# Rupa Health vs Karpa: White Label Lab Testing Comparison (2026)

**Author:** Chad H., Co-founder, Karpa Health  
**Last reviewed:** November 9, 2026

Rupa Health was a free practitioner platform for ordering specialty and blood labs. Fullscript acquired it in October 2024 and has moved its practices to labs on Fullscript: Rupa has been view-only for all providers since October 30, 2026, and the Rupa login closes January 20, 2027. Practitioners order under their own license (or through a signing-physician network), and patients are billed by the platform, not through a storefront under the practice's own brand.

## Side by side
| Question | Karpa Health | Rupa Health |
| --- | --- | --- |
| What it is | White label lab testing, sold through Karpa's storefront, your own website or the API, with prescription programs on the same platform | Practitioner lab-ordering platform for specialty and blood labs, now part of Fullscript and being merged into labs on Fullscript. |
| Built for | Businesses without a medical license and clinicians: gyms, trainers, coaches, med spas, chiropractors, supplement brands, creators and telehealth brands | Licensed practitioners and clinics (functional, integrative and other cash-pay practices), plus health and wellness professionals who order through a signing-physician service. |
| Who orders the test | A licensed provider in Karpa's independent network orders every test, so the business needs no medical license | The practitioner orders under their own license and NPI, with access set by each lab based on license and state. Practitioners without ordering authority, such as health coaches, can route orders through a signing physician (Rupa Physician Services, now the Fullscript authorization network), who reviews and places the order. |
| Sample collection | Walk-in or booked draw at a Labcorp patient service center; branded at-home kits, including white-labeled Tasso devices above a minimum order quantity, launch December 1, 2026 | Specialty test kits drop-shipped to the patient or stocked in-office, in-office phlebotomy, and blood draws at Quest or Access Medical Labs (Labcorp) draw locations. |
| Lab that runs the tests | Labcorp | Third-party labs. The Rupa site lists 19, including Quest Diagnostics, Access Med Labs, Genova Diagnostics, Precision Analytical (DUTCH), Doctor's Data, Mosaic Diagnostics, Boston Heart, Cyrex and US BioTek. Fullscript says it offers 2,500+ blood labs and specialty tests. |
| Pricing | Labs-only storefront pricing is shared on a call, and each lab order carries a $6 collection fee; prescription programs start at $297/month plus a one-time implementation fee | Free for practitioners, with no membership or subscription. On Rupa, patients paid the practitioner price plus a 7% service fee. On Fullscript, a 3% service fee applies to specialty tests (not blood labs or orders in NY, NJ or RI), Quest draws carry a $10 fee, the authorization network costs $9.50 per test or panel (Rupa Physician Services was $10 per kit), and practitioners can add a custom fee, which carries a 5% processing fee. |
| How customer payments flow | Customers pay at the branded storefront checkout Karpa supplies, at the price the business sets, and funds settle directly to the business's own Stripe account | Patients pay Fullscript directly at Fullscript's test price; any custom fee the practitioner adds is paid out with their regular Fullscript earnings, every 30 days by default. |
| Coverage | 47 states plus Washington DC (not Hawaii, Maine or North Dakota, where Labcorp has no patient service center) | United States only. Orders in New York, New Jersey and Rhode Island follow a different billing structure. Lab ordering access varies by state, license and lab. |
| Add prescription programs | Yes: TRT, HRT, GLP-1 weight loss and peptide programs under the same brand, from $297/month plus a one-time implementation fee | No prescription telehealth program for the practice is published. Fullscript adds supplement dispensing alongside labs. Practitioners can order labs for telehealth patients under their own license. |
| Sold under your brand (white label) | Yes | No |
| Branded storefront and checkout included | Yes | No |
| You set the retail price | Yes | No |
| Payments settle to your account | Yes | No |

## Rupa Health: what you should know
Rupa, now labs on Fullscript, is built for licensed practitioners. The clinician orders under their own license, the platform handles patient billing and kit logistics, and the catalog covers a wide range of specialty functional tests alongside Quest blood work. Non-licensed professionals such as health coaches can take part through a signing-physician network, but the patient is still a Fullscript customer: the platform sets the test prices, collects payment and pays the practice its custom fee. It fits a clinic or licensed practitioner that wants a free, wide specialty test menu and is happy for patients to check out with Fullscript.
Karpa fits a different case: a business, often without a medical license, that wants to sell lab testing as its own product. With Karpa the storefront is under the partner's brand, the partner sets the retail price, payments settle to the partner's own Stripe, and a licensed provider in Karpa's network orders every test. Karpa's menu runs through Labcorp draws (with branded at-home kits launching December 1, 2026) rather than a broad specialty catalog, it covers 47 states plus DC, and partners can add prescription telehealth programs under the same brand. Rupa or Fullscript fits when you are the licensed clinician and want specialty tests. Karpa fits when the brand, the price and the customer relationship need to belong to your business.

