OpenLoop Alternatives: Telehealth Infrastructure Partners Compared (2026)

Checked October 18, 2026, from each company's own pages and reputable press. Vendors change their offers often; confirm everything in writing. DFY Telehealth builds brands on top of infrastructure partners like these; this page describes what each one publishes and doesn't rank them.

How the pieces fit

Every DTC telehealth brand is a stack:

1. Brand. You own the site, marketing, pricing and customer relationship.
2. Platform. Intake questionnaires, checkout and subscriptions, the patient portal, the medical record, e-prescribing, payments.
3. Medical group. Licensed clinicians, organized in a professional corporation, who evaluate patients and prescribe. In most states a non-doctor-owned brand can't employ them directly (see our guide to friendly PC and MSO structures).
4. Pharmacy. A 503A compounding pharmacy, a 503B facility or a retail/mail-order pharmacy fills and ships the prescription (see 503A vs 503B).
5. Labs, where a treatment needs them.

Some vendors sell one layer and some sell several. Beluga, for example, offers a direct API (you build the portal and commerce), "platform partners" that come pre-integrated with Beluga, or reselling its clinical API (Beluga). Bask, a software platform, lists Beluga as its provider-network integration (Bask).

The partners at a glance

Clinician networks (they supply the medical group)

OpenLoop

OpenLoop calls itself "the white-label operating system for virtual care." It supplies clinicians (2,000+ across 35+ specialties, by its count), technology including an EHR, payments and video, a pharmacy and lab network, at-home collection kits, and access to 600+ insurance plans (OpenLoop). Launchpad, introduced in June 2026, builds a site and intake "in as little as 24 hours" (OpenLoop). Its verticals run from weight loss and hormones to dermatology, peptides, mental health and chronic care. It notes compounded GLP-1s may not be available in all 50 states (OpenLoop).

• Pricing: not public.
• Fit: brands that want one vendor for most of the stack, including insurance.
• Worth knowing: OpenLoop reported a data breach in January 2026. The HHS breach portal lists up to 716,000 people, with names, contact details, dates of birth and medical information, and no Social Security numbers (HIPAA Journal). A proposed class action followed (Iowa Capital Dispatch).

Beluga Health

"The physician-led clinical engine behind hundreds of digital health brands," covering all 50 states and D.C. It handles clinical care, its own EMR, pharmacy routing, lab orders, compliance monitoring and controlled substances through DEA-registered prescribers (Beluga). It lists 70+ visit types across weight, sexual health, dermatology, hormones, longevity, behavioral and chronic care (Beluga).

• Pricing structure (published, no amounts): a flat per-visit fee tiered by monthly volume, a flat monthly platform fee, and a one-time integration fee credited against future visits. Pharmacy and labs pass through at cost. There's no fee to bring your own pharmacy and no revenue share (Beluga).
• Fit: brands that want the clinical layer through an API and their own choice of platform and pharmacy.

MD Integrations

"The only white-label telemedicine platform powered exclusively by physicians." It offers a white-label platform with custom intake and native apps, an API, and Shopify and WooCommerce plugins, and says brands can go live "in under a week" (MD Integrations). Brands contract with its nationwide professional corporation network, which its homepage offers "at no charge" (FAQ).

• Clinical model: board-certified physicians only, 24/7, async-optimized, in all 50 states plus D.C. and Guam. It doesn't prescribe controlled substances, which rules it out for TRT.
• Pricing: not public; "tailored" during demos.
• Funding: raised $77 million in October 2025 (MobiHealthNews).

Wheel

Enterprise virtual-care infrastructure: a 50-state network of board-certified clinicians, the Wheel Horizon platform and 70+ ready-made protocols, sold to consumer companies, pharma, health plans and retailers (Wheel). Care is delivered by the "Wheel Provider Group" of professional entities (terms). It powers weight-management visits on Walmart's Better Care Services, at $99 for the first visit and $35 for follow-ups (MobiHealthNews).

• Pricing: not public.
• Fit: larger companies and enterprise programs more than first-time brands.

SteadyMD

A clinical workforce plus operations and APIs: it recruits and schedules clinicians, forecasts capacity and handles state-by-state requirements, with async and sync visits around the clock and "hundreds" of doctors and NPs in all 50 states (SteadyMD). DocGo acquired it on October 20, 2025, for about $13 million in cash plus an earnout of up to $12.5 million (SEC filing).

