Add Nationwide Telehealth to Functional Medicine
Run peptide, GLP-1, and hormone protocols without adding spreadsheet work, fax follow-up, or extra staff. You keep the brand and the patients. We handle intake, providers, pharmacy, and payments in all 50 states.
How Karpa Works for Functional Medicine Practices
From first patient to first payment. Here is exactly how the workflow runs for you.
Patient Completes Intake Online
Your protocols, automatically collected. automated screening for contraindications and flags interactions before the case ever reaches your desk.
Review the Case, Prescribe Fast
Every case arrives with a structured clinical summary. Review the protocol, confirm the compound and dose, and prescribe in minutes. Not per-patient hours.
Pharmacy Routes Automatically
The correct compound routes to the right pharmacy partner. Fulfillment status, refill tracking, and patient follow-ups are all centralized in one dashboard.
Programs Built for Functional Medicine Practices
Launch any of these cash-pay programs through Karpa with no added staff, no insurance billing, and no upfront cost.
Compounded semaglutide and tirzepatide for medical weight management, with provider oversight and pharmacy fulfillment.
Recovery, metabolic and sexual-health peptides, compounded to order and prescribed by a licensed provider.
Testosterone protocols with labs, dosing adjustments and refills handled between visits.
Estrogen, progesterone, testosterone and BHRT protocols, compounded to the patient's prescription.
Everything You Need to Launch and Grow
One platform replaces the patchwork of tools, vendors, and manual processes built for cash-pay clinics.
Multi-Pharmacy Integration
Access multiple compounding partners in one dashboard for routing, backup fulfillment, and pricing flexibility.
Protocol Templates
Save your common peptide stacks and hormone regimens, then deploy protocols with one click.
Clinical Review
Automatically screen for contraindications and interactions before each case reaches provider review.
Centralized Patient Dashboard
Track prescribing history, protocol status, and refill timelines for every active patient in one place.
Automated Refill Workflows
Keep patients on track with automated refill reminders and follow-up sequences.
One-Click Prescribing
Review clinical summaries and route prescriptions quickly with built-in pharmacy logic.
What to compare before you choose
Two routes get functional medicine practices into a clinical program. They differ on who owns the patient record, whose merchant account the revenue settles into, and how much you pay before the first patient.
Karpa Health
- What it includes
- Own the brand, the patient record, and the merchant account. 50-state provider network. Pricing published from $297/mo, medication at pass-through.
- Best for
- Functional Medicine Practices that want to keep the patient and set their own prices.
Build and run it yourself
- What it includes
- Recruit and credential your own prescribers, contract a pharmacy, and build the software and compliance layer. $50,000 to $300,000 before the first patient, plus per-state licensing.
- Best for
- Teams that already employ prescribers in every state they sell in, with a technical team and a long runway.
| Option | What it includes | Best for |
|---|---|---|
| Karpa Health | Own the brand, the patient record, and the merchant account. 50-state provider network. Pricing published from $297/mo, medication at pass-through. | Functional Medicine Practices that want to keep the patient and set their own prices. |
| Build and run it yourself | Recruit and credential your own prescribers, contract a pharmacy, and build the software and compliance layer. $50,000 to $300,000 before the first patient, plus per-state licensing. | Teams that already employ prescribers in every state they sell in, with a technical team and a long runway. |
Published platform pricing is compared in detail on the white label platform comparison, and the cost lines come from the startup cost breakdown.
Frequently Asked Questions
Can I bring my existing pharmacy relationships?
Yes. Karpa integrates with multiple compounding pharmacies and is actively adding more. If your preferred pharmacy is not yet integrated, we can explore adding them. In the meantime, you will have access to our full network for pricing comparison and backup fulfillment.
How does Karpa handle complex peptide protocols (stacking, cycling)?
Karpa supports multi-compound protocols with individualized dosing schedules. You can create protocol templates for your most common stacks (e.g., Sermorelin) and apply them with one click. Cycling schedules, dose adjustments, and restarts are all tracked in the patient record.
Can I migrate my existing patients onto Karpa?
Yes. Karpa offers data migration support to onboard your existing patient panel. We help you import patient records, active prescriptions, and refill schedules so there is no disruption in care or fulfillment for your current patients.
Does Karpa replace my EHR?
No. Karpa is purpose-built for cash-pay prescribing workflows and runs alongside your existing EHR. It handles the intake, prescribing, pharmacy coordination, and fulfillment layer that EHRs were never designed for. Many providers keep their clinical notes in their EHR and use Karpa for the operational workflow.
What reporting is available?
Karpa provides dashboards showing active patients, prescriptions by compound, pharmacy fulfillment status, revenue per program, refill rates, and patient retention metrics. You can see your entire peptide and hormone practice at a glance.
Is there a minimum patient volume to use Karpa?
No. However, practices with at least 10 to 15 active peptide patients see the most immediate value from the platform. If you are just starting out, Karpa works equally well for launching a new peptide program from zero.
Can a functional medicine practice offer peptide therapy?
Yes, when a licensed provider writes the prescription and a licensed compounding pharmacy dispenses it. Karpa supplies both layers: protocol templates and multi-pharmacy routing for the practitioner, and a 50-state provider network for practices that need prescribing coverage where they hold no license.
How is a provider network different from hiring a medical director?
A medical director is one licensed clinician, often in one state, at a fixed monthly cost. A provider network is coverage by state: patients are routed to a provider licensed where the patient is located. Practices seeing patients across state lines generally need the network, and the two can be combined.
What does the platform handle that my practice does not?
Intake and eligibility screening, provider assignment, e-prescribing, multi-pharmacy routing, refill cycles, HIPAA-compliant messaging and the compliance record. Your practice keeps protocol design and the patient relationship, which is where clinical judgement and retention live.
Other Practice Types Using Karpa
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See exactly how Karpa works for your situation. Most clinics go live in 1 week.
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