Cuvo Health (formerly Medstra) vs Karpa: Telehealth Platform Comparison (2026)
Cuvo Health vs Karpa: compare physician model, pharmacy integration, and program depth for peptide and GLP-1 telehealth clinics.
Last reviewed: October 26, 2026
TL;DR
Cuvo Health is a white-label telehealth clinic operator built for brands that want Cuvo Health to operate the licensed clinic behind their name. 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 Cuvo Health, clinical care is provided through partner provider networks, MD Integrations (MDI Medical Group, P.C.) and LFG Medical, covering all 50 states; brands can also use their own providers, or both.
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
Cuvo Health
- Starting price
- Launch $997/mo + $9,800 setup
- Time to launch
- Typically under 30 days
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 26, 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Spot something wrong or out of date?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 | Cuvo Health |
|---|---|---|
| PLATFORM DETAILS | ||
| Platform Type | Turnkey program launcher | White-label telehealth clinic operator |
| Best For | Individual practices adding peptide, GLP-1, TRT, or HRT programs, and entrepreneurs launching 50-state telehealth brands | Brands that want Cuvo Health to operate the licensed clinic behind their name |
| Physician Model | Karpa's 50-state network of independent licensed providers prescribes for every program, sync and async | Clinical care is provided through partner provider networks, MD Integrations (MDI Medical Group, P.C.) and LFG Medical, covering all 50 states; brands can also use their own providers, or both Source |
| Peptide Support | Primary focus with dedicated workflows | Yes: compounded peptide programs are a named category on every plan Source |
| GLP-1 Support | Primary focus with dedicated workflows | Yes: GLP-1 weight loss (semaglutide, tirzepatide) on every plan |
| Pharmacy Integration | Direct integration with our compounding pharmacy partners | Licensed partner pharmacies contracted by Cuvo Health (unnamed), cold-chain delivery in about 2 business days, or route to the brand's own pharmacy on every plan |
| 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 | Launch $997/mo + $9,800 setup; Grow $2,500/mo + $15,000 setup; Enterprise and Cuvo Prescribe custom; $25 per completed consult on every plan; no revenue share Source |
| BUSINESS MODEL | ||
| White-Label Branding | ||
| Pass-Through Pricing | — | |
| Patient Ownership | Source | |
| You Are Merchant of Record | Source | |
| Bring Your Own Pharmacy | — | Source |
| LegitScript Certified | Source | |
Cuvo Health: What You Should Know
Cuvo Health positions itself as done-for-you clinic infrastructure with published pricing: a monthly platform fee plus a one-time setup fee ($9,800 or $15,000) and $25 per consult. Clinical care runs through partner provider networks (MD Integrations and LFG Medical), and it lets brands use their own providers or pharmacy (Karpa does not) and covers GLP-1, TRT, and peptides. Both are LegitScript certified, and Cuvo Health manages a brand's own LegitScript application on every plan. The other difference is entry cost: Karpa's Launch plan is $297/month plus a one-time implementation fee, with pass-through pricing, while Cuvo Health's Launch plan is $997/month plus a $9,800 setup fee.
Cuvo Health: Strengths & Limitations
Strengths
- Published platform, setup, and per-consult pricing; no revenue share
- Every patient, record, and order history belongs to the brand
- Bring your own providers and pharmacy on every plan
- GLP-1, TRT, peptide, sexual health, and women's health categories on every plan
- Licensed providers in all 50 states through partner networks (MD Integrations and LFG Medical)
- API, webhooks, and MCP server on Grow and above
- Free white-glove migration
- Publishes machine-readable product documentation for AI assistants
- Managed, done-for-you clinical and pharmacy operations
- LegitScript certified (cuvo.co), and manages the brand's own LegitScript application on every plan
Limitations
- One-time setup fee of $9,800 (Launch) or $15,000 (Grow) plus $25 per consult
- Cuvo AI+ analytics is a paid add-on ($499/mo)
Cuvo Health or Karpa: Who Each Is Best For
Who Cuvo Health is best for
Cuvo Health is a strong choice for brands that want Cuvo Health to operate the licensed clinic behind their name.
Cuvo Health (cuvo.co, formerly Medstra) is a white-label telehealth platform where brands bring their name and customers while Cuvo Health operates the licensed clinic behind them. Cuvo Health is a DBA of Medstra Inc. Clinical care is provided through partner provider networks, MD Integrations and LFG Medical, and Cuvo Health supplies partner pharmacies, patient software, and compliance under the brand's name. Brands can also bring their own providers or pharmacy. Categories on every plan are GLP-1 weight loss, TRT, peptides, sexual health, women's health, and wellness. Pricing is a monthly platform fee ($997 Launch, $2,500 Grow) plus a one-time setup fee and $25 per completed consult, month-to-month, with no revenue share.
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 Cuvo Health and Karpa. The next step is seeing how a Karpa program runs under your own brand.
Switching from Cuvo Health
Brands comparing Cuvo Health and Karpa should weigh each platform's monthly fee, one-time setup or implementation fee, and per-consult costs, and confirm data export and pharmacy terms.
- 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 Cuvo Health cost?
Cuvo Health pricing, as of October 26, 2026: Launch $997/mo + $9,800 setup; Grow $2,500/mo + $15,000 setup; Enterprise and Cuvo Prescribe custom; $25 per completed consult on every plan; no revenue share. Contract term: month-to-month after a one-time setup fee. For comparison, Karpa Health publishes its starting price: the Launch plan is $297/mo plus a one-time implementation fee, month to month.
Cuvo Health reviews: what are the pros and cons?
This is Karpa Health's review of Cuvo Health, based on Cuvo Health's own public materials as of October 26, 2026. Karpa competes with Cuvo Health, so weigh it accordingly. Pros: Published platform, setup, and per-consult pricing; no revenue share; Every patient, record, and order history belongs to the brand. Cons: One-time setup fee of $9,800 (Launch) or $15,000 (Grow) plus $25 per consult; Cuvo AI+ analytics is a paid add-on ($499/mo). The full list, with a source for each fact, is on this page.
Can I switch from Cuvo 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 Cuvo Health. Brands comparing Cuvo Health and Karpa should weigh each platform's monthly fee, one-time setup or implementation fee, and per-consult costs, and confirm data export and pharmacy terms.
Does Karpa Health support brands that want Cuvo Health to operate the licensed clinic behind their name?
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 brands that want Cuvo Health to operate the licensed clinic behind their name, Cuvo 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
- Cuvo Health
- Cuvo Health published pricing (Launch $997/mo + $9,800 setup; Grow $2,500/mo + $15,000 setup; $25/consult; no revenue share)
- Cuvo Health: patient payments settle to the brand's merchant account; patients, records and data stay with the brand
- Cuvo Health About (DBA of Medstra Inc.)
- Cuvo Health peptide programs
- Cuvo Health provider groups (MDI Medical Group, P.C. and LFG Medical professional corporations)
- Cuvo Health LegitScript certification verification
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.
