# Karpa Health vs PatientNow

**Author:** Chad H., Co-founder, Karpa Health  
**Last reviewed:** September 18, 2026

Karpa Health (https://karpahealth.com) vs PatientNow (https://patientnow.com). A head-to-head on the decisions that determine which platform fits a clinic launching a peptide, GLP-1, TRT, or HRT program.

## How to choose
**Karpa Health** is a turnkey program launcher: you own the patient relationship and the revenue, set your own prices against pass-through pharmacy costs, and launch under your own brand. Published platform pricing starts at $297/mo. Karpa is LegitScript certified, and White-Label/Full Clinic includes a custom website, patient portal, and intake forms.

**PatientNow** is the stronger fit when Med spas and cosmetic surgery practices is the deciding factor.

## Side by side
**Type:** Aesthetic medicine EMR.  
**Best for:** Med spas and cosmetic surgery practices.  
**Physician model:** Your physician charts.  
**Pricing:** Essentials / Pro tiers; no published numbers (quote required). Pricing model: subscription-only.  
**Patient ownership:** Yes.  
**White-label branding:** No.  
**LegitScript certified:** Unknown.

## What Karpa offers
Karpa Health is a turn-key platform built for two types of operators: licensed clinicians who want to add cash-pay GLP-1, TRT, peptide, or HRT programs to their existing practice, and entrepreneurs or multi-state operators who want to launch a fully branded telehealth clinic without a medical license. For clinicians, Karpa provides a full EMR and clinical workflow while the physician maintains prescribing authority. For non-clinicians, Karpa supplies a 50-state licensed provider network that handles prescribing and clinical oversight under the operator's white-label brand. Both tracks include patient intake, AI-powered clinical triage, and direct compounding pharmacy integration with one-click ordering. Karpa Health is a LegitScript Certified Healthcare Merchant and a LegitScript Enterprise Certification Partner, which speeds up and lowers the cost of a partner's own LegitScript certification.

## PatientNow: Med spas and cosmetic surgery practices
PatientNow is an EMR and practice management system built for aesthetic medicine. It includes pre-built HRT workflows and photo documentation features for cosmetic procedures. It handles e-prescribing through DoseSpot but does not include compounding pharmacy fulfillment or tools specifically for launching peptide or GLP-1 programs.

**Why each is used:**
- **Karpa:** Custom marketing website, patient portal, and intake forms built for you (White-Label & Full Clinic)
- **PatientNow:** Deep aesthetic medicine specialization with before/after photo management
- **PatientNow:** Strong patient recall and retention marketing automation

## PatientNow: limitations
- No compounding pharmacy integration (DoseSpot e-prescribing only)
- No peptide-specific clinical protocols or program workflows
- Weight loss and HRT expansion is early-stage with limited tooling

Karpa authored this comparison using publicly available sources reviewed September 18, 2026. “Not publicly specified” means we could not verify that detail from a public source.

Last reviewed: September 18, 2026

## Sources
- [PatientNow Platform](https://www.patientnow.com)
- [PatientNow Med Spa Software](https://www.patientnow.com/med-spa-software/)
- [PatientNow Company Background](https://www.patientnow.com/about-us/)

## Book a call
https://karpahealth.com/book