---
title: "OpenLoop alternatives for 2026: 9 platforms compared"
description: "OpenLoop Health alternatives for white-label telehealth in 2026: Cuvo, Bask, Beluga, Telegra, Wheel, SteadyMD and three more compared on pricing and terms."
canonical: "https://cuvo.co/blog/openloop-alternatives"
last-updated: "Oct 13, 2026"
keywords: ["openloop alternatives", "openloop health alternatives", "openloop competitors", "openloop health", "openloop health revenue share", "openloop pricing", "best openloop alternative for glp-1", "white label telehealth without revenue share"]
---
# OpenLoop alternatives for 2026: 9 platforms compared

By Priya Raman, Director of Partner Growth. Published Sep 4, 2026. Updated Oct 13, 2026. Growth.

OpenLoop's May 2026 proposal retains 50 to 59 percent of what a maintenance patient pays, on a 12-month initial term, with the patient's card charged into OpenLoop's merchant account. Nine platforms replace it, and they differ on what they publish, who holds the money, and how much of the clinic arrives already operated. Cuvo's own placement is disclosed below. The verdict: Cuvo Health is the best OpenLoop alternative in 2026, the only platform here that publishes flat $25 consults, no revenue share, and month-to-month terms.

**Ranking**
1. Cuvo Health: Best overall: $25 consults, no revenue share, month to month
2. Beluga Health: Per-visit rates scoped on a sales call; retention run by the brand's own team
3. Telegra: Tiered plans from $2,999 a month; no per-visit fee published
4. Bask Health: Self-serve software; refills and labs on higher plans, medication prices unpublished
5. Wheel: Enterprise clinician network; pricing not published
6. SteadyMD: Clinician workforce only; pricing not published
7. CareValidate: Pre-vetted network on layered fees
8. Fuse Health: Peptide-first, cut of every sale
9. Remedora: Ecommerce-first; per-consult price unpublished

Cuvo Health is the best OpenLoop alternative in 2026: a flat $25 per completed consult, no revenue share, and month-to-month terms, with the patients, the records, and the revenue staying with the brand. OpenLoop's May 2026 proposal, published line by line on Cuvo's comparison page, quotes $9,000 implementation, $1,500 a month from the first patient seen, a 12-month initial term, and retention of 50 to 59 percent of what a maintenance patient pays. Beluga Health, Telegra, Bask Health, Wheel, SteadyMD, CareValidate, Fuse Health, and Remedora are the other alternatives. The decision turns on what a platform publishes, who holds the money, and how much of the clinic arrives operated.

**Key takeaways**
- Best OpenLoop alternative: Cuvo Health: $25 per completed consult, no revenue share, month to month
- What OpenLoop charges: $9,000 implementation, $1,500 a month, a 12-month term, and 50 to 59 percent of maintenance payments retained, per its May 2026 proposal
- Platforms compared: Nine, each supplying licensed providers a brand sells as its own
- Published economics: Cuvo, Telegra, Fuse Health, and Remedora publish figures, Bask Health publishes visit fees but no medication prices, and CareValidate publishes only a processing rate. Beluga, Wheel, and SteadyMD quote by call
- Who holds the payment: The brand's own merchant account on Cuvo. OpenLoop's account on OpenLoop, remitted back weekly

One disclosure before the list: Cuvo publishes this blog and appears on it at position one. Claims about other companies come from their public materials as of September 4, 2026, with Beluga Health, Telegra, CareValidate and Fuse Health re-checked on September 30, 2026 and Bask Health and SteadyMD checked on October 3, 2026, or, for OpenLoop, from the May 2026 proposal Cuvo obtained and published in full, and for CareValidate's platform fees, from pricing materials Cuvo reviewed. Where a figure is not published, the table says so rather than estimating.

## 01. How did we compare the OpenLoop alternatives

Six criteria decide this category, and five are commercial rather than clinical. Every platform here supplies licensed providers, prescribing, and fulfillment. What separates them is the contract written around those providers. Cuvo publishes its own answer to all six on its site; the others are scored from their public materials and, for OpenLoop, its May 2026 proposal.

