Add Cash-Pay Programs to Your Primary Care Practice
Keep weight loss and hormone patients in-house, under your practice's name and at your price. Karpa's licensed provider network reviews and prescribes. You keep the brand and the patients. We handle intake, providers, and pharmacy in all 50 states.
- 50-state provider network
- Live in about 30 days
- 6+ pharmacy integrations
Your Patients Are Already Buying This Online
- 01 They ask at their annual visit About weight loss and testosterone.
- 02 You offer it yourself Under your practice's name, at your price.
- 03 They stay with you Refills and labs stay in your practice, not a DTC app.
Your Practice's Brand on Every Screen
Your website, your intake, your patient portal. Karpa runs the providers and pharmacy behind them.
- 01
Your website
A branded site and checkout, built and hosted for you on a domain you own.
- 02
Your intake
Medical intake and ID verification, under your brand.
- 03
Your patient portal
Prescriptions, refills, order tracking and care-team messages.
How It Works
- Step 01
Patients Complete Intake Online
History, consent, and payment, screened and summarized before a provider opens the chart.
- Step 02
Review and Prescribe in One Place
A licensed provider reviews a structured case summary and confirms the plan.
- Step 03
Medication Ships, You Get Paid
A licensed pharmacy ships to the patient, and payment goes through your own processor.
Programs You Can Launch
GLP-1 Weight Loss
Compounded semaglutide and tirzepatide plus branded Wegovy and Zepbound for medical weight management, with provider oversight and pharmacy fulfillment.
Learn more →
TRT
Testosterone protocols with labs, dosing adjustments and refills handled between visits.
Learn more →
Peptide Therapy
Recovery, metabolic and sexual-health peptides, compounded to order and prescribed by a licensed provider.
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HRT
Estrogen, progesterone, testosterone and BHRT protocols, compounded to the patient's prescription.
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Sexual Health and Performance
ED and performance protocols prescribed and fulfilled without insurance billing.
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Hair Loss Treatment
Prescription hair-loss protocols in oral or topical form, with refills handled for you.
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Compounded Skin Care
Prescription-strength topicals compounded to order and shipped direct to the patient.
Learn more →Keep the Patients Who'd Leave for DTC Brands
Your program, first year
$85K
Illustrative revenue, not a forecast: 6 new patients a month, $300/month per patient with 85% refilling each month. Medication and platform costs come out of program revenue.
Build It Yourself or Launch on Karpa
Build it yourself
$50K–$300K
before your first patient
6–12 months
to launch
- Recruit prescribers licensed in every state
- Contract a compounding pharmacy
- Build the intake, portal and compliance layer
Launch on Karpa
$297/mo
plus a one-time implementation fee
About 30 days
to launch
- 50-state licensed provider network
- Pharmacy fulfillment built in
- Your brand on the site, intake and portal
The build costs come from the startup cost breakdown. Platform pricing is compared on the white label platform comparison and the GLP-1 and peptide platform roundup.
Frequently Asked Questions
What primary care practices ask most before launching with Karpa.
See all FAQs → Does Karpa replace my EHR?
No. Most practices keep their EHR for insurance work and run cash-pay programs, documentation, and patient messaging on Karpa alongside it.
How does the clinical scribe work?
It drafts structured visit notes from the encounter, and you review and sign them instead of writing each note by hand.
How does billing work for cash-pay programs?
Patients pay through your own payment processor at checkout. There is no insurance billing, you set the price, and medication and pharmacy costs pass through at cost.
Can I start with one program and add more later?
Yes. Most practices start with GLP-1 weight loss or TRT and add programs as their plan allows.
Does Karpa Health work for a primary care practice that already has prescribers?
Yes. The program runs under your practice's name and at your price, while Karpa's 50-state network of independent licensed providers reviews and prescribes and Karpa handles intake, screening, pharmacy, and refills. The patient stays with you.
What does a white label telehealth platform cost for a primary care practice?
Plans start at $297/mo plus a one-time implementation fee, with medication at cost rather than marked up. Building the technology yourself typically costs $50,000 to $300,000 before the first patient.
Will my patients know I am using a platform?
No. Intake, portal, pricing, and messages all run under your practice's brand; the platform and pharmacy stay invisible.
Ready to Get Started?
See exactly how Karpa works for your situation. Go live in about 7 days if you already have your own website and LegitScript certification.
Get started