Which one should you pick?
If you already run a store and have engineers who want only the clinical layer, MD Integrations is probably the better buy. MDI says its physician network is licensed in all 50 states plus DC and Guam, that it has completed more than 4 million patient visits for 200+ healthcare companies, and that brands can contract with its professional corporation instead of forming their own. You keep your checkout, your app and your data model, and MDI supplies the doctors.
If you are starting from zero and do not want to build a storefront, checkout, subscription billing, patient portal and pharmacy routing around those doctors, Turbopills is closer to what you need: one platform under your brand, providers included, with a GraphQL API for when you outgrow the defaults.
The rest of this post is the detail behind that answer.
Side by side
| MD Integrations | Turbopills | |
|---|---|---|
| What you buy | Physician network and clinical workflow, delivered by "telemedicine API or plug-in to our white-label telehealth platform" | Storefront, conditional intake, state-aware provider routing, billing after approval, pharmacy routing, portal, mobile app, affiliate program, GraphQL API |
| Published price | None. Its FAQ says pricing is "tailored" in demo sessions | None. Private beta, quoted per program |
| Promotions on its site | No charge for the professional corporation; free messaging and refills for one year | None |
| Clinicians | Physicians only ("powered exclusively by physicians"), 50 states plus DC and Guam | Licensed providers included, routed by state |
| Clinical entity | Contract with MDI's PC network, or bring your own | Set up with your counsel for your program |
| Controlled substances | "MD Integrations does not prescribe controlled substances" (FAQ) | Ask in the demo for your program |
| Pharmacy | E-prescribing and fulfillment "through various pharmacy partners" | Integrated network with live order tracking |
| Storefront and checkout | Yours to build, or Shopify and WooCommerce integrations (launched November 2025) | Included, on your domain |
| Payments and merchant account | Not stated on its site | Billing on your own gateway accounts |
| Mobile app for patients | Not stated | Branded iOS and Android app |
| LegitScript | Enterprise Certification Partner since September 1, 2026; review pickup "in as little as two days" | Storefront built to pass; the certification stays in your name |
| Launch claim | "Go live in under a week" (homepage); a January 2026 MDI blog post lays out a 60-day path | Weeks |
Sources: mdintegrations.com, MDI's FAQ, the LegitScript partnership release (September 1, 2026) and the e-commerce release (November 11, 2025). "Not stated" means we could not find it published, which is different from "does not offer".
What MD Integrations actually is
MDI was founded in 2020 by Dr. Marc Serota, and in October 2025 it raised $77 million from Updata Partners and Denali Growth Partners. Its core product is the clinical layer of a DTC telehealth business: board-certified physicians across dermatology, weight loss, men's and women's health and other specialties, working asynchronously 24/7, with a published average doctor response time of 52 minutes and a claim of 250,000+ visits a month. Those are MDI's own numbers; we have no way to audit them, and neither do you without references.
Two details on its site deserve more attention than they usually get.
The first is the physician-only network. Plenty of clinical networks lean on nurse practitioners and PAs, which is fine and often cheaper. Some brands want an MD or DO on every encounter for positioning or for a specific formulary, and MDI is built around exactly that.
The second is the professional corporation. MDI offers its PC network at no charge, which removes the hardest legal step for a non-clinician founder. It also means MDI's medical group is the treating entity, so under HIPAA the chart is that group's record. That is a normal and legal arrangement, and it is the same trade we described in who owns what on a white-label platform. Ask MDI what a full export contains and what happens to patient continuity if you leave, because its FAQ does not say.
What you still build around a clinician API
This is where the comparison really lives. A clinician network answers "who approves the prescription." It does not answer who sells the subscription, charges the card only after approval, retries a failed payment, ships the refill, shows the patient where the order is, or lets them pause without emailing support.
With MDI, a team with its own engineers typically builds or buys:
- the storefront and product catalog (or uses the Shopify or WooCommerce integration)
- checkout with charge-after-approval logic, which the FTC's case against Hims made a design requirement
- subscription billing, dunning and refunds on a processor that accepts telemedicine
- the patient portal or app beyond MDI's intake and messaging layer
- order status and tracking pushed back to the patient
- a CRM and admin view that joins all of the above
None of that is exotic. It is also the bulk of the cost. In our line-item launch budget, the software assembly pile is the larger of the two, and it keeps costing money after launch because every integration has an owner. If you already have that team and that store, MDI's model is efficient: you pay for doctors and keep everything else. If you do not, the API is the start of a project.
Pick MD Integrations if
- You already sell on Shopify or WooCommerce and want to add a prescription product without replatforming. MDI shipped those integrations in November 2025 and says nearly 100 organizations already used them at launch.
- You have engineers and a product roadmap, and you would rather own the checkout and the app than configure someone else's.
- You want physicians, and only physicians, on every encounter.
- You do not want to form a PC and are comfortable with MDI's medical group as the treating entity.
- You need LegitScript moving fast. Since September 1, 2026, MDI brands get applications picked up in as little as two business days, against the 4 to 6 weeks the release cites for standard review, with renewals handled by MDI.
- Your formulary has no controlled substances. (If it does, MDI is out by its own FAQ, so testosterone programs should look elsewhere.)
We would add one more. If you are a lab, a pharmacy or a pharma company adding a prescribing step to an existing patient flow, MDI's buyer list names you directly, and an all-in-one storefront is the wrong shape.
Where Turbopills fits, and where it does not
We built Turbopills for the founder who has a brand and an audience but no store, no billing engine and no engineering team, and who does not want to hire one to wire a clinician API into a checkout. The storefront, conditional intake, state-aware provider routing, billing that starts only after clinical approval, pharmacy routing with live tracking, the branded portal and the mobile app ship as one configured system. Billing runs on your own gateway accounts, and your data is readable through our GraphQL API, which is also how a team adds custom pieces later without leaving.
The limits are real. We are in private beta, we quote per program and publish no price, onboarding is hands-on, and capacity is limited. We do not do payer billing. You still own the legal setup, the medical director, the LegitScript application and the marketing; we make the first three easier and do not touch the fourth. And if your answer to "do you already have a store and engineers?" is yes, our all-in-one is partly duplicating what you have, which is an argument for MDI or for using only our API.
The fair test is the same one we suggest for any vendor: get both quotes at 100, 500 and 2,000 patients a month, add the build and maintenance cost of everything in the list above for the MDI option, and compare cost per patient per month. The demo scorecard has the questions; run them on us too.
FAQ
Is MD Integrations legit? Yes. MDI is a physician-founded company (2020) that raised $77 million in October 2025, says it serves more than 200 healthcare brands, and became a LegitScript Enterprise Certification Partner on September 1, 2026. As with any vendor, check references for your treatment category before signing.
How much does MD Integrations cost? MDI does not publish pricing; its FAQ says pricing is tailored after a demo. Its homepage advertises no charge for its professional corporation and free messaging and refills for one year. Get the per-visit and any platform or minimum fees in writing at your projected volume.
Does MD Integrations prescribe testosterone or other controlled substances? No. Its FAQ states that MD Integrations does not prescribe controlled substances.
What are the alternatives to MD Integrations? Other clinical-layer vendors you build around (Beluga Health, for example), or all-in-one platforms that include the storefront and billing as well, such as Turbopills, Telegra, Cuvo and Bask Health. Our OpenLoop alternatives comparison puts the lanes side by side.