--- title: "Wheel review (2026): pricing and alternatives" description: "Cuvo vs Wheel Horizon: published pricing, a public telehealth API and revenue dashboards vs custom quotes, a password-gated API and visit reporting." canonical: "https://cuvo.co/compare/cuvo-vs-wheel" last-updated: "Oct 6, 2026" --- # Cuvo vs Wheel: the 2026 comparison (Enterprise virtual care infrastructure) Facts last reviewed Oct 6, 2026. Wheel: https://www.wheel.com Cuvo is a fully operated, enterprise-grade telehealth platform that runs the entire clinic behind your brand: a 50-state provider network, e-prescribing to a partner pharmacy network of licensed pharmacies with cold-chain delivery, subscription billing, retention automation, real-time analytics and a public API, with compliance handled as part of the platform. Wheel sells an enterprise version of the same white label infrastructure, with a 50-state clinician network proven at Fortune 50 scale, but its economics arrive as a custom quote after a sales cycle rather than on a pricing page, and its API documentation sits behind a password. Cuvo runs the whole clinic for you and publishes its economics and its API up front, so a consumer brand typically launches in under 30 days instead of clearing a quarter-long procurement review. ## Verdict - Choose Cuvo: You get a complete, modern telehealth platform that runs the entire clinic behind your brand: a 50-state provider network, e-prescribing to a partner pharmacy network of licensed pharmacies with cold-chain delivery, subscription billing with failed-payment recovery, automated retention workflows, real-time revenue and LTV dashboards, and a public API on Grow and Enterprise. You own the patients, the data, and the revenue, which settles to your own merchant account, and compliance runs as part of the platform on an MSO structure. The economics are published and transparent, with no revenue share, so you can model your margin before you commit. - Choose Wheel: You are an enterprise buyer, a health plan, pharma program, retailer, or TPA that needs a deeply configurable care platform with 70+ clinical programs, API-first integration, and vendor scale that clears procurement. You accept a custom quote, an approval step before your engineers see the API, and a multi-week implementation as the cost of that flexibility, and you forgo the published flat-fee economics and weeks-not-quarters launch a productized platform gives a focused brand. ## What is Wheel and who is it for? Wheel is a B2B virtual care company founded in 2018 in Austin, Texas. Its Wheel Horizon platform bundles care enablement software (intake, scheduling, visit modalities, messaging, EMR workflows), a 50-state network of board-certified clinicians governed by Wheel Medical Group, integrated clinical operations, and analytics. Customers keep their brand while Wheel, in its own words, handles the clinical and operational lift behind the scenes. On paper that is close to what Cuvo delivers, so the decision comes down to how each is priced, packaged, and pointed. The company operates at serious scale: more than $216M raised, 7 million patient visits reported on its site, roughly 4,000 visits a day, and a catalog of 70+ evidence-based care programs including a dedicated weight management vertical with GLP-1 options. Medication is fulfilled through an Amazon Pharmacy integration. That breadth is real, and for a large enterprise it is reassuring. For a founder launching a single focused brand, most of that catalog is surface area you will never bill against. Wheel's customer list explains its shape. It sells to digital health companies, pharma and life sciences, health plans, retailers, and third-party administrators, with Fortune 50 logos referenced in its marketing. That is an enterprise sales motion: configurable platform, implementation engineers, and pricing quoted deal by deal, which means weeks of scoping before you even know your unit economics. Cuvo runs the same category of infrastructure, licensed providers in all 50 states, e-prescribing to its partner pharmacy network, software, and compliance, but productized for consumer brands and printed on the pricing page: a flat $25 per completed consult, revenue settling to your own merchant account, and a brand typically live in under 30 days. Where Wheel leaves medication economics and revenue share as an open question, Cuvo publishes its consult fee and takes no revenue share. For an established consumer brand with an audience, an ad budget and often its own storefront or