OpenLoop vs Karpa: Telehealth Platform Comparison (2026)

OpenLoop pricing, as of October 15, 2026: Not publicly listed; OpenLoop states pricing varies based on the services added and directs buyers to sales. For comparison, Karpa Health publishes its starting price: the Launch plan is $297/mo plus a one-time implementation fee, month to month.

This is Karpa Health's review of OpenLoop, based on OpenLoop's own public materials as of October 15, 2026. Karpa competes with OpenLoop, so weigh it accordingly. Pros: Broad program catalog beyond weight loss, including peptides, hormone therapy, dermatology, diagnostics, sleep testing, and behavioral health; OpenLoop supplies the clinician network, stated as 50-state coverage, so operators do not recruit or credential clinicians. Cons: Pricing and contract terms are not publicly specified; OpenLoop is the merchant of record: its terms of use say OpenLoop (or its payment processor, Stripe) charges the patient's payment method; patient data ownership is not publicly specified. The full list, with a source for each fact, is on this page.

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 OpenLoop. Operators comparing a transition should confirm data portability, patient communication terms, clinical responsibilities, pharmacy options, and commercial terms directly with both vendors.

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 organizations that want to offer virtual care under their own brand without hiring clinicians, from first-time operators to clinics, medspas, gyms, and health systems, OpenLoop 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.

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.

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.

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.