Telehealth App Development, What It Really Costs and How to Build It
Telehealth app development runs $40k to $250k across the market. See what really drives your price, timeline, and HIPAA-ready build before you commit.

Scalater has integrated several of these networks and works with some as partners. This guide is written to be vendor-neutral. There is no paid placement and no scored winner.
If you have no clinician of your own, you rent a white label telehealth platform or provider network that supplies the prescriber and sometimes the whole stack. The right choice depends on your use-case, not on which vendor calls itself the best. This guide maps the exact networks to your business model. You will see pricing structures, compliance rules, and the real work required after you sign.
Renting a provider network means paying a licensed medical group to handle patient intake, clinical review, and e-prescribing on your behalf. You own the brand. They own the medical license. This model removes the need to hire doctors, secure state licenses, and manage credentialing. You need this setup when you want to launch fast without a clinical team. You do not need it if you already employ your own licensed clinicians or if you plan to run a fully independent medical practice.
The market splits into three clear groups. Each group changes how much you still have to build.
Pure provider networks give you only the clinicians and the clinical API. You must build or buy the storefront, the intake forms, the billing system, and the pharmacy routing. This path fits teams with strong engineering resources who want full control over the patient experience.
Hybrids provide the clinicians plus clinical infrastructure. They include intake workflows, async messaging, and sometimes pharmacy fulfillment. You still handle the patient-facing commerce layer. This path fits brands that want a lean clinical engine without rebuilding basic telehealth tools.
Business-in-a-box platforms bundle the tech, the network, the pharmacy, and the billing into one monthly subscription. You just add your logo and marketing. This path fits founders who want a fast launch with minimal engineering.
You can narrow your shortlist by answering these seven questions before you sign any contract.
Pure networks focus on clinical delivery. They leave the tech build to you.
MD Integrations, often called MDI, runs a white-label telehealth API with an MD-only network. They cover 50 states, DC, and Guam. They are LegitScript approved and state they are SOC 2 Type II and HIPAA certified. They offer official Shopify and WooCommerce plugins. MDI does not prescribe controlled substances. This is a hard limit. Onboarding costs about 3,000 dollars. Per-consult pricing is shared on a quote. You still build the compliant storefront and brand experience. MDI fits DTC brands and pharmacies that want an MD-only network for trust, deep API control, cash-pay models, and no controlled substances.
Wheel operates as a clinician network and a white-label platform. They cover 50 states and use NCQA-credentialed clinicians. Their network includes MDs, DOs, NPs, PAs, RNs, and behavioral health specialists. They are pharmacy-agnostic and lab-agnostic. This means you can dispense from your own pharmacy. They target enterprise programs. They act as a care-delivery layer, not a full electronic health record system. You will need a separate system of record. Pricing follows a flat platform fee plus per-consult rates, shared on a quote. Controlled-substance and EPCS support are not documented. Verify directly with their sales team. Wheel fits enterprise multi-state programs that already have a system of record and want one counterparty for platform and clinicians.
Hybrids blend clinical staff with operational infrastructure.
Beluga provides physician-led, async-first white-label clinical infrastructure plus pharmacy fulfillment. They use board-certified physicians and NPs. They cover 50 states and DC. Beluga states it holds LegitScript, ISO 27001, and SOC 2 posture. Their site lists controlled-substance support and a bring-your-own-pharmacy option with no extra Beluga fee on fulfillment. Their pricing structure uses a flat monthly platform access fee plus per-visit tiered pricing plus pass-through pharmacy and labs. They take no revenue cut. Exact numbers appear on a scoping call. They offer three integration paths. You can use their direct API, a pre-integrated platform partner, or become a platform company. You still build the patient-facing brand and commerce layer. Beluga fits DTC async cash-pay models like weight loss, hair, skin, and wellness. It also fits sync plus lab models like testosterone and hormone therapy.
OpenLoop operates a large clinician network plus white-label tech. They self-report over 20,000 clinicians. They cover 50 states. They handle insurance and payer billing for over 600 payers. They offer financed credentialing. Pricing is shared on a quote. OpenLoop disclosed a data breach in March 2026 affecting about 716,000 individuals. The exposed data included names, addresses, dates of birth, and medical information. They stated Social Security numbers were not accessed. The HIPAA Journal reported the incident. A founder choosing an infrastructure partner has a legitimate interest in a vendor security track record. Weigh this fact carefully. OpenLoop fits programs that need insurance billing or direct payer integration.
Business-in-a-box platforms deliver a complete stack.
UniLoop provides a white-label telehealth SaaS that bundles nationwide provider coverage, pharmacy and compounding fulfillment, a patient portal, intake forms, and subscription billing. They are LegitScript approved. They support bring-your-own-doctors. They publish monthly pricing. Startup costs 1,500 dollars per month. Growth costs 2,500 dollars per month. Enterprise pricing is custom. These rates were public as of September 2026. They are a newer, smaller company. UniLoop fits founders who want a turnkey branded platform fast, with transparent monthly pricing and little to build.