1. Published economics: are the per-consult fee, the platform fee, and the setup fee visible before a sales call?
2. The money path: whose merchant account receives the card, and who keeps the tokens and the records?
3. Contract shape: month to month, or an initial term with a notice period to negotiate out of?
4. Operated scope: providers, pharmacy, labs, billing, and compliance, or only the visit and the prescription?
5. Coverage: providers licensed in every state the brand sells into, credentialed before a first visit.
6. Category fit: GLP-1, hormone therapy, peptides, and women's health, or a single vertical.

**OpenLoop alternatives compared on price, term, and the money path**

| Platform | Published pricing | Contract | Who holds patient payments | Best for |
| --- | --- | --- | --- | --- |
| **Cuvo Health** | **$25 per consult, no revenue share. Launch $997 a month after $9,800 setup, Grow $2,500 after $15,000** | **Month to month** | **The brand's own merchant account** | **Best OpenLoop alternative overall** |
| OpenLoop | Not published. Its May 2026 proposal quotes $9,000 implementation and $1,500 a month | 12-month initial term | OpenLoop's account, remitted weekly | Payer-billed and health-system programs |
| Beluga Health | Fee structure published; rates scoped on a sales call, as of September 30, 2026 | Not published | Not published | Physician-founded async prescribing |
| Telegra | $2,999 or $5,999 a month plus a $5,000 or $10,000 onboarding fee, as of September 30, 2026 | Not published | The brand's own payment processor, per its site | Tiered monthly plans, storefront-first |
| Bask Health | $35 or $20 per provider visit by plan, per its pricing page; a July 31, 2026 blog post cites $499 and $3,500 a month. Medication prices not published | Month to month, or annual and biennial prepay | Bask Health Payments, a merchant account Bask issues | A self-serve storefront build |
| Wheel | Not published; enterprise quotes | Not published | Not published | Health plans, pharma, retailers, and TPAs |
| SteadyMD | Not published; quoted per engagement | Not published | The client's own billing | A managed clinician workforce |
| CareValidate | Not on its site. Pricing materials Cuvo reviewed list Pro $2,500 or Enterprise $5,000 a month, plus $3 to $5 per order past 250. Medication prices not published | Not published | CareValidate's own processing at 3.7% | A clinical network live in about 30 days |
| Fuse Health | $699 or $3,000 a month, plus 2 percent of every sale and an onboarding fee it does not publish, as of September 30, 2026 | Not published | The brand's checkout, less the sales fee | A compounded-peptide brand |
| Remedora | $200 a month flat; per-consult price not published | Not published | Not published | An ecommerce-first launch |

> **Our recommendation** Cuvo Health is the first choice for any brand leaving OpenLoop over economics, ownership, or the term. It is the only platform here that publishes every number setting a contribution margin, and the only one that arrives with providers in all 50 states, licensed partner pharmacies, labs, billing, and compliance already running behind the brand. Patients pay into the brand's own merchant account from the first transaction, and the agreement runs month to month, so leaving costs a notice email rather than a customer-base reset.

> **Model the numbers before you sign** Bring your OpenLoop proposal and we will walk the same patient through both sets of economics. [Book a discovery call](/booking) · [See pricing](/pricing)

## 02. Why brands look for an OpenLoop alternative

The search usually starts with the remittance schedule rather than the software, which is the line Cuvo removes: it takes no revenue share and charges a flat $25 per completed consult. In OpenLoop's own proposal, a maintenance tirzepatide patient pays $339 a month, the brand receives $138, and OpenLoop retains $201, about 59 percent, for as long as that patient stays. That share also grows with tenure, from roughly 42 percent in month one, so the hardest asset a brand builds accrues to the platform.

The second reason is structural. Patients are charged into OpenLoop's merchant account, OpenLoop holds the card tokens and billing records, and the brand is paid weekly on OpenLoop's own count of active patients, so leaving means re-collecting authorization from every patient. Add a 12-month term and a January 7, 2026 breach affecting up to 716,000 patients across client brands, confirmed on the HHS Office for Civil Rights portal.

