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The top 9 OpenLoop alternatives in 2026

Full disclosure: Lithos publishes this page and ranks itself first, so read it knowing that. We don't invent scores or star ratings. This is the telehealth infrastructure landscape as of July 2026, with each platform's model, trade-offs and the questions that actually separate them.

See the comparison Switching from OpenLoop?

Updated July 2026By the Lithos editorial staff

Key takeaways

01“White-label telehealth” hides three different models, and the one you pick decides what you own in five years.
02OpenLoop and most platforms here publish little pricing. Model your volume before comparing quotes.
03Two questions separate vendors fastest: who renders the patient experience, and can you export your records via API.
04Already on OpenLoop? Switching is a refill-cadence problem, not a rip-and-replace. See the migration playbook.

The landscape

Three models hide behind “white-label telehealth”

Every platform supplies licensed clinicians, prescribing, pharmacy routing and state compliance. What differs is who owns the patient experience.

Hosted portal

The vendor runs the patient experience and puts your logo on it. Fastest to launch, but the funnel, the data model and the roadmap are theirs.

You own: the logo

Marketplace

You plug into a shared network alongside many other brands. Easy to start; harder to differentiate, and you compete for the same capacity.

You own: a listing

API infrastructure

You build the product; the vendor runs the clinical layer behind an API. More engineering up front, and you own the experience and the data.

You own: product, patients, data

At a glance

9 platforms, side by side

Summarized from each platform's own public positioning. No invented scores and no fabricated review counts.

Platform	Model	Best for	Pricing
LithosThat’s us	API infrastructure	Owning your brand and patient relationship	Per visit, no setup or platform fee
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
MD Integrations	Clinician API	Custom patient journeys	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

The ranking

Strengths and trade-offs, platform by platform

Trade-offs follow from each platform's model, not from our opinion of its quality. We rank by one thing: how much of the patient experience you own.

Lithos

API infrastructureOur platformBest for: Owning your brand and patient relationship

Strengths

One API for the clinical back office: intake, visits, eRx, benefits checks, 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
Free sandbox, and live in weeks, not a year

Trade-offs

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

Pricing: Per visit, no setup or platform feeBook a call

SteadyMD

Clinician network + APIsBest for: Enterprise partnerships

Strengths

Enterprise-scale clinician workforce
APIs plus white-label telehealth tooling
Deep operational support for partners

Trade-offs

Enterprise-first; early-stage brands may queue behind large partners
White-label tooling trades away front-end ownership

Pricing: Custom-quoted, confirm with vendorSwitching from SteadyMD? The playbook

Wheel

API + clinician networkBest for: API-first virtual care

Strengths

API-first integration model
Nationwide credentialed clinician network
Multiple care categories at scale

Trade-offs

Built for enterprise scale — minimums can be high for early brands
Clinician-network-first; the storefront is left to you

Pricing: Custom-quoted, confirm with vendorSwitching from Wheel? The playbook

Bask Health

E-commerce storefront platformBest for: DTC storefront builders

Strengths

E-commerce-style storefront tooling
Headless architecture for custom builds
Geared to DTC health brands

Trade-offs

You largely build inside their storefront paradigm
Younger platform than the enterprise clinician networks

Pricing: Custom-quoted, confirm with vendorSwitching from Bask Health? The playbook

MD Integrations

Clinician APIBest for: Custom patient journeys

Strengths

Developer-oriented clinician API
Design the patient journey end to end
Fits highly customized e-commerce flows

Trade-offs

Developer-led: expect to build your entire front end
Narrower scope beyond the clinician API

Pricing: Custom-quoted, confirm with vendorSwitching from MD Integrations? The playbook

Beluga Health

Turnkey white labelBest for: Turnkey launches

Strengths

Intake, visits, and prescriptions in one package
White-label patient flows
Built for fast, simple launches

Trade-offs

Turnkey approach limits customization depth
The patient experience is more theirs than yours

Pricing: Custom-quoted, confirm with vendorSwitching from Beluga Health? The playbook

Telegra

White-label platformBest for: White-label patient dashboards

Strengths

White-label intake and patient dashboard
In-house provider network
Connects e-commerce, prescribing, and pharmacy

Trade-offs

Platform-hosted patient dashboard — less front-end control
Newer entrant relative to enterprise networks

Pricing: Custom-quoted, confirm with vendorSwitching from Telegra? The playbook

CareValidate

Orchestration platformBest for: Fully outsourced clinical stacks

Strengths

Own LegitScript-certified physician corporation
Orchestration with workflow automation
Serves DTC brands, retailers, and employers

Trade-offs

Uses its own physician corporation exclusively — no bring-your-own clinicians
Orchestration paradigm offers less API-first flexibility

Pricing: Custom-quoted, confirm with vendorSwitching from CareValidate? The playbook

DrCare247

White-label portalBest for: Configurable virtual-care portals

Strengths

Modular, cloud-based architecture
Customizable workflows and branding
Aimed at providers and health organizations

Trade-offs

Portal-style white label — you customize the experience rather than own it
Less brand recognition in US telehealth infrastructure

Pricing: Custom-quoted, confirm with vendorSwitching from DrCare247? The playbook

How to choose

Pick by what you want to own

API infrastructure

You have engineers and a funnel you have optimized

Choose API infrastructure. Don’t hand your conversion rate to a vendor template; the patient experience is your compounding asset.

Hosted portal

You have no engineering team and need to validate demand this quarter

Choose a hosted portal or turnkey model, and negotiate API export rights in the contract so you can move later on your terms.

Enterprise network

You are an enterprise, payer or health system

The enterprise clinician networks are built around your procurement and integration reality.

Migration

You are already at volume on another platform

Compare against the fully loaded cost of what you have, then read the OpenLoop migration playbook. Done right, patients never notice the switch.

FAQ

Questions teams ask

Can’t find yours? We’re happy to walk through your program.

Book a call

What is the best OpenLoop 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 OpenLoop 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 here quotes custom pricing: some mix of platform fees, per-visit fees or revenue share. Model your expected volume before comparing; the same structure prices very differently at 100 versus 1,000 patients a month. Lithos is free to start and charges per visit, with no setup or platform fee.

Do I need a medical license to launch a telehealth brand?

No. The platform operates the clinical entities and clinician network; you operate the brand. You still need the right corporate structure, which reputable platforms set up with you.

Which platforms support GLP-1 weight-loss programs?

Most platforms here, including Lithos, support GLP-1 weight management. Ask each vendor about pharmacy supply, compounding posture and prior-authorization support.

Who owns the patient records?

Contractually it varies, and it is the question that matters most in year three. Get 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, so confirm with each vendor. Related reading: white-label telehealth, explained · what it really costs to launch · migrating from OpenLoop

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