White label telehealth platform cost is not one number. It is a fee model, and the model you sign matters more than the headline price. As of September 2026, the vendors in this category price in four ways: a setup fee plus a flat monthly platform fee, a per-consult fee, a revenue share, or a markup on medication. Most contracts blend two or three of these. Publicly listed white-label plans in the category run from a few thousand dollars per month plus a one-time onboarding fee, with consult fees billed on top. Revenue-share and markup deals often show a near-zero sticker price and cost far more once you have patients.
The honest answer to "how much does a telehealth platform cost" is therefore: it depends on what you are paying for, per what, and how the fee scales with your volume. This guide walks through each model, runs an illustrative comparison at 100, 500, and 2,000 consults per month, lists the costs that never appear on a pricing page, and gives you the questions that expose the real number before you sign. This is general information, not legal or medical advice.
Key takeaways
- White label telehealth platform cost comes in four models: setup plus flat monthly fee, per-consult fee, revenue share, and medication markup, and most vendors combine at least two of them.
- A flat platform fee becomes a smaller share of revenue as you scale, while a revenue share stays fixed at its percentage forever, which makes revenue share the most expensive model for any brand that intends to grow.
- Medication markup is the hardest cost to see because it is buried in the pharmacy price rather than on the invoice, so always ask for the pharmacy's acquisition price alongside the price you are charged.
- Hidden costs sit outside the platform contract: LegitScript certification, paid advertising, payment processing, customer support staffing, and legal counsel.
- The most useful vendor question is not "what does it cost" but "what will it cost at ten times my current volume, and who is the merchant of record."
What are the four white label telehealth platform cost models?
Every white-label telehealth contract prices along one or more of these four axes. Knowing which ones apply to a quote is the whole game.
1. Setup fee plus flat monthly platform fee
The vendor charges a one-time onboarding fee to configure your brand, intake, storefront, and pharmacy routing, then a fixed monthly fee for the platform, provider network, and compliance layer. Volume does not change the platform fee, though many vendors add a per-consult charge on top.
Telegra, for example, lists a Plus plan at $3,000 per month plus a $5,000 one-time onboarding fee and a Pro plan at $6,000 per month plus $10,000 onboarding, with consultation fees billed separately by modality, per their published pricing as of mid-2026. Most other vendors gate exact figures behind a demo.
Best for: brands that expect to scale, because the fee is fixed while revenue grows.
Watch for: what "scoped" means. A flat fee should be scoped to your verticals, states, and integrations at onboarding, and the contract should say what triggers a re-scope.
2. Per-consult fee
You pay a set amount every time a licensed provider completes an encounter: an initial visit, a follow-up, a refill review. Some vendors charge one rate for asynchronous reviews and another for synchronous video visits; some bundle follow-ups and refills into a care window under one fee.
Per-consult pricing is genuinely variable cost, which is fair. The problem is when it is layered on top of a monthly fee and a revenue share, or when refills are billed as full consults.
Best for: early-stage brands with unpredictable volume.
Watch for: how a "consult" is defined, whether refills and messaging count, and whether the rate steps down at volume.
3. Revenue share
The vendor takes a percentage of your patient revenue in exchange for a low or zero platform fee. The pitch is alignment: the vendor only wins when you win.
The economics tell a different story. A revenue share is a permanent percentage of gross revenue, applied before you pay for advertising, support, or medication. At low volume it looks cheap. At scale it is the largest line on your P&L, and it does not step down. Revenue share also usually means the vendor is merchant of record, holding the payment relationship, the chargeback history, and often the patient data.
Best for: founders with no capital who would otherwise not launch at all.
Watch for: who is merchant of record, whether the percentage applies to gross or net revenue, what happens to the patient list if you leave, and whether there is an exit fee.
4. Medication markup
The vendor routes prescriptions to its pharmacy partners and charges you more for the medication than the pharmacy charges the vendor. The difference is the vendor's margin. On a GLP-1 or TRT program where the medication is most of what the patient pays for, a markup of even a modest percentage can dwarf the platform fee.
Markup is the least transparent model because it never shows up as a line item. Unless you know the pharmacy's price, you cannot see the spread.
Best for: nobody on the brand side. It shifts cost into the one place you are least likely to audit.
Watch for: whether the contract states a markup percentage at all. "0% medication markup" is the phrase to look for, with a mechanism to verify it.
