The best telehealth platform for a med spa depends first on who you want prescribing. If your own medical director or NP will write the prescriptions, you need an EMR or a platform that supports your own providers. If you want the clinical work handled so you can offer a branded at-home GLP-1, peptide or hormone program, you need a platform with its own provider network and pharmacy fulfillment. This guide compares both kinds, using each platform’s published pricing.
Disclosure: Karpa Health publishes this guide and is listed first. The order reflects our judgment of fit for med spas that want a branded at-home program, and every competitor figure comes from that platform’s own published materials, checked in October 2026. Prices change, so confirm on each site before you decide.
Three Kinds of Telehealth Tools for Med Spas
- Program platforms supply the providers, the pharmacy fulfillment, the intake and the branding. You promote the program and set the price. Karpa Health, Rimo Health, Fuse Health and LegUp Rx are in this group.
- Exam services supply a prescriber for each visit, such as a Good Faith Exam before an injectable, without running a program. Qualiphy is the main example.
- EMRs run your practice: charting, scheduling and e-prescribing by your own clinicians. PatientNow and OptiMantra are built for aesthetic and wellness practices.
Many med spas use an EMR for in-clinic work and a program platform for at-home programs.
Quick Comparison
| Platform | Type | Who prescribes | Published cost |
|---|---|---|---|
| Karpa Health | Program platform | Karpa’s 50-state provider network | $297/mo + one-time implementation fee; no revenue share |
| Rimo Health | Program platform | Rimo’s managed provider network | From $2,500/mo; no setup fee; no revenue share |
| Fuse Health | Program platform | Fuse’s 50-state providers | $0 upfront + $499/mo + 3% of payments (DIY) |
| LegUp Rx | Program platform (co-branded) | Managed by LegUp Rx | $2,499/yr for Full Telehealth |
| Qualiphy | Exam service | Qualiphy’s clinicians | $27.99 per exam; no subscription |
| PatientNow | EMR | Your clinicians | Quote on request |
| OptiMantra | EMR | Your clinicians | From $99/mo for the first practitioner |
Karpa Health: Best for a Branded At-Home Program
Karpa runs the at-home side of a med spa: a branded GLP-1, peptide, TRT, HRT, hair loss, skin care or lab program that patients join online and refill from home. Karpa builds the website, intake forms and patient portal. Independent licensed providers in all 50 states review every intake, and licensed compounding pharmacies ship to the patient’s door.
- Cost: $297 a month plus a one-time implementation fee, month to month, with no revenue share. Medication, shipping and consults are passed through.
- Revenue: Patient payments settle to your own Stripe account, and you set the price.
- Reach: Patients anywhere in the 50 states can join, not only those who can visit the spa.
- Launch: About 30 days when Karpa builds the website, including LegitScript certification at $3,000 through Karpa. About 7 days with your own website and certification.
- Trade-offs: Your own medical director or NP can’t prescribe through Karpa today, and the implementation fee is quoted on a call.
See how it works for med spas.
Rimo Health: Best Flat Fee for Higher-Volume Spas
Rimo Health charges a flat platform fee from $2,500 a month, with no setup fee and no revenue share, month to month. Patients see your domain and brand, and payments go to your own merchant account. Its managed provider network reviews intakes, and consult fees and card processing are billed separately. It runs GLP-1 and peptide programs today; TRT is listed as launching soon, and lab ordering is on a higher tier. At that fixed cost, it fits a spa with enough at-home patients to spread the fee. See Karpa vs. Rimo Health.
Fuse Health: Best for $0 Upfront
Fuse Health lists med spas among its target customers and focuses on peptide and GLP-1 programs with a 50-state provider network. The DIY plan is $0 upfront and $499 a month once live, plus 3% of each patient payment. Growth is $5,600 upfront, then $699 a month plus 2%. See Karpa vs. Fuse Health.
LegUp Rx: Lowest Annual Fee, Co-Branded
LegUp Rx targets spa and clinic owners adding elective medication programs. The Full Telehealth plan is $2,499 a year, with 25+ medications including weight loss and peptides such as sermorelin and NAD+, and you set retail above its wholesale price. The intake forms show the partnership with Leg Up Recovery, and partners aren’t the merchant of record. See Karpa vs. LegUp Rx.
Qualiphy: Best for Good Faith Exams
Qualiphy supplies on-demand prescribers for Good Faith Exams and consults, including GLP-1 and peptide exams, at $27.99 per exam with no subscription. It’s an exam and prescription service, not a full program platform, so it doesn’t describe a storefront, billing or compounding network, and your own prescribers can’t work inside it. See Karpa vs. Qualiphy.
PatientNow and OptiMantra: Best When Your Clinicians Prescribe
- PatientNow is an EMR for med spas and aesthetic practices, with GLP-1 and HRT tracking in e-prescribing, AI scribing and before-and-after photos. Pricing is quoted on request. It doesn’t run pharmacy fulfillment. See Karpa vs. PatientNow.
- OptiMantra is an EMR for wellness and med spa practices from $99 a month for the first practitioner, with e-prescribing as a $38 monthly add-on. It has no GLP-1 or peptide program workflows. See Karpa vs. OptiMantra.
How to Choose
- Your clinicians will prescribe: an EMR such as PatientNow or OptiMantra.
- You need a prescriber for in-clinic treatments: an exam service like Qualiphy.
- You want a branded at-home program without using your clinicians’ time: a program platform. Compare fees at your expected volume, check whether the program carries your brand alone, and ask whose account patient payments land in.
For program design and pricing, see our med spa weight loss program guide and peptide telehealth for med spas.
