pharmacy Integration | Direct integration with our compounding pharmacy partners | Licensed 503A and 503B pharmacies (unnamed) ship directly to clients |
| Pricing | Launch plan $297/mo plus a one-time implementation fee (custom website, patient portal, signup forms); Growth and Scale shared on a call; custom EMR quote | Starter $319/mo, Pro $599/mo (billed quarterly at $957 / $1,797); Enterprise custom; $0 onboarding; optional LegitScript Certification Package $5,500 Source |
| BUSINESS MODEL | ||
| White-Label Branding | ||
| Pass-Through Pricing | — | |
| Patient Ownership | Source | |
| You Are Merchant of Record | — Source | |
| Bring Your Own Pharmacy | — | ? |
| LegitScript Certified | Source | |
Altro Health: What You Should Know
Altro Health is built for a specific operator type: the wellness business that wants to add supervised prescription programs without taking on clinical responsibility or billing. The model is clean -- businesses own the client relationship and set prices, the platform supplies independent clinicians and 503A/503B pharmacy access, and Altro processes the payments. This removes medical liability from the business entirely.
The main structural difference from Karpa Health is who holds the revenue. Altro processes clinical payments, so the business is not the merchant of record. On Karpa, patient payments settle to the partner's own Stripe account. Both platforms route prescribing through a network of independent licensed providers and fulfill through licensed pharmacies, and Karpa passes medication through at cost.
For wellness businesses that do not hold a clinical license and want a simple, published-price path to adding prescription programs, Altro Health is a clean option. For operators who want patient revenue to settle to their own Stripe account, Karpa Health is the closer fit.
Altro Health: Strengths & Limitations
Strengths
- Built for wellness businesses, with clinical and business scopes kept separate
- 50-state + DC independent clinician network included in the platform
- Co-branded storefront on Starter; white-labeled storefront on your own domain on Pro
- Published pricing from $319/month with $0 onboarding
- Storefront live in 1 business day
- Lab testing integration with nationwide diagnostic centers
- Businesses pay a subscription only -- no clinical billing, inventory, or medical liability
- Covers GLP-1, peptides, hormone health, and labs through a single platform
- $7M seed led by NFX (October 2026)
Limitations
- Businesses are not merchants of record -- Altro processes clinical payments
- Your own domain requires the Pro plan ($599/mo); Starter is co-branded
- LegitScript certification is an optional $5,500 package
Altro Health or Karpa: Who Each Is Best For
Who Altro Health is best for
Altro Health is a strong choice for health coaches, medspas, wellness centers, fitness studios, and chiropractors adding labs, GLP-1, peptide, and hormone programs without a medical license.
Altro Health (formerly Lyv Health) is clinical infrastructure for wellness businesses: health coaches, medspas, wellness centers, fitness studios, and chiropractors. Independent licensed clinicians in all 50 states and DC handle review and prescribing, licensed 503A and 503B pharmacies ship to clients, and Altro processes payments while the business sets prices. Programs cover weight management (GLP-1s), peptides, hormone health, and lab testing. Starter is $319/month and Pro is $599/month, billed quarterly. Altro raised a $7M seed led by NFX in October 2026.
Who Karpa Health is best for
Entrepreneurs, clinicians, and operators who want to launch a real telehealth business, not rent someone else's. Whether you're a licensed clinician adding cash-pay programs or a non-medical founder launching a 50-state brand, Karpa gives you full control.
- Pass-through pricing on pharmacy and provider fees
- You are merchant of record and get paid first
- Full white-label branding, patients only see your brand
- You fully own the patient relationship
- No medical license required, use Karpa's 50-state network of independent licensed providers
Operators already running on Karpa have left reviews on G2 and Capterra. Read the Karpa Health reviews, quoted word for word with the reviewer, the date and a link to each source.
Explore Karpa's Programs
You are deciding between Altro Health and Karpa. The next step is seeing how a Karpa program runs under your own brand.
Switching from Altro Health
Wellness businesses on Altro that want to be the merchant of record on clinical services should compare Karpa, where patient payments settle to the partner's own Stripe account.
- 01
Initial Consultation
Book a gameplan session to map your current workflows to Karpa's platform.
- 02
Platform Setup
Karpa configures intake forms, protocols, pharmacy connections, and your branding.
- 03
Go Live
Live in about 7 days with your own website and LegitScript certification, with one-click pharmacy fulfillment.
Frequently Asked Questions
How much does Altro Health cost?
Altro Health pricing, as of October 15, 2026: Starter $319/mo, Pro $599/mo (billed quarterly at $957 / $1,797); Enterprise custom; $0 onboarding; optional LegitScript Certification Package $5,500. Contract term: billed quarterly; no long-term contract; cancel anytime. For comparison, Karpa Health publishes its starting price: the Launch plan is $297/mo plus a one-time implementation fee, month to month.
Altro Health reviews: what are the pros and cons?
This is Karpa Health's review of Altro Health, based on Altro Health's own public materials as of October 15, 2026. Karpa competes with Altro Health, so weigh it accordingly. Pros: Built for wellness businesses, with clinical and business scopes kept separate; 50-state + DC independent clinician network included in the platform. Cons: Businesses are not merchants of record -- Altro processes clinical payments; Your own domain requires the Pro plan ($599/mo); Starter is co-branded. The full list, with a source for each fact, is on this page.
Can I switch from Altro Health to Karpa Health?
Yes. Karpa's onboarding team migrates your patient records, active prescriptions, and refill schedules, so current patients keep their refills without starting over; continuing prescriptions are reviewed by independent licensed providers in Karpa's network. We rebuild your intake, checkout, and patient portal under your brand, connect pharmacy fulfillment, and handle LegitScript through our Enterprise Certification Partner status (review within 2 business days). If you already have your own website and LegitScript certification, you can go live in about 7 days. Start by requesting an export of your patient list from Altro Health. Wellness businesses on Altro that want to be the merchant of record on clinical services should compare Karpa, where patient payments settle to the partner's own Stripe account.
Does Karpa Health support health coaches, medspas, wellness centers, fitness studios, and chiropractors adding labs, GLP-1, peptide, and hormone programs without a medical license?
Karpa Health is purpose-built for entrepreneurs and clinicians launching cash-pay GLP-1, peptide, TRT, and HRT programs. You don't need a medical license to launch. If your primary need is health coaches, medspas, wellness centers, fitness studios, and chiropractors adding labs, GLP-1, peptide, and hormone programs without a medical license, Altro Health may fit. If you want to own the patient, set your own prices with pass-through pharmacy costs, and launch under your own brand, Karpa is the stronger choice.
What pharmacies does Karpa integrate with?
Karpa Health has direct integration with our compounding pharmacy partners for one-click prescribing. Prescriptions route to those partners automatically, so there is no pharmacy for you to bring or contract.
Do I need a medical license to use Karpa?
No. Independent licensed providers in Karpa's 50-state network prescribe, so non-medical entrepreneurs can launch without a license. You own the patient relationship, control the brand, and act as merchant of record.
How long does it take to launch a program with Karpa?
About 7 days if you already have your own website and LegitScript certification. If Karpa builds your website, plan on about 30 days: about 2 weeks for the site, then LegitScript approval, typically 14–21 days with Karpa (5 days at fastest). Karpa provides pre-built intake forms, clinical protocols, pharmacy connections, and patient communication templates.
References
Ready to launch?
Launch your white-label GLP-1, peptide, or hormone therapy brand, live in about 7 days with your own website and LegitScript certification. Pass-through pricing, your brand, your patients.