How do the models compare at a glance?
| Model | What you pay | Scales with | Visible on invoice | Typical risk to the brand |
|---|---|---|---|---|
| Setup + flat monthly fee | One-time onboarding, then fixed monthly | Nothing (fixed) | Yes | Overpaying at very low volume |
| Per-consult fee | Fixed amount per completed encounter | Consult count | Yes | Refills and messages billed as consults |
| Revenue share | Percentage of patient revenue | Revenue, forever | Sometimes | Vendor is merchant of record; permanent margin loss |
| Medication markup | Spread between pharmacy cost and your cost | Prescription volume | No | Hidden; largest cost on Rx-heavy programs |
What does a flat fee vs a revenue share actually cost at scale?
Here is a worked example. Every number below is illustrative. These are not MyOrbitHealth prices, and they are not any specific vendor's prices. They exist to show how the two structures diverge as volume grows.
Assumptions for the illustration:
- Average patient revenue: $199 per consult-month (subscription plus medication, before any cost)
- Flat-fee vendor: $2,500 per month platform fee plus $30 per consult (illustrative)
- Revenue-share vendor: 35% of gross patient revenue, no platform fee (illustrative)
- Same provider network, same pharmacy prices, same everything else
| Monthly consults | Gross revenue | Flat fee model cost | Flat as % of revenue | 35% revenue share cost | Difference per month |
|---|---|---|---|---|---|
| 100 | $19,900 | $5,500 | 27.6% | $6,965 | $1,465 |
| 500 | $99,500 | $17,500 | 17.6% | $34,825 | $17,325 |
| 2,000 | $398,000 | $62,500 | 15.7% | $139,300 | $76,800 |
Three things jump out.
At 100 consults, the models are close. The revenue share costs about $1,500 more per month, which many founders will accept for a lower upfront commitment.
At 500 consults, the gap is real money. The flat-fee brand keeps roughly $17,000 more per month, which at that stage is an entire paid acquisition budget or two customer support hires.
At 2,000 consults, the revenue share costs over $900,000 more per year. The flat-fee model has fallen below 16% of revenue and keeps falling. The revenue share is still 35% and always will be, and it is what an acquirer will price against.
Now layer on medication markup. If the revenue-share vendor also marks up medication, the effective take rate climbs above 35% and you cannot see it in the table because it is hidden in the pharmacy invoice. The two questions travel together: what is the revenue share, and what is the markup.
For the full picture of everything else you will spend, our telemedicine startup costs breakdown itemizes build-versus-partner costs line by line, and the startup cost calculator lets you plug in your own assumptions.
What hidden costs sit outside the platform fee?
The platform contract is rarely the largest cost of running a telehealth brand. These are the costs that founders reliably underestimate.
LegitScript certification
If you sell prescription products online, you will need LegitScript Healthcare Merchant Certification to run ads on Google and Meta and to satisfy most payment processors. As of September 2026, LegitScript lists a $975 non-refundable application fee and a $2,150 annual certification fee, assessed per root domain, per their published FAQ. The fee is small; the cost is the time and the risk of rejection. Some platforms manage the application for you, others hand you a checklist. Our LegitScript certification guide covers the process in detail.
Paid advertising
Customer acquisition is the largest ongoing cost for nearly every DTC telehealth brand, and GLP-1, TRT, and hair-loss are competitive ad categories. Budget acquisition as a separate line, and remember that a revenue share is taken before you pay for the ads that produced the revenue.
Payment processing
Most processors classify telehealth and pharmacy as higher-risk merchant categories. Expect higher rates than a standard e-commerce store, rolling reserves in some cases, and underwriting that asks for your LegitScript status. If you are merchant of record, this cost is yours, along with the control that comes with it.
Customer support and patient success
Patients ask about shipping, dosing, side effects, and billing. Clinical questions route to providers, but the operational volume lands on your team. Most platforms do not include front-line patient support. Plan for support staffing from your first hundred patients.
Legal and compliance counsel
Even on a fully managed platform, you want your own healthcare attorney to review the management structure, the corporate practice of medicine analysis for your launch states, and your marketing claims. Our compliance and MSO model guide explains what that structure is and why it matters.
What should you ask a white label telehealth vendor about cost?
The answers to these separate a transparent partner from an expensive one.