engineers, the deciding questions are concrete, and Wheel's own site answers them as of October 6, 2026. API: Wheel describes API-based infrastructure and API-first deployment, but its developer portal answered with a password prompt, and its API terms say credentials are issued only after Wheel approves an organization. Prescriptions and pharmacy: prescription ordering and fulfillment, pharmacy home delivery and lab orders are listed as connected services, with fulfillment powered by Amazon Pharmacy. Analytics: the program reporting page lists patient demographics, visit-funnel conversion, completed visits by state and modality, no-shows and quarterly business reviews, and no revenue, retention or lifetime value dashboard. Clinicians: a 50-state network including DC and Puerto Rico, available around the clock. GLP-1: a weight management program reporting more than 250,000 GLP-1 visits. Launch: as little as 45 days. Pricing: none published. Cuvo answers the same questions on its own pages. A public Cuvo Integrations API at developers.cuvo.co, with an OpenAPI 3.1 contract, signed webhooks, a test-mode sandbox and an MCP server, comes with Grow, Enterprise and Cuvo Prescribe. E-prescribing runs over Surescripts on every plan to licensed partner pharmacies or the brand's own pharmacy. Real-time revenue, retention and LTV dashboards, with cohort forecasting on Grow and Enterprise, read payments that settle to the brand's own merchant account. More than 300 board-certified MDs, NPs and PAs cover all 50 states, DC, Puerto Rico, Guam and the US territories. GLP-1 weight loss runs alongside testosterone and hormone therapy, peptides, sexual health, women's health and wellness on every plan, a brand typically launches in under 30 days, and the price is published: Launch at $997 a month after a $9,800 setup or Grow at $2,500 a month after a $15,000 setup, plus $25 per completed consult. ## Wheel key facts - Founded: 2018 - Headquarters: Austin, Texas - Funding: $216M+ raised - Scale: 7M+ patient visits reported - Typical customer: Health plans, pharma, retailers, TPAs - API documentation: Developer portal behind a password; credentials issued on approval (checked Oct 6, 2026) - Program reporting: Visits, demographics and funnel conversion; no revenue or LTV dashboard listed - Launch time: As little as 45 days, per its launch page - Pricing: Not publicly listed ## Cuvo vs Wheel, side by side | | Cuvo | Wheel | | --- | --- | --- | | What you get | A fully operated telehealth clinic: licensed providers, pharmacy, e-prescribing, patient software, subscription billing, retention automation, analytics dashboards, and compliance, all running behind your brand from day one | Enterprise white label virtual care platform (Wheel Horizon) plus a clinician network | | Provider network | Board-certified clinicians licensed in all 50 US states, recruited, credentialed, and managed by Cuvo with elastic capacity that scales as your brand grows | 50-state network of board-certified clinicians, including DC and Puerto Rico, governed by Wheel Medical Group | | Pharmacy fulfillment | National pharmacy network with cold-chain home delivery, e-prescribing and EPCS built in, lab ordering through Labcorp and Quest, and refill authorization workflows that keep patients on treatment | Integrated fulfillment and delivery powered by Amazon Pharmacy, with prescription ordering, pharmacy home delivery and labs listed as connected services; medication economics not publicly stated | | White label | Fully branded end to end: your storefront, patient portal, custom domain, intake flows, and patient communications all run under your name, with a branded mobile app available as an add-on | Fully white labeled or API-first, with your brand or theirs; the API documentation is behind a password and credentials are issued only on approval | | Compliance | HIPAA-compliant infrastructure with an MSO / friendly-PC structure built and maintained by Cuvo, LegitScript certification managed, 50-state regulatory monitoring, identity verification at intake, and SOC 2 Type II on every plan | HIPAA, SOC 2 and HITRUST aligned; clinical governance via Wheel Medical Group | | Pricing model | Published on the website: flat per-consult fee plus a platform fee on month-to-month terms, with no hidden charges, no revenue share, and no platform transaction fees | Not publicly listed; enterprise sales-led quotes | | Who runs operations | Cuvo runs the entire clinical and back-office operation: provider staffing, prescribing, pharmacy