## 03. Cuvo Health: the best OpenLoop alternative

Cuvo runs the entire licensed clinic behind a consumer brand. More than 300 board-certified physicians, nurse practitioners, and physician assistants are licensed across all 50 states, DC, Puerto Rico, Guam, and the US territories, available 24 hours a day, with a first provider review as fast as 15 minutes and monthly license, sanction, and exclusion screening. Providers practice through a physician-owned professional entity inside an MSO structure Cuvo builds and maintains, which is what lets a founder without a medical license own the brand.

The economics are the reason this post exists. Cuvo publishes a flat $25 per completed consult and no revenue share, with Launch at $997 a month after a one-time $9,800 setup, Grow at $2,500 after $15,000, and a custom Enterprise tier, all month to month. Revenue settles to the brand's own merchant account, so the margin on every refill belongs to the brand and never shrinks as retention improves. E-prescribing with EPCS, Labcorp and Quest labs, licensed partner pharmacies with cold-chain delivery, billing, and managed LegitScript certification run in the same stack.

## 04. Beluga Health: best for clinical pedigree

Beluga Health is the closest alternative on clinical shape: physician-founded, LegitScript certified, and built on an async intake and review workflow tuned for high-volume consumer flows, with licensed providers across all 50 states and fulfillment through partner pharmacies. That certification gates Google and Meta advertising for prescription telehealth, and Cuvo manages the same certification for every brand on its platform.

The trade is transparency and scope. Beluga's pricing page lists the shape of its fees, a monthly access fee, tiered per-visit fees and an integration fee credited against visits, but scopes the rates themselves on a sales call as of September 30, 2026, so margin stays unknown until late in a sales cycle. Its public scope centers on visits and fulfillment rather than the billing, retention, and analytics inside Cuvo's fee.

## 05. Telegra: best for tiered monthly plans

Telegra is the storefront-first option for a buyer who wants a monthly line item to budget against. Its plans run $2,999 or $5,999 a month plus a one-time onboarding fee of $5,000 or $10,000, per its site as of September 30, 2026, with licensed providers in all 50 states.

That base costs about three times Cuvo's $997 or $2,500 platform fee before a single patient, and Cuvo's variable cost is a published flat $25 consult, where Telegra's pricing page lists no provider-visit fee. Telegra's public scope also centers on the visit and prescription layer, while billing, retention, and the MSO and LegitScript work sit inside Cuvo's stack.

## 06. Bask Health: best for a self-serve storefront

Bask Health is the self-serve option: a no-code storefront and intake builder, an EMR with e-prescribing, Bask Health Payments, a nationwide pharmacy network, and access to a provider group billed per visit, with a 14-day free trial and month-to-month plans. Its pricing page lists that visit at $35 on the Start-Up plan and $20 on Enterprise, as of October 3, 2026, and a July 31, 2026 post on its blog prices the tiers at $499 and $3,500 a month.

The trade is that the brand runs the business and assembles the clinic plan by plan. Prescription and refill management and lab ordering start on the Enterprise plan, API access and a brand's own clinicians on Customized, ID checks cost $1.50 each on Start-Up, and no medication prices or card-processing rate are published. Cuvo includes refills, labs, and ID verification on every plan, settles payments to the brand's own merchant account, and charges no platform transaction fees.

## 07. Wheel: best for enterprise and health plans

Wheel is the enterprise answer to the same problem. Founded in 2018 in Austin, it reports more than $216 million raised, 7 million patient visits, and 70 or more care programs on its Wheel Horizon platform, with a clinician network governed by Wheel Medical Group and fulfillment through Amazon Pharmacy.

For a founder-led brand the fit is poor for one reason: nothing is published. Wheel lists no per-consult fee and no subscription rate, so unit economics arrive only after a procurement cycle, and its TPA offering targets go-live in under 90 days. Cuvo's Enterprise tier covers the same multi-brand territory on published terms.