## Strengths
- Free practitioner accounts with no membership or subscription fee.
- One account covers many specialty labs plus Quest blood work, so there's no need for a separate account with each lab.
- Billing options include patient-pay, practitioner-pay and custom fees. Patients can split payment over 3 months.
- A signing-physician service lets practitioners without ordering authority recommend tests that a licensed clinician reviews and orders.
- Integrates with EHRs including Healthie, Cerbo and Elation.

## Limitations
- Rupa is view-only for all providers since October 30, 2026, so no new orders can be placed; practices are moving to Fullscript, and the Rupa login closes January 20, 2027.
- Patients are billed by and pay through Rupa or Fullscript. No white label storefront under the practice's own brand is published.
- Test prices are set by the platform. The practice can add its own itemized fee, which Fullscript pays out with its regular earnings (every 30 days by default).
- All testing is cash-pay only, with no insurance billing or Superbills.
- Non-licensed professionals cannot order independently and can only recommend tests from a curated list through the authorization network, for a per-test fee.

## When Rupa Health fits
Rupa Health is the stronger fit for a licensed practitioner or clinic that wants one free account to order specialty tests (Genova, DUTCH, Doctor's Data, Mosaic and others) and Quest blood work, with patients billed directly by the platform.

## When Karpa Health fits
Karpa is the stronger fit for a business without a medical license that wants to sell Labcorp testing under its own brand, set its own prices, and add prescription programs later. Karpa Health runs an automated lab storefront under the partner's brand: patient intake, a licensed provider's order, Labcorp testing, and the Labcorp report in a branded patient portal. The partner sets prices, payments settle to the partner's own Stripe account, and a partner portal shows revenue, orders, lab results, custom panels and discount codes. No website build, medical license or LegitScript certification is needed for labs-only. Instead of the ready-made storefront, a business can add a white-label checkout and patient portal to its own website, or connect lab ordering to its own app or platform through Karpa's API.

## Karpa's limitations
- Branded at-home kits launch December 1, 2026; until then customers give samples at a Labcorp patient service center.
- Labs-only storefront pricing is shared on a call rather than published.
- Covers 47 states plus Washington DC; not available in Hawaii, Maine or North Dakota, where Labcorp has no patient service center.
- Labcorp tests only: no specialty kit tests such as DUTCH or Genova.
- Results are not reviewed by a provider by default; a provider reviews them only when the customer books a TRT or HRT consult.
- Karpa's provider network orders every test, so a practice cannot order under its own clinicians' license.

## Frequently asked questions
**How much does Rupa Health cost?**
Rupa Health pricing, as of November 9, 2026: Free for practitioners, with no membership or subscription. On Rupa, patients paid the practitioner price plus a 7% service fee. On Fullscript, a 3% service fee applies to specialty tests (not blood labs or orders in NY, NJ or RI), Quest draws carry a $10 fee, the authorization network costs $9.50 per test or panel (Rupa Physician Services was $10 per kit), and practitioners can add a custom fee, which carries a 5% processing fee. For comparison, Karpa Health also shares its labs-only storefront pricing on a call rather than publishing it; on Karpa the business sets its own retail price for each lab order, payments settle to its own Stripe account, and each order carries a $6 collection fee.

**Rupa Health reviews: what are the pros and cons?**
This is Karpa Health's review of Rupa Health, based on Rupa Health's own public materials as of November 9, 2026. Karpa competes with Rupa Health, so weigh it accordingly. Pros: Free practitioner accounts with no membership or subscription fee; One account covers many specialty labs plus Quest blood work, so there's no need for a separate account with each lab. Cons: Rupa is view-only for all providers since October 30, 2026, so no new orders can be placed; practices are moving to Fullscript, and the Rupa login closes January 20, 2027; Patients are billed by and pay through Rupa or Fullscript. No white label storefront under the practice's own brand is published. The full list, with a source for each fact, is on this page.

**What happened to Rupa Health?**
Fullscript announced its acquisition of Rupa Health on October 10, 2024, and the terms were not disclosed. Fullscript began moving Rupa practices to labs on Fullscript in phases starting in spring 2026, and since October 30, 2026 Rupa has been view-only for all providers. The rupahealth.com homepage says the Rupa login closes January 20, 2027.

