RxPNow vs Karpa: Telehealth Platform Comparison (2026)
RxPNow vs Karpa: compare physician model, pharmacy integration, and program depth for peptide and GLP-1 telehealth clinics.
Last reviewed: October 15, 2026
TL;DR
RxPNow is a white-label GLP-1 telehealth platform built for medSpas, gyms, clinics, and creators launching a branded weight-loss (GLP-1) program. 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 RxPNow, RxPNow supplies a contracted network of board-certified, US-licensed physicians and NPs.
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
RxPNow
- Starting price
- $5,000 one-time implementation
- Time to launch
- About seven days after branding and intake configuration
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Spot something wrong or out of date?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 | RxPNow |
|---|---|---|
| PLATFORM DETAILS | ||
| Platform Type | Turnkey program launcher | White-label GLP-1 telehealth platform |
| Best For | Individual practices adding peptide, GLP-1, TRT, or HRT programs, and entrepreneurs launching 50-state telehealth brands | MedSpas, gyms, clinics, and creators launching a branded weight-loss (GLP-1) program |
| Physician Model | Karpa's 50-state network of independent licensed providers prescribes for every program, sync and async | RxPNow supplies a contracted network of board-certified, US-licensed physicians and NPs |
| Peptide Support | Primary focus with dedicated workflows | Peptide and longevity programs mentioned; no named peptide catalog |
| GLP-1 Support | Primary focus with dedicated workflows | Yes -- primary focus is a white-label GLP-1 weight-loss clinic |
| Pharmacy Integration | Direct integration with our compounding pharmacy partners | Managed -- FDA 503A/503B pharmacy routing (partners not publicly named) |
| 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 | $5,000 one-time implementation; $550/mo platform subscription; physician encounters $30 async or $50 video plus $15 nurse coordination; medication billed at actual pharmacy cost; optional LegitScript Accelerate $2,500 Source |
| BUSINESS MODEL | ||
| White-Label Branding | ||
| Pass-Through Pricing | Source | |
| Patient Ownership | Source | |
| You Are Merchant of Record | Source | |
| Bring Your Own Pharmacy | — | ? |
| LegitScript Certified | ? | |
RxPNow: What You Should Know
RxPNow is a GLP-1-first launch platform positioned around a seven-day go-live. It mentions peptide and longevity programs but publishes no peptide catalog and no TRT or HRT line. Its store-setup flow publishes a $5,000 implementation fee and a $550 monthly platform fee, with medication passed through at pharmacy cost and the operator as merchant of record. Karpa's prescribing model -- a 50-state network of independent licensed providers prescribing for every program -- plus a dedicated peptide, GLP-1, TRT, and HRT formulary gives operators a broader cash-pay program set.
RxPNow: Strengths & Limitations
Strengths
- Markets a fast, 7-day launch timeline
- Turnkey licensed practitioners and e-prescribing included
- FDA 503A/503B pharmacy routing built in
- Partner retains ownership of the customer base
- Published fee structure with medication at pharmacy cost
- Operator collects payments through its own merchant account
Limitations
- GLP-1 is the primary focus; peptide and longevity programs are mentioned without a named formulary; no TRT or HRT line
- No named compounding pharmacy partners publicly disclosed
RxPNow or Karpa: Who Each Is Best For
Who RxPNow is best for
RxPNow is a strong choice for medSpas, gyms, clinics, and creators launching a branded weight-loss (GLP-1) program.
RxPNow (rxpnow.com) markets itself as a way to launch a white-label GLP-1 clinic in 7 days. The turnkey platform provides licensed practitioners, e-prescribing, HIPAA-compliant software, and FDA 503A/503B pharmacy routing, letting MedSpas, gyms, clinics, and creators launch a branded weight-loss program while retaining ownership of the customer base. Its store-setup flow lists a $5,000 implementation fee, a $550 monthly platform fee, per-encounter clinician fees, and medication at pharmacy cost, with the operator collecting payments through its own merchant account.
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 RxPNow and Karpa. The next step is seeing how a Karpa program runs under your own brand.
Switching from RxPNow
Operators on RxPNow who want to expand beyond GLP-1 into peptide therapy, TRT, or HRT programs will find Karpa Health's broader formulary a more complete fit.
- 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 RxPNow cost?
RxPNow pricing, as of October 15, 2026: $5,000 one-time implementation; $550/mo platform subscription; physician encounters $30 async or $50 video plus $15 nurse coordination; medication billed at actual pharmacy cost; optional LegitScript Accelerate $2,500. Contract term: month-to-month (30 days' notice). For comparison, Karpa Health publishes its starting price: the Launch plan is $297/mo plus a one-time implementation fee, month to month.
RxPNow reviews: what are the pros and cons?
This is Karpa Health's review of RxPNow, based on RxPNow's own public materials as of October 15, 2026. Karpa competes with RxPNow, so weigh it accordingly. Pros: Markets a fast, 7-day launch timeline; Turnkey licensed practitioners and e-prescribing included. Cons: GLP-1 is the primary focus; peptide and longevity programs are mentioned without a named formulary; no TRT or HRT line; No named compounding pharmacy partners publicly disclosed. The full list, with a source for each fact, is on this page.
Can I switch from RxPNow 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 RxPNow. Operators on RxPNow who want to expand beyond GLP-1 into peptide therapy, TRT, or HRT programs will find Karpa Health's broader formulary a more complete fit.
Does Karpa Health support medSpas, gyms, clinics, and creators launching a branded weight-loss (GLP-1) program?
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 medSpas, gyms, clinics, and creators launching a branded weight-loss (GLP-1) program, RxPNow 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.