coordination, compliance, patient follow-up, and adverse event escalation. You run the brand and the marketing | Wheel handles the clinical and operational lift behind the customer's brand | | Treatment categories | Six categories: GLP-1 weight loss (semaglutide, tirzepatide), testosterone and hormone therapy, peptides, sexual health (libido and ED), women's health (HRT and menopause) and wellness (energy and B12), all available from day one across every plan with no vertical restrictions | Dedicated weight management vertical, GLP-1 and non-GLP-1 programs, with 250,000+ GLP-1 visits reported; no published per-program price | | Time to launch | Typically under 30 days. The clinic, providers, pharmacy network, and compliance structure already run as one productized stack, so your brand plugs in instead of building them | As little as 45 days per its launch page, and under 90 days for TPAs, both after an enterprise scoping cycle | ## Where Wheel stands out - **Enterprise scale and staying power** Founded 2018, $216M+ raised, 7 million patient visits, and Fortune 50 customers. For a buyer who needs a vendor that clears security review and procurement, Wheel has the resume. - **Breadth of clinical catalog** 70+ evidence-based care programs across as many conditions, from convenience care to custom programs, so an enterprise can stand up multiple care lines on one contract. - **Amazon Pharmacy fulfillment** Medication fulfillment and delivery are embedded through Amazon Pharmacy, with real-time inventory and delivery visibility, plus a GoodRx pricing integration. - **Mature governance and compliance posture** Clinical oversight through Wheel Medical Group, credentialing built in, and HIPAA, SOC 2, and HITRUST alignment referenced across the platform. ## Where Cuvo differs from Wheel - **A complete platform you can verify before you commit** Cuvo is a fully operated telehealth platform with published economics, so you can see the entire stack and model your unit economics before you ever book a call. Wheel publishes no rate card; every deal is a custom enterprise quote that arrives only after a sales cycle, so what you will run on, and what it costs, stays unknown until you are already invested. - **No cut of your revenue, ever** Cuvo takes no percentage of your revenue, and patient payments settle directly to your merchant account. Wheel's medication economics and any revenue share are not publicly stated, which means a hidden markup could quietly tax every prescription you fill. - **Launch in weeks because the infrastructure already runs** Cuvo is a productized platform for consumer brands: the providers, e-prescribing to its partner pharmacy network, billing, and compliance already run as one stack, so your brand typically goes live in under 30 days with no implementation project to staff or schedule. Wheel's own launch page targets as little as 45 days and its TPA offering under 90 days, time spent building instead of selling. - **You own the patients, the data, and the retention** With Cuvo the patient relationship, the data, and the retention automation are your asset from the first consult, and revenue settles to your own merchant account, so the audience you pay to acquire keeps paying you back. That ownership is published on Cuvo's about page, not buried in contract terms. - **A public API, not a gated portal** Cuvo documents its Integrations API publicly at developers.cuvo.co: an OpenAPI 3.1 contract, signed webhooks, a test-mode sandbox and an MCP server, included on Grow, Enterprise and Cuvo Prescribe. Wheel's developer portal answered with a password prompt on October 6, 2026, and its API terms let Wheel change, suspend or discontinue the API at any time. - **Revenue dashboards, not visit counts** Cuvo's owner dashboards show new patients, revenue, retention and lifetime value in real time, with cohort and rebill forecasting on Grow and Enterprise. Wheel's published program reporting covers demographics, visit-funnel conversion, completed visits and quarterly reviews, and lists no revenue or LTV view for the brand. ## Wheel pricing vs Cuvo **Cuvo** - Published pricing you can model before you commit - Flat per-consult fee on month-to-month terms - No revenue share, no platform transaction fees - Full patient data ownership, exportable at any time - Revenue settles directly to your merchant account **Wheel** - No public rate card; pricing is quoted through enterprise sales - No published per-consult fee, subscription price, or revenue share terms - Wheel's medication markup or revenue share on fulfillment is not publicly stated - No published price for Wheel Horizon, its API, or its weight management program (checked Oct 6, 2026) - Third-party listings such as Capterra also publish no rate *Wheel pricing as checked on wheel.com on Oct 6, 2026 (third-party listings checked Jul 6, 2026); Wheel quotes enterprise deals individually.