Frequently Asked Questions

Karpa Health is a turn-key platform that enables clinicians and non-clinicians to launch and manage cash-pay telehealth programs including peptide therapy, GLP-1 weight loss, TRT, and HRT in all 50 states. The platform handles patient intake, routing to independent licensed providers in Karpa's 50-state network (who review and prescribe), compounding pharmacy integration, and fulfillment. No medical license is required from you.

Patients complete a branded intake form hosted on your domain. The automated eligibility screen flags contraindications and prepares a clinical summary. An independent licensed provider from Karpa's 50-state network reviews the case and decides whether to prescribe, which is sent directly to an integrated compounding pharmacy for fulfillment. You set your own pricing and collect patient payments directly through your own payment processor. Karpa also includes built-in telehealth video conferencing and calendar scheduling.

Karpa supports GLP-1 weight loss medications (compounded semaglutide and tirzepatide, plus branded Wegovy and Zepbound), testosterone replacement therapy (TRT), hormone replacement therapy (BHRT, estrogen, progesterone, testosterone), hair loss treatments (finasteride, minoxidil), sexual health programs, and compounded skin care, plus peptide therapy (such as Sermorelin and NAD+), available now. Lab testing is built in on every plan: preset lab panels on Launch, custom lab panels on Growth and Scale, and branded at-home lab test kits on Scale (coming soon). Every prescription is decided by an independent licensed provider.

Yes. All patient-facing touchpoints (intake forms, communications, and the patient portal) run under your brand. Patients never see Karpa branding.

No. Independent licensed providers in Karpa's 50-state network review each patient and decide whether to prescribe, so you can run the brand without a medical license.

Plan on about 30 days if we build your website. The site takes about 2 weeks on our template, covering a set of core pages with 3 rounds of revisions (a custom design costs extra and takes longer). Once it's up, LegitScript approval typically takes 14–21 days with Karpa, 5 days at fastest. If you already have your own website and LegitScript certification, you can go live in about 7 days. Either way, we build your intake forms and patient portal. Our onboarding team handles the technical setup, pharmacy integrations, provider network assignment, and intake form configuration.

Yes. Karpa Health is a LegitScript Certified Healthcare Merchant and a LegitScript Enterprise Certification Partner. Google and Meta require LegitScript certification to advertise prescription telehealth, and many payment processors expect it. Karpa pre-assembles the certification-critical infrastructure, including Enterprise Certification Partner status, access to a 50-state network of independent licensed providers, and LegitScript-certified pharmacy partners. LegitScript guarantees review within 2 business days with Karpa's expedited code, and approval typically takes 14–21 days with Karpa (5 days at fastest), compared with 3–6 months on your own.

Yes. Karpa follows the FDA's current compounding rules for semaglutide and tirzepatide. Neither drug is on the FDA drug shortage list (tirzepatide resolved December 19, 2024; semaglutide February 21, 2025), so compounded versions are prescribed only for an individual patient. An independent licensed provider in Karpa's 50-state network reviews every case and prescribes a compounded formulation only when that patient needs something the brand-name product doesn't offer. Each prescription is filled by a licensed, LegitScript-certified 503A compounding pharmacy partner. Compounded GLP-1s are not FDA-approved, so Karpa brands can't market them as generic Wegovy or Ozempic or as the same drug, and patients who want an FDA-approved product can be prescribed branded Wegovy or Zepbound. Karpa Health is itself a LegitScript Certified Healthcare Merchant, an independent certification that LegitScript monitors on an ongoing basis.

The FDA approves drugs and medical devices, not telehealth software platforms, so no platform like Karpa is "FDA-approved." What matters is the medication and who prescribes and fills it. Branded Wegovy and Zepbound, which Karpa brands can offer, are FDA-approved for chronic weight management. Compounded semaglutide and tirzepatide are not FDA-approved; on Karpa they are prescribed by independent licensed providers only for a patient-specific need and filled by licensed, LegitScript-certified 503A pharmacy partners, following the FDA's compounding rules. Karpa itself is a LegitScript Certified Healthcare Merchant.

Karpa is designed to support HIPAA-compliant workflows through secure intake, access controls, encryption, audit logging, and vendor safeguards where protected health information is handled.

Yes. Every prescription is reviewed and approved by an independent licensed provider, who makes all clinical decisions. Every prescription comes from Karpa's 50-state network of independent licensed providers, so clinical authority is always in the hands of a licensed provider.

Not today. We can't guarantee Spanish-speaking providers nationwide yet, so consultations are only in English for now. Spanish-language support is something we're working toward.

Clinical questions go to the independent licensed providers in Karpa's network through secure messaging. Shipping and order issues are handled by Karpa with the pharmacy. Refunds, cancellations, and billing run through your Stripe account, so you handle those.

The automated eligibility screen reviews each patient's intake for contraindications, verifies eligibility, and prepares a clinical summary with relevant medical history highlighted. It saves providers time on manual chart review and helps them catch contraindications.

Karpa integrates with our LegitScript-certified pharmacy partners. We are continuously adding new pharmacy partners.

Not today. Prescriptions route automatically to Karpa's LegitScript-certified compounding pharmacy partners, so you don't need to contract or connect a pharmacy yourself.

Yes. Karpa has built-in telehealth video conferencing so you can conduct patient consultations, follow-ups, and check-ins directly through the platform. No need for a separate video tool.

Yes. Karpa includes integrated calendar scheduling so patients can book appointments, consultations, and follow-ups online. Everything syncs with your workflow inside the platform.

You do. Patients sign up under your brand and pay through your own payment processor, so you are the merchant of record and revenue settles to your account first. Karpa charges a monthly platform fee and takes no revenue share.

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. Start by requesting an export of your patient list from your current platform.

Yes, once your brand is LegitScript certified, which Google and Meta require for prescription telehealth ads. Karpa handles the application through its Enterprise Certification Partner status: LegitScript guarantees review within 2 business days with Karpa's expedited code, and approval typically takes 14 to 21 days.

Yes. Every plan includes unlimited affiliates to promote your brand, CRM integration including GoHighLevel, and an API and webhooks to connect other tools.

The Launch plan is $297/month plus a one-time implementation fee that covers your custom website, patient portal, and intake forms. Growth and Scale are shared on a call. Medication, pharmacy, and labs are passed through at cost, with no revenue share. Plans are month-to-month with no long-term contract.

No. Karpa is built for cash-pay programs. You set your own prices and collect patient payments through your own payment processor.

Karpa charges operators a monthly SaaS platform fee for access to the Karpa infrastructure: software, telehealth tools, provider network, and pharmacy coordination. Patient billing is handled entirely by your own payment processor. Karpa does not process patient payments.

We build and host your website, patient portal, and intake forms, connect providers and pharmacy, and handle your LegitScript application. You handle what has to be in your name: your business entity, your domain (you buy it and add the DNS records we send), your logo and brand assets, and the Stripe app we provide, which our Stripe account manager helps get pre-approved.

Book a demo at karpahealth.com/book. We'll show you the platform live and answer your questions. You can go live in about 7 days if you already have your own website and LegitScript certification. If we build 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).