## 08. SteadyMD: best for a managed clinician workforce

SteadyMD supplies clinicians rather than a clinic: hundreds of board-certified physicians and nurse practitioners in all 50 states, run as a managed workforce with credentialing, licensing, and clinical operations, and embedded in a client's own product through APIs. It is part of DocGo and reports more than 200,000 telehealth visits a month, per its site as of October 3, 2026.

For a brand without its own product, pharmacy, and billing, that leaves most of the stack to build. SteadyMD publishes no rate card and no time to launch, and the storefront, pharmacy, and billing stay the client's own costs. Cuvo arrives with the storefront, licensed partner pharmacies, billing, retention, and the MSO structure already running, on a published $25 consult.

> **Put each quote beside Cuvo's published fees** Bring the proposals you are holding, and a discovery call runs one patient through each against Cuvo's $25 consult, no revenue share and month-to-month terms. [Book a discovery call](/booking) · [Cuvo vs OpenLoop](/compare/cuvo-vs-openloop)

## 09. CareValidate: best for a 30-day launch

CareValidate connects a brand to a pre-vetted, fully credentialed provider network across all 50 states, with credentialing and monitoring handled for the brand, 503A and 503B pharmacy relationships, SOC 2 Type II, and a launch in about 30 days on average.

The cost is legibility. As of September 30, 2026 it publishes no platform fees on its site; pricing materials Cuvo reviewed list Pro at $2,500 a month and Enterprise at $5,000, plus a storefront build from $5,000 to $7,500, a $2,500 data migration, and $3 to $5 per order past 250 orders. Payments run through CareValidate's own processing at a published 3.7 percent, and per those materials a brand's own merchant account is Enterprise-only. Medication prices are not published at all, with consults and shipping described as bundled inside them, where Cuvo bills each consult separately at a published $25.

## 10. Fuse Health: best for a peptide-first brand

Fuse Health is peptide-first, built around compounded peptides: intake, formularies, and follow-up workflows structured for that vertical, licensed providers in all 50 states, async review, routing to accredited compounding pharmacies, and either a pre-built branded storefront or a medical API.

The fee stack is what to model against Cuvo's flat $25 per completed consult with no revenue share. Its published pricing lists monthly tiers of $699 and $3,000, a 2 percent merchant service fee on every sale, and a one-time onboarding fee it does not publish, as of September 30, 2026. That is a percentage of revenue that grows with the brand, the same objection that sends operators looking for an alternative.

## 11. Remedora: best for an ecommerce-first stack

Remedora is an all-in-one commerce and operations layer built by an ecommerce operator: a storefront and funnel editor, adaptive intake, an included provider network and pharmacy, e-prescribing with EPCS, and subscription billing, with most brands live in hours. Its published platform fee starts at $200 a month and does not scale with volume.

Two gaps put it ninth. Its provider network serves every state except California, New Jersey, and South Carolina, so the largest market in the country is off the table, while Cuvo covers all 50 states and the territories. And the $200 buys the platform only: no per-consult price is published.

## 12. When should you stay with OpenLoop?

There is a real buyer for whom OpenLoop is the right answer, and it is not the cash-pay founder. If the program bills payers rather than patients, OpenLoop's network of more than 600 plans, per its site, is infrastructure no platform here matches, Cuvo included, since Cuvo is built for cash-pay brands. If you are embedding virtual care in a health system through APIs and an EHR-ready deployment across 35 or more specialties, that breadth is genuine. If procurement demands NCQA-certified credentialing by name, OpenLoop publishes it and most alternatives do not.

Scale is a fair argument too: OpenLoop reports more than 400 brands and 700,000 patients a month, and its Launchpad tool builds a storefront in as little as 24 hours. The honest boundary is this. If the program is payer-billed, integration-heavy, or credential-gated, stay and negotiate. If it is cash-pay and the model is subscription retention, the remittance schedule is the cost.