• Pricing: not public.
• Fit: companies that need clinical capacity behind their own product, including AI and lab companies.

Qualiphy

Built for med spas and clinics rather than DTC brands: good-faith exams, patient-specific orders and on-demand video visits by nurse practitioners, with a widget that embeds in a clinic's site or booking page. Clearance covers 70+ med spa procedures, including IV therapy, fillers and GLP-1s (Qualiphy).

• Pricing (published): $27.99 per consult or exam, with no sign-up or monthly fee (Qualiphy).
• Fit: med spas and practices adding treatments that need a medical exam.

Telegra

One platform for intake, e-commerce, prescribing and pharmacy routing, with a white-label portal, a native app on its Pro plan, lab orders and 50-state provider and pharmacy coverage. Visits are async or sync depending on the state (Telegra). Telegra says the brand's LegitScript certification stays with the brand if it leaves, and launch takes two to three weeks.

• Pricing (published): Plus at $2,999 a month plus $5,000 onboarding; Pro at $5,999 a month plus $10,000 onboarding; ID verification at $0.75–$1.00 per patient per year. It charges a fixed fee, not a revenue share. Per-consult service fees aren't published (Telegra pricing).
• Fit: brands that want a bundled platform and network with predictable fixed costs.

Platforms (you bring or integrate the clinicians)

CareValidate

"The data platform powering modern telehealth brands": e-commerce, a white-label patient experience, payments, a 50-state provider network, 503A and 503B pharmacy fulfilment, analytics and a REST API. It says the average launch takes 30 days (CareValidate, provider network). Pricing isn't public. Its homepage shows customer logos including MEDVi.

Bask Health

A software platform with a questionnaire builder, patient, doctor and admin portals, an EMR and e-prescribing, pharmacy routing and payments. It doesn't present itself as the medical group; its integrations page lists Beluga Health as the provider network, plus pharmacies such as Hallandale, Curexa and Truepill, and labs such as Quest (Bask). Tiers are named (Start-up, Enterprise, Custom) without published prices (plans). Bask publishes many comparison posts about competitors, so read those as vendor content.

Healthie

EHR and practice-management software (scheduling, charting, billing, telehealth video, client portal) with an API on its Healthie+ tier. It doesn't supply clinicians. Published plans run from $19 to $149+ a month, with e-prescribing through DoseSpot at $40 per clinician per month and payments at 2.9% + $0.30 (Healthie pricing). It fits brands that already have their own clinicians or medical group.

LifeFile

Not a telehealth platform: it's a pharmacy management system that runs some of the largest compounding pharmacies, with a certified portal where prescribers order compounded medications (LifeFile). Brands usually encounter it through their pharmacy. Empower Pharmacy, for example, sets up every customer with a LifeFile account for patient-specific orders (Empower).

How to choose

1. Start from your treatments. Some networks don't prescribe controlled substances (MD Integrations, for example), so check before you plan TRT or other scheduled drugs. The DEA's telehealth waiver for controlled substances also ends December 31, 2026 unless it's extended again (our structure guide).

2. Decide which layers you want to own. Buying a bundled network and platform is fastest. An API network plus your own platform gives more control over the customer experience. Your own medical group gives the most control, at the most legal cost.

3. Ask every vendor the same questions in writing:

• Who is the medical group, in which states, and with which clinician types?
• Async or sync for each treatment, in each state?
• What's the per-visit fee, the monthly fee and any onboarding fee? Is there a revenue share or a minimum?
• Can I bring my own pharmacy? Is pharmacy passed through at cost?
• Who owns the patient records and the intake data, and how do patients move if I leave?
• Whose name is on the LegitScript certification (why it matters)?
• How does clinical review work? FDA has criticized pre-filled clinical justifications, and LegitScript rejects questionnaire-only prescribing.

4. Check their record. STAT reported in March 2026 that at least 30% of the 70+ telehealth companies FDA had warned over compounded GLP-1 marketing named Beluga, OpenLoop, MD Integrations or Telegra as their medical group (STAT). The warning letters went to the brands, not the networks, but the brand carries the risk of its own claims whichever network it uses. Write your claims to the FDA rules in our 503A vs 503B guide.

5. Model the economics. Per-visit fees, platform fees and pharmacy costs decide your margin per patient. Plug real quotes into the telehealth profit calculator before you sign.

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