Head to head

Karpa Health vs Asher Health

Who's behind itFounded in 2026. Two co-founders (Chad Heidt and Aly Mirza) listed, with no other team named. Address not listed beyond Tampa, FL.Founded by Josh Ponton and Trevor Briggs, former gym owners. Raised a $3.0M seed round (2026). Bankruptcy listed for Josh Ponton.
Your riskOne-time implementation fee (amount not published). Your business is merchant of record through its own Stripe account.Setup fee of $1,997 ($997 if activated within 7 days), refundable within 14 days if conditions are met. Your business collects patient payments as merchant of record, and Asher's LegitScript certification does not extend to your business.
Clinical leadershipNo physicians or medical director named. Clinician names on its site are labeled as illustrative examples."GuardianMD medical oversight" and licensed doctors in all 50 states. No physicians or medical director named.
Brand ownershipYour brand and domainYour brand; clients pay your business directly
ProductsPeptides, GLP-1s, Hormone therapy, Lab testing, Hair loss, Sexual health, Skin carePeptides, GLP-1s, Lab testing
Named productsSermorelin, NAD+, compounded semaglutide and tirzepatideSermorelin, NAD+, BPC-157, TB-500, GHK-Cu, MOTS-c (per Karpa); hormone therapy not yet live
StatesAll 50 statesAll 50 states
PharmacyLegitScript-certified pharmacy partners (not named); no bring-your-own pharmacy503A pharmacies: Emerald RX and White Label Pharmacy (per Karpa)
Starting price$297/mo plus implementation fee$497/mo plus $997 to $1,997 setup
Estimated year-one costAbout $3,600 plus implementation feeAbout $6,000 to $7,500
Launch timeAbout 7 days with an existing site; about 30 days if Karpa builds it48 hours to 14 days to first patient (per Karpa)
ComplianceLegitScript Certified Healthcare Merchant; SOC 2 not mentionedLegitScript seal on site (does not extend to partners)
Partner toolsWebsite and checkout, intake with ID verification, patient portal, EMR, admin dashboard, API and webhooksPartner portal, patient care team 7 days a week, marketing assets, live calls on weekdays, owner community, NASM/AFAA-approved certifications. No storefront or website build.

Bottom line

Karpa Health

Karpa Health scores 7 points lower than Asher Health (63/100). Best for: Entrepreneurs and creators launching a first telehealth brand. Biggest strength: low published monthly price. Biggest drawback: brand new (2026), with minimal team and no named clinicians.

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Asher Health

Asher Health scores 7 points higher than Karpa Health (70/100). Best for: Online businesses with 100-200 active clients. Biggest strength: large partner community. Biggest drawback: onboarding fee of up to $1,997.

Visit Asher Health