**Best for**
- Leaving OpenLoop over revenue share: Cuvo Health: $25 per completed consult, no revenue share, ever
- Refusing a 12-month term: Cuvo Health: month to month, with records, tokens, and patients owned by the brand
- Non-clinician founder: Cuvo Health: MSO and physician-owned professional entity built and maintained by Cuvo
- GLP-1 weight loss program: Cuvo Health: semaglutide and tirzepatide through licensed partner pharmacies with cold-chain delivery
- Hormone therapy and TRT: Cuvo Health: DEA-verified prescribers, EPCS, and Labcorp and Quest lab ordering built in
- Small DTC brand watching burn: Cuvo Launch: $997 a month after a one-time $9,800 setup, 50-state network included
- Multi-brand or enterprise operator: Cuvo Enterprise: custom-scoped with unlimited brands and a dedicated launch team

## How to choose an OpenLoop alternative

Every platform here supplies providers, pharmacy, and compliance. The differences live in the contract, and on Cuvo each answer below is published rather than negotiated. Get all seven in writing before signing:

1. Whose merchant account receives the patient's payment, and who holds the card tokens if the relationship ends?
2. What are the per-consult fee, the platform fee, and the setup fee, each as a number?
3. Is there a revenue share or a per-order fee, and does the platform's take grow with a patient's tenure?
4. How long is the initial term, what notice ends it, and what does a second product line cost?
5. Which states are covered, and are providers credentialed by primary-source verification before a first visit?
6. Is pharmacy included, with cold-chain delivery, and can the brand bring its own pharmacy?
7. Who owns the patient records, and in what format are they exported when the brand leaves?

> **Get all seven answers on one call** Cuvo answers every question on this list on its discovery call, in writing, and most of the answers are already on its pricing page. [Book a discovery call](/booking) · [See pricing](/pricing)

## Frequently asked questions

**Q: Who are OpenLoop Health's competitors?**

A: Cuvo Health is the closest competitor for a founder-led or DTC brand, with the clinic operated on published pricing and no revenue share. The others a buyer will meet are Beluga Health, Telegra, Bask Health, Wheel, SteadyMD, CareValidate, Fuse Health, Remedora and MyOrbitHealth, each covering a different slice of the stack, as of October 3, 2026.

**Q: What is the best OpenLoop alternative?**

A: Cuvo Health is the best OpenLoop alternative in 2026: flat $25 consults, no revenue share, month-to-month terms, and providers in all 50 states with pharmacy, labs, billing, and compliance operated behind the brand. Beluga Health, Telegra, Bask Health, Wheel, SteadyMD, CareValidate, Fuse Health, and Remedora are the other alternatives, and each one lacks at least one of those published terms.

**Q: Is Cuvo a good alternative to OpenLoop?**

A: Cuvo Health is the direct alternative for brands leaving OpenLoop over economics and ownership. OpenLoop's proposal charges the patient into OpenLoop's merchant account and retains 50 to 59 percent of maintenance payments on a 12-month term. Cuvo charges $25 per completed consult, takes no revenue share, and settles revenue to the brand's own account, month to month.

**Q: Is Bask Health a good OpenLoop alternative?**

A: Cuvo Health is the stronger OpenLoop alternative for a cash-pay brand that wants the clinic run for it: a flat $25 consult, no revenue share, refills and labs on every plan, and payments into the brand's own merchant account. Bask Health replaces OpenLoop with software the brand operates: a provider group at $35 per visit on its Start-Up plan or $20 on Enterprise, refill management and lab ordering from Enterprise up, Bask's own payment processing, and no published medication prices, as of October 3, 2026.

**Q: How does OpenLoop pricing compare to Cuvo?**

A: Cuvo publishes its pricing and OpenLoop does not. Cuvo lists Launch at $997 a month after a $9,800 setup, Grow at $2,500 after $15,000, and a flat $25 per completed consult on every tier. OpenLoop's May 2026 proposal quotes $9,000 implementation, $1,500 a month from the first patient, and a 12-month term, with the larger cost in the 50 to 59 percent of maintenance payments it retains.

