The top 9 MD Integrations alternatives in 2026.
Full disclosure up front: this page is published by Lithos, and we rank ourselves first — you should read it knowing that. What we will not do is invent scores or star ratings. Below is the telehealth infrastructure landscape as of July 2026, with each platform's positioning, trade-offs, and the questions that actually separate them.
- "White-label telehealth" hides three different models — hosted portals, marketplaces, and API infrastructure — and which one you pick decides what you own in five years.
- MD Integrations and the other platforms below publish little pricing; model your volume before comparing quotes.
- The two questions that separate vendors fastest: who renders the patient experience, and can you export your records via API.
- Already running patients on MD Integrations? Switching is a refill-cadence problem, not a rip-and-replace — see the migration playbook.
What is a white-label telehealth platform?
A white-label telehealth platform lets a brand offer prescription care — weight management, hormones, dermatology and more — without becoming a medical group. The vendor supplies licensed clinicians, e-prescribing, pharmacy routing, and state-by-state compliance; the brand supplies the customers. The label hides real differences: some vendors host the patient experience and skin it with your logo (portals), some sit behind an API while you build the experience (infrastructure), and some are closer to marketplaces. Our white-label telehealth guide breaks down the three models.
How we compared these platforms
Each platform below is summarized from its own public positioning as of July 2026 — no invented scores, no fabricated review counts. We describe what each is built for, its structural trade-offs (which follow from its model, not our opinion of its quality), and its pricing posture. We are one of the vendors on this list; the ranking reflects our view that owning your patient experience matters most, and you should weight it accordingly. Details change — confirm specifics with each vendor.
| Platform | Model | Best for | Pricing |
|---|---|---|---|
| LithosThat's us | API infrastructure | Owning your brand & patient relationship | Platform fee + per-visit — discussed on a call |
| OpenLoop | Clinician network + services | Insurance-heavy programs | Custom-quoted — confirm with vendor |
| SteadyMD | Clinician network + APIs | Enterprise partnerships | Custom-quoted — confirm with vendor |
| Wheel | API + clinician network | API-first virtual care | Custom-quoted — confirm with vendor |
| Bask Health | E-commerce storefront platform | DTC storefront builders | Custom-quoted — confirm with vendor |
| Beluga Health | Turnkey white label | Turnkey launches | Custom-quoted — confirm with vendor |
| Telegra | White-label platform | White-label patient dashboards | Custom-quoted — confirm with vendor |
| CareValidate | Orchestration platform | Fully outsourced clinical stacks | Custom-quoted — confirm with vendor |
| DrCare247 | White-label portal | Configurable virtual-care portals | Custom-quoted — confirm with vendor |
LLithos
Our platform · Editor's pickBest for: Owning your brand & patient relationship- One API for the whole clinical back office — intake, visits, eRx, benefits, labs, pharmacy
- You build and own the patient experience; patients only ever see your brand
- 50-state coverage with EPCS, audit logging, and API data export from day one
- Sandbox credentials same day · go-live in 3–4 weeks
- API-first: you need engineers to build your front end — teams without them should look at portal models
- Young platform — reference customers are limited while early partners go live
OpenLoop
Best for: Insurance-heavy programs- Large clinician network with 50-state coverage
- Payer and insurance-plan integrations
- Supports GLP-1, TRT, urgent care, and more
- Services-led enterprise orientation — heavier than a pure API for small DTC brands
- Pricing is quote-based, not self-serve
SteadyMD
Best for: Enterprise partnerships- Enterprise-scale clinician workforce
- APIs plus white-label telehealth tooling
- Deep operational support for partners
- Enterprise-first; early-stage brands may queue behind large partners
- White-label tooling trades away front-end ownership
Wheel
Best for: API-first virtual care- API-first integration model
- Nationwide credentialed clinician network
- Multiple care categories at scale
- Built for enterprise scale — minimums can be high for early brands
- Clinician-network-first; the storefront is left to you
Bask Health
Best for: DTC storefront builders- E-commerce-style storefront tooling
- Headless architecture for custom builds
- Geared to DTC health brands
- You largely build inside their storefront paradigm
- Younger platform than the enterprise clinician networks
Beluga Health
Best for: Turnkey launches- Intake, visits, and prescriptions in one package
- White-label patient flows
- Built for fast, simple launches
- Turnkey approach limits customization depth
- The patient experience is more theirs than yours
Telegra
Best for: White-label patient dashboards- White-label intake and patient dashboard
- In-house provider network
- Connects e-commerce, prescribing, and pharmacy
- Platform-hosted patient dashboard — less front-end control
- Newer entrant relative to enterprise networks
CareValidate
Best for: Fully outsourced clinical stacks- Own LegitScript-certified physician corporation
- Orchestration with workflow automation
- Serves DTC brands, retailers, and employers
- Uses its own physician corporation exclusively — no bring-your-own clinicians
- Orchestration paradigm offers less API-first flexibility
DrCare247
Best for: Configurable virtual-care portals- Modular, cloud-based architecture
- Customizable workflows and branding
- Aimed at providers and health organizations
- Portal-style white label — you customize the experience rather than own it
- Less brand recognition in US telehealth infrastructure
Pick by what you want to own.
You have engineers and a funnel you have optimized
Choose API infrastructure (Lithos, MD Integrations, Wheel). Do not hand your conversion rate to a vendor template — the patient experience is your compounding asset.
You have no engineering team and need to validate demand this quarter
Choose a hosted portal or turnkey model (Beluga, Telegra, DrCare247, CareValidate) — and negotiate API export rights in the contract so you can graduate later without a hostage negotiation.
You are an enterprise, payer, or health system
The enterprise clinician networks (OpenLoop, SteadyMD, Wheel) are built around your procurement and integration reality.
You are already at volume on another platform
Compare against the fully loaded cost of what you have — then read the MD Integrations migration playbook before assuming switching is disruptive. Done right, patients never notice.
What is the best MD Integrations alternative?
It depends on what you want to own. If you want to control the patient experience and keep your funnel, an API-infrastructure platform like Lithos is the strongest MD Integrations alternative. If you want a hosted experience with minimal engineering, a turnkey white-label vendor fits better.
How much do white-label telehealth platforms cost?
Almost every vendor on this list quotes custom pricing — typically some combination of platform fees, per-visit fees, or revenue share. Model your expected patient volume before comparing quotes; the same structure prices very differently at 100 versus 1,000 patients a month. Our cost-to-launch guide breaks down the build-vs-buy math.
Do I need a medical license to launch a telehealth brand?
No — that is the point of these platforms. The vendor operates the clinical entities and clinician network; you operate the brand. You do need proper corporate structure, which reputable platforms set up with you.
Which platforms support GLP-1 weight-loss programs?
Most platforms on this list, including Lithos, support GLP-1 weight management — it is the category driving the current wave of telehealth brands. Ask each vendor specifically about pharmacy supply, compounding posture, and prior-auth support.
Who owns the patient records?
Contractually, it varies — and it is the question that matters most in year three. Insist on API export rights in writing from day one, whichever platform you choose. On Lithos, your data is exportable via API at any time.
Platform descriptions summarized from public materials as of July 2026. Capabilities and pricing change — confirm with each vendor. Related reading: white-label telehealth, explained · what it really costs to launch · migrating from MD Integrations
From first call to first patient, in weeks.
A 15-minute intro call, sandbox credentials the same day, go-live in 3–4 weeks — new launches and existing patient bases alike.