**Is Rupa Health now Fullscript?**
Yes, in practice. Rupa is owned by Fullscript, and its lab ordering is continuing as labs on Fullscript. Order history, patients, panels and bundles transfer automatically. Some Rupa URLs, such as the pricing page, already redirect to fullscript.com, while the rupahealth.com homepage still runs and points practitioners to sign up for Fullscript.

**Can a health coach or gym order labs through Rupa Health or Fullscript?**
Not on its own license. Fullscript says health coaches cannot independently order or interpret labs in most jurisdictions. They can opt into the authorization network, recommend tests from a curated list, and have a licensed clinician review and order them, for $9.50 per test or panel. Patients are billed through Fullscript, and the business can add its own itemized fee.

**Does Rupa Health offer white label lab testing?**
No white label program is published. Patients are billed by and pay through Rupa or Fullscript, and test prices come from the platform's catalog. The practice can add an itemized custom fee but does not run its own branded storefront or collect the payment directly.

**What are the best Rupa Health alternatives?**
For licensed practitioners, the direct successor is labs on Fullscript, where Rupa accounts have moved. Other practitioner ordering platforms and direct accounts with labs such as Quest, Labcorp or specialty labs are also options. A non-licensed business that wants to sell testing under its own brand and price can look at white label lab providers with their own ordering provider network, such as Karpa Health, which runs through Labcorp draws, with branded at-home kits launching December 1, 2026.

**Do I need a medical license to sell lab tests with Karpa?**
No. A licensed provider in Karpa's independent network orders every test, so the business never orders or interprets labs. Labs-only needs no LegitScript certification, and Karpa's lab testing covers 47 states plus Washington DC.

**How do I sell lab tests with Karpa?**
Three ways: use Karpa's white-label lab storefront under your brand, add Karpa's lab ordering checkout and patient portal to your own website, or connect your own app or platform through Karpa's API. In each, a licensed provider in Karpa's network orders the test, Labcorp runs it, and payments settle to your own Stripe account.

**How do customers give a sample with Karpa?**
They walk in or book a time at a Labcorp patient service center. Branded at-home kits launch December 1, 2026, and from then, above a minimum order quantity, Tasso at-home collection devices can be white-labeled under your brand and sold as a subscription, such as a retest every quarter.

Karpa wrote this comparison and is one of the two companies compared. Every Rupa Health fact comes from a public source listed below, reviewed November 9, 2026.

## Sources
- [Fullscript: Fullscript Acquires Rupa Health (Oct 10, 2024)](https://fullscript.com/blog/fullscript-acquires-rupa-health)
- [HIT Consultant: Fullscript Acquires Rupa Health (Oct 11, 2024)](https://hitconsultant.net/2024/10/11/fullscript-acquires-rupa-health-to-expand-whole-person-care-platform)
- [Fullscript + Rupa Health: moving to Fullscript](https://fullscript.com/lp/rupa-move)
- [Rupa Health homepage (login closes Jan 20, 2027)](https://www.rupahealth.com)
- [Rupa Health: How Pricing & Payment Works](https://www.rupahealth.com/pricing-old)
- [Rupa Health: Physician Services](https://www.rupahealth.com/physician-services)
- [Fullscript Support: Ordering and paying for lab testing](https://support.fullscript.com/articles/ordering-and-paying-for-lab-testing/)
- [Fullscript Support: Moving from Rupa, lab ordering access and the authorization network](https://support.fullscript.com/articles/moving-from-rupa-to-fullscript-lab-ordering-access-and-the-authorization-network/)
- [Fullscript Support: Custom fee management for providers moving from Rupa](https://support.fullscript.com/articles/custom-fee-management-for-providers-moving-from-rupa/)
- [Fullscript: Lab testing for health coaches](https://fullscript.com/blog/lab-testing-for-health-coaches)
- [Fullscript: Labs](https://fullscript.com/labs)
- [Bessemer Venture Partners: Rupa Health Series A (Mar 1, 2022)](https://www.bvp.com/news/rupa-health-series-a)
- [Fullscript: Ordering and paying for lab testing](https://support.fullscript.com/articles/ordering-and-paying-for-lab-testing/)
- [Fullscript support: Rupa closes January 20, 2027, key dates and next steps](https://support.fullscript.com/articles/rupa-closes-january-20-2027-key-dates-and-next-steps)

## Book a call
https://karpahealth.com/book/labs/

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