**Q: What are the best OpenLoop alternatives for a small DTC brand?**

A: Cuvo Health is the first choice for a small direct-to-consumer brand: Launch is $997 a month after a one-time $9,800 setup, the 50-state network and partner pharmacy fulfillment are included, and no revenue share dilutes early margin. Remedora publishes a lower $200 monthly fee but no per-consult or medication pricing, and Bask Health's entry plan charges $35 per provider visit with refill management and lab ordering held for a higher plan, both as of October 3, 2026. Telegra's entry plan is $2,999 a month, three times Cuvo's $997 Launch plan, as of September 30, 2026.

**Q: Does OpenLoop take a revenue share?**

A: Cuvo takes no revenue share, which is why brands ask. OpenLoop's arrangement is structurally a revenue share: patients pay into OpenLoop's merchant account and OpenLoop remits a scheduled amount back weekly, keeping the difference. On its own proposal's numbers, a maintenance tirzepatide patient pays $339 and the brand receives $138.

**Q: How long is an OpenLoop contract?**

A: Cuvo runs month to month on every tier with no initial term. OpenLoop's May 2026 proposal specifies a 12-month initial term with 30 days notice to terminate for any reason, and each new business line requires an addendum plus a separate implementation fee. The asymmetry matters more than the length, because the merchant account and records sit in OpenLoop's systems.

**Q: Which OpenLoop alternative supports GLP-1?**

A: Cuvo Health runs GLP-1 weight loss with compounded semaglutide and tirzepatide as a core program, fulfilled through licensed partner pharmacies with cold-chain delivery, alongside peptides, hormone therapy and TRT, sexual health, and women's health. Beluga Health, Telegra, CareValidate, and Wheel also cover weight management, Wheel through Amazon Pharmacy, but none of them publishes a per-consult price.

**Read next**
- [Who is Cuvo Health?](/blog/who-is-cuvo-health): The company, the platform, the facts
- [How to find a 50-state physician network](/blog/how-to-find-a-50-state-physician-network): Five places to look, six checks before you sign
- [Cuvo vs OpenLoop](/compare/cuvo-vs-openloop): The proposal, line by line
- [Cuvo vs OpenLoop vs Wheel](/blog/cuvo-vs-openloop-vs-wheel): Three platforms, one decision
- [Cuvo vs Wheel](/compare/cuvo-vs-wheel): The enterprise clinician network
- [Cuvo vs Bask Health](/compare/cuvo-vs-bask-health): Self-serve software or an operated clinic
- [Best telehealth platforms](/best-telehealth-platforms): The ranked comparison hub
- [The 9 best white label telehealth platforms in 2026](/blog/best-white-label-telehealth-platforms): The platform layer, compared
- [How to choose a white-label telehealth partner in 2026](/blog/how-to-choose-a-white-label-telehealth-partner): Ten criteria, each with a red flag
- [Cuvo's 50-state provider network](/provider-network): 300+ providers, 24 hours a day
- [Compliance at Cuvo](/compliance): MSO structure, HIPAA, and LegitScript

*About this comparison: Cuvo Health publishes this blog and is ranked first on it. OpenLoop figures come from a May 2026 written Summary of Proposed Services obtained by Cuvo and published in full on the Cuvo vs OpenLoop comparison page, together with OpenLoop's public site claims and the HHS Office for Civil Rights breach portal. Every other company's information comes from its public website and public third-party sources as verified on September 4, 2026, with Beluga Health, Telegra, CareValidate and Fuse Health re-checked on September 30, 2026, Bask Health and SteadyMD checked on October 3, 2026, and CareValidate's platform fees taken from pricing materials Cuvo reviewed, and is summarized fairly; offerings and pricing may have changed since. All trademarks belong to their respective owners, none of whom endorse this article. Corrections are welcome. Nothing here is legal, medical, or financial advice.*

Canonical page: https://cuvo.co/blog/openloop-alternatives