- Which of the four models apply, and in what combination? Get the full list: setup, monthly, per-consult, revenue share, markup. Many quotes only surface two.
- What is the medication markup, stated as a percentage, in the contract? If the answer is vague, assume it is material.
- Who is the merchant of record? If the vendor is, ask who owns the patient list, the payment history, and the data when you leave.
- What does "consult" mean on the invoice? Initial visit, follow-up, refill review, async message: which are billed and at what rate?
- What is the contract term and exit cost? Multi-year lock-ins and exit fees are common with revenue-share deals. Month-to-month after onboarding is the founder-friendly answer.
- What will this cost at ten times my current volume? Make them run the math. The models that look cheap at 100 consults are usually the ones that hurt at 2,000.
- Is LegitScript included, assisted, or on me? "Assistance" and "managed through approval" are very different levels of work.
- What is included in the platform fee? Provider network, pharmacy routing, storefront, app, API, support: get the inclusion list in writing.
If you are still comparing vendors, our guide to how to choose a white label telehealth partner covers the non-cost criteria, and the best white label telehealth platforms roundup summarizes how each one prices.
How does MyOrbitHealth price?
MyOrbitHealth uses the first model and none of the others. Brands pay a flat platform fee scoped at onboarding to their verticals, states, and integrations. There is no revenue share. There is 0% medication markup: prescriptions route through OrbitRx to a LegitScript-certified pharmacy network at the pharmacy's price. The brand is merchant of record, owns its patients and its data, and the agreement is month-to-month after onboarding with no exit fee.
That structure is deliberate: a flat fee means MyOrbitHealth's revenue does not grow when your medication prices go up or when you scale, so there is no incentive to pad either. The platform fee covers OrbitOS, Orbit Intake, OrbitRx, Orbit Labs, the branded storefront and native iOS/Android app, the REST API, webhooks, and React SDK, and access to a Provider Network of 2,400+ board-certified providers across all 50 states and 38+ specialties. LegitScript certification is managed: MyOrbitHealth prepares, files, and manages the brand's application through approval, typically in days once filed, though approval is never guaranteed. Details are on the pricing page.
Frequently asked questions
How much does a white label telehealth platform cost?
As of September 2026, vendors that publish pricing list a few thousand dollars per month plus a one-time onboarding fee in the low five figures, with consult fees billed separately. Vendors that do not publish pricing typically quote a setup fee, a monthly fee, and either per-consult fees, a revenue share, a medication markup, or some combination. The model matters more than the sticker price.
Is a revenue share cheaper than a flat platform fee?
Only at very low volume. A revenue share is a fixed percentage of gross patient revenue forever, while a flat fee shrinks as a share of revenue as you grow. In an illustrative comparison at 2,000 consults per month, a 35% revenue share costs several times what a flat fee plus per-consult model costs. Revenue-share vendors are also usually the merchant of record, which affects who owns your patients.
What is medication markup in telehealth?
Medication markup is the spread between what a pharmacy charges the platform vendor and what the vendor charges your brand for the same prescription. It does not appear as a line item, so it is the hardest platform cost to detect. Ask for the markup percentage in writing and look for vendors that contractually commit to 0% markup.
What are the hidden costs of running a telehealth brand?
The main ones are LegitScript certification, paid advertising, higher-risk payment processing, patient support staffing, healthcare legal counsel, and per-patient lab and cold-chain shipping costs. Advertising is usually the largest ongoing expense. None of these are typically inside the platform fee.
How much are telemedicine startup costs in total?
Building a telehealth company from scratch typically runs well into six figures and takes many months, driven by custom software, legal structuring, and provider recruitment. Launching on white-label infrastructure typically costs a setup fee plus a monthly platform fee and consult costs, and can go live in weeks. Our telemedicine startup costs breakdown itemizes both paths.
Does MyOrbitHealth charge a revenue share or medication markup?
No. MyOrbitHealth charges a flat platform fee scoped at onboarding, with 0% medication markup and no revenue share. The brand is merchant of record, owns its patients and data, and the agreement is month-to-month after onboarding with no exit fee.
See the numbers for your brand
The cheapest-looking quote is rarely the cheapest contract. If you want a flat, scoped platform fee with 0% medication markup, no revenue share, and your brand as merchant of record, book a demo and we will walk through the fee structure for your verticals and launch states.