Ola Digital Health, or OLA, offers a white-label platform called the Virtual Care Gateway. They include a 50-state licensed provider network. OLA states it handles e-prescribing, billing, and compliance workflows for you. Pricing is shared on a quote. Ola fits founders or pharmacies that want a bundled white-label stack with the network included and minimal setup.
Use this table to shortlist, then read the full profiles above for the trade-offs. All details are as of September 2026 and reflect each vendor’s own public materials. Confirm the current terms with each vendor before you sign.
| Network | Type | Providers | States | Controlled substances | Pricing | Integration |
|---|---|---|---|---|---|---|
| MDI | Pure network | MD-only | 50 + DC + Guam | No | About 3,000 dollars onboarding, then quote | API plus Shopify and WooCommerce plugins |
| Wheel | Pure network | MD, DO, NP, PA, RN, behavioral | 50 | Not documented (verify) | Quote (platform fee plus per-consult) | Platform plus API (needs a separate system of record) |
| Beluga | Hybrid | Physicians plus NPs | 50 + DC | Lists support (verify scope) | Public structure (per-visit, no revenue cut); numbers on a call | Three paths (direct API, platform partner, become a platform) |
| OpenLoop | Hybrid | MDs plus NPs (20,000+ self-reported) | 50 | Not specified (verify) | Quote | API plus white-label tech; insurance billing |
| UniLoop | Business-in-a-box | Included network, or bring your own | Nationwide | Not specified (verify) | Public: 1,500 or 2,500 dollars per month, Enterprise custom | Bundled hosted platform |
| Ola Digital Health | Business-in-a-box | 50-state licensed network | 50 | Not specified (verify) | Quote | Bundled hosted platform (Virtual Care Gateway) |
Match your use-case to a network
| Use-case | Best archetype | Specific fit |
|---|---|---|
| GLP-1 weight loss | Hybrid or business-in-a-box | Beluga or UniLoop. Note that compounded GLP-1 carries FDA regulatory exposure. The shortages that allowed mass compounding have resolved and the FDA has warned telehealth marketers, so steer toward compliant, branded sourcing. |
| TRT and HRT | Hybrid | Beluga. Requires sync visits and lab routing. MDI cannot handle controlled substances, so TRT that requires controlled medication will not fit MDI. |
| Hair and skin | Pure or hybrid | MDI or Beluga. Async workflows work well. Cash-pay routing is standard. |
| General wellness | Pure or business-in-a-box | Wheel or UniLoop. Low clinical complexity. Fast launch paths preferred. |
| Insurance-billed care | Hybrid | OpenLoop. Direct payer integration and credentialing support are required. |
| Dispense from your own pharmacy | Pure or hybrid | Wheel or Beluga. Both support pharmacy-agnostic or bring-your-own-pharmacy routing. |
| Enterprise multi-state | Pure | Wheel. The single-counterparty model scales across many regions. |
Do not sign a contract until you verify these points in writing.
This guide is general information, not legal or medical advice. Have healthcare counsel review your provider-network contract and your corporate structure before you sign.
The network is only half the launch. Connecting it to your store, your pharmacy, and your records is the real work. You must keep protected health information off your public storefront. You must map intake data to clinical APIs. You must route prescriptions without breaking state pharmacy laws. Most founders stall at this bridge. Scalater builds HIPAA-ready integration architecture with BAA support for exactly this work. If you need a clear path from vendor selection to live launch, reach out to get a vendor-neutral provider-network recommendation.
The biggest mistake is picking a network before you know your own use-case and exit terms. The vendor with the fastest demo rarely matches your compliance or pharmacy routing needs.
A white label telehealth platform is a clinical service that you rebrand as your own. The vendor handles licensing, prescribing, and compliance. You handle marketing, storefront, and billing. This lets you launch a medical service without hiring doctors.
Yes. You cannot legally prescribe medication without a licensed clinician and a compliant medical entity. A provider network supplies the licensed prescribers and handles state licensing. You rent this coverage to stay compliant while you scale.
Wheel and Beluga both support pharmacy-agnostic routing. You can direct prescriptions to your own fulfillment center or a preferred pharmacy partner. Always verify their current bring-your-own-pharmacy terms before signing.
Pricing varies by model. Business-in-a-box platforms often charge 1,500 to 2,500 dollars monthly plus per-visit fees. Pure networks and hybrids usually require a custom quote with onboarding costs and per-consult rates. Always request a written breakdown before committing.
Beluga currently lists controlled-substance support. Wheel does not document this capability and requires direct verification. MDI strictly does not prescribe controlled substances. Always confirm current DEA and state routing rules with the vendor sales team.

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