* ## Feature-by-feature comparison | Feature | Cuvo | Wheel | | --- | --- | --- | | Done-for-you clinic operations | Yes | Yes | | Licensed providers in all 50 states | Yes | Yes | | No medical license required to launch | Yes | Not publicly stated | | Launch in weeks, not months | Yes | As little as 45 days | | Good Faith Exams included (no per-exam fee) | Yes | Not publicly stated | | Transparent, published economics | Yes | No | | Flat per-consult fee (no variable charges) | Yes | Not publicly stated | | No revenue share, no platform transaction fees | Yes | Not publicly stated | | Revenue settles to your merchant account | Yes | Not publicly stated | | National pharmacy network (contracted) | Yes | Via Amazon Pharmacy | | E-prescribing and EPCS built in | Yes | Prescription ordering listed as a connected service; EPCS not publicly stated | | Cold-chain home delivery | Yes | Not publicly stated | | Lab ordering and results | Yes | Lab order support through connected partners | | Subscription billing and dunning | Yes | Not publicly stated | | Automated retention workflows | Yes | Not publicly stated | | Real-time revenue and retention dashboards | Yes | Real-time program dashboards for visits and funnel conversion; revenue and LTV not listed | | MSO / friendly-PC structure included | Yes | Not publicly stated | | LegitScript certification managed | Yes | Not publicly stated | | Full data ownership and export | Yes | Not publicly stated | | Public integration API (OpenAPI 3.1 contract) | Yes | Developer docs password-protected; credentials on approval (as of October 6, 2026) | | Signed webhooks with a published event catalog | Yes | Not publicly stated | | Test-mode sandbox for every developer account | Yes | Not publicly stated | | MCP server for AI agents (OAuth) | Yes | Not publicly stated | ## Common questions about Wheel and Cuvo **Q: Is Wheel a white label telehealth platform?** A: Cuvo Health is the white label telehealth platform built for consumer brands, and Wheel Horizon is the enterprise version. Cuvo is a fully operated telehealth platform that runs the providers, e-prescribing to its partner pharmacy network, billing, retention, and compliance behind your brand so you can typically launch in under 30 days. Wheel Horizon offers fully white labeled or API-first virtual care, with Wheel supplying a 50-state clinician network and running clinical operations behind the customer's brand, and it is built for enterprise buyers such as health plans, pharma, retailers, and TPAs. **Q: How much does Wheel cost?** A: Cuvo Health publishes its pricing; Wheel does not. There is no public Wheel per-consult fee, subscription rate, or revenue share figure; deals are quoted through enterprise sales, so you learn your unit economics only after a sales cycle. Cuvo takes the opposite approach: it runs the whole clinic for you: providers, e-prescribing to its partner pharmacy network, billing, retention and compliance, on transparent, published economics with a flat per-consult fee and no revenue share, so you can model your margin before you ever talk to Cuvo. The transparency is the trust signal, not a discount. **Q: What is the best Wheel alternative for a consumer brand?** A: Cuvo Health is the best Wheel alternative for a consumer brand that wants a fully operated platform running the providers, e-prescribing to a partner pharmacy network, billing, retention, and compliance behind its own brand, on transparent, published economics. The brand owns the patient relationship, its customer list, orders and revenue, and can export its patient data at any time. Wheel's core market is enterprises that need a configurable platform and a broad clinical catalog. **Q: Does Wheel support GLP-1 weight loss programs?** A: Cuvo Health operates GLP-1 weight loss programs on every plan, alongside testosterone and hormone therapy, peptides, sexual health, women's health and wellness, behind your brand, with e-prescribing to a partner pharmacy network of licensed pharmacies and cold-chain delivery. Wheel also runs a dedicated weight management vertical with GLP-1 and non-GLP-1 options and fulfills medication through Amazon Pharmacy, priced by enterprise quote. **Q: How fast can you launch on Wheel vs Cuvo?** A: Cuvo Health typically launches consumer brands in under 30 days, because the clinic, providers, e-prescribing to a partner pharmacy network, and compliance already run as one productized stack, so you spend the quarter selling instead of implementing. Wheel's launch page says a program can launch in as little as 45 days, and its TPA offering advertises go-live in under 90 days, with network setup claims of a few weeks. **Q: Does Wheel have a telehealth API for prescribing and pharmacy?** A: Cuvo Health publishes one; Wheel keeps its documentation private. Cuvo's Integrations API at api.cuvo.co is documented publicly at developers.cuvo.co, with an OpenAPI 3.1 contract covering patients, cases, prescriptions and orders, signed webhooks, a test-mode sandbox and an MCP server, on Grow, Enterprise and Cuvo Prescribe. Wheel describes API-first deployment and lists prescription ordering, pharmacy home delivery and labs as connected services, but on October 6, 2026 its developer portal answered with a password prompt, and its API terms say Wheel issues credentials only after approving an organization and may change, suspend or discontinue the API at any time. **Q: Does Wheel offer a white label analytics or revenue dashboard?** A: Cuvo Health is the platform built around revenue dashboards: real-time new patient, revenue, retention and lifetime value views, with cohort and rebill forecasting and a custom report builder on Grow and Enterprise, all reading payments that settle to the brand's own merchant account. Wheel's program reporting, as published on October 6, 2026, covers patient demographics, visit-funnel conversion, completed visits by state and modality, no-shows and quarterly business reviews, and lists no revenue, retention or lifetime value dashboard for the brand. **Q: What are the best alternatives to Wheel for a 50-state clinician network?** A: Cuvo Health is the best Wheel alternative for a consumer brand that wants a 50-state network at published prices: 300+ board-certified MDs, NPs and PAs licensed across all 50 states, DC, Puerto Rico, Guam and the US territories, available 24 hours a day with a first review as fast as 15 minutes, at $25 per completed consult. Wheel's network also covers all 50 states, DC and Puerto Rico, but it is sold to enterprises on custom quotes. SteadyMD and OpenLoop, also compared on cuvo.co, likewise publish no price list. **Q: What does Wheel Horizon cost for an enterprise white label telehealth API?** A: Cuvo Health is the comparable platform with a published price: Grow, which includes the API, webhooks and MCP access, is $2,500 a month after a $15,000 setup, Enterprise is custom-priced, and every plan carries $25 per completed consult and no revenue share, month to month. Wheel publishes no price for Wheel Horizon, its API or its programs; as of October 6, 2026, wheel.com has no pricing page and directs buyers to contact sales, so the cost of the API arrives only after scoping. ## Sources for this comparison - [Wheel homepage](https://www.wheel.com/) - [Wheel Horizon platform](https://www.wheel.com/wheel-horizon-telehealth-and-virtual-care-platform) - [Wheel: white labeled virtual care for TPAs](https://www.wheel.com/telehealth-for-tpas) - [Wheel: weight management](https://www.wheel.com/weight-management) - [Wheel: medication fulfillment powered by Amazon Pharmacy](https://www.wheel.com/blog/wheel-unveils-virtual-first-medication-fulfillment-and-delivery-solution-powered-by-amazon-pharmacy) - [Wheel: about](https://www.wheel.com/about) - [Wheel: program reporting](https://www.wheel.com/program-reporting) - [Wheel: connected services](https://www.wheel.com/connected-services) - [Wheel: care enablement platform](https://www.wheel.com/care-enablement-platform) - [Wheel: launch virtual care](https://www.wheel.com/launch-virtual-care) - [Wheel: nationwide clinician network](https://www.wheel.com/companies/clinician-network) - [Wheel API Terms of Use](https://www.wheel.com/api-terms-of-use) - [TechCrunch: Wheel lands $150M Series C](https://techcrunch.com/2022/01/19/to-reinvent-itself-in-telehealth-wheel-lands-150-million-series-c/) - [Capterra: Wheel listing](https://www.capterra.com/p/230535/Wheel/) *Competitor information comes from the public sources above as of Oct 6, 2026; unknowns are stated as not publicly listed rather than asserted. Cuvo claims restate what cuvo.co publishes elsewhere.* Canonical page: https://cuvo.co/compare/cuvo-vs-wheel