The answer first
Choose Telegra if you want a published, predictable fee, a fixed 21-day onboarding, and (on Pro) a white-labeled native app on day one, and you can fund roughly $41,000 to $82,000 in year one. Telegra says it supports more than 200 health brands and over five million patient journeys a year, and it is one of the few platforms in this category that puts every core number on a public page.
Choose Turbopills if you want billing on your own gateway accounts, a full GraphQL API, a native app and hands-on configuration, and you are comfortable starting from a quote rather than a price list. We are in private beta and quote per program. That is a real disadvantage when you are comparing against a vendor this transparent, and we will not pretend otherwise.
What Telegra costs in year one
All figures are from Telegra's pricing page, unchanged since we first quoted them in September.
| Plus | Pro | |
|---|---|---|
| Monthly fee | $2,999 | $5,999 |
| Onboarding | $5,000, or 3 payments of $1,750 | $10,000, or 3 payments of $3,500 |
| Onboarding timeline | 21 days | 21 days |
| ID verification | $1.00 per patient per year | $0.75 per patient per year |
| Year one, platform only (12 months plus onboarding paid upfront) | $40,988 | $81,988 |
| Year one with 1,000 verified patients | $41,988 | $82,738 |
| Year two, platform only | $35,988 | $71,988 |
The installment option costs a little more ($5,250 instead of $5,000 on Plus, $10,500 instead of $10,000 on Pro) and spreads the hit across the first quarter, which matters more than the $250 if you are funding the launch from revenue.
What the table leaves out: clinician visit fees, medication, labs and payment processing. Telegra's pricing page does not list a per-consult fee, so ask for one in writing. A flat platform fee is easy to model; the per-patient costs around it are where budgets drift, and we worked through that at three volumes in the pricing models breakdown.
Our view: $2,999 a month is fair for what Plus includes if you will have a few hundred active patients within six months. At 50 patients it is $60 per patient per month before anything clinical, which is heavy for a test.
Plus, Pro and Turbopills, feature by feature
| Telegra Plus | Telegra Pro | Turbopills | |
|---|---|---|---|
| Admin | Command Center, unlimited seats | Same | CRM and admin console |
| Patient experience | White-label portal, domains, intake, custom questionnaires, cart and checkout | Same | Storefront, conditional intake, portal on your domain |
| Native mobile app | No | White-labeled iOS and Android | Branded iOS and Android |
| Providers | 50-state coverage | 50-state coverage | Licensed providers, state-aware routing |
| Pharmacy | 3 compounding pharmacy partners | Full network, plus Bring Your Own Pharmacy (one-time integration fee, amount not published) | Integrated network with live tracking |
| Labs and supplements | 10 preset lab panels, 10 preset supplement packs | Custom and branded | Ask in the demo |
| API | E-commerce API; "every patient-facing interaction is exposed" | Same | GraphQL across the workflow |
| Merchant account | Not published | Not published | Your own gateway accounts |
| Price | $2,999/mo + $5,000 | $5,999/mo + $10,000 | Quoted per program |
Telegra details beyond the pricing page come from telegramd.com and its developer documentation, which shows WooCommerce subscription sync and Stripe-based payment methods. Telegra also lists a LegitScript Enterprise Certification Partner badge and a Pharmacy OS product; peptides are marked "coming soon."
The jump from Plus to Pro is mostly three things: the app, the pharmacy network, and the ability to bring your own pharmacy. If you need any of them, budget for Pro from the start, and ask what an upgrade after launch would cost, because the pricing page does not say.
Who owns the patient on Telegra
This is the part of the title we cannot fully answer from public pages, and we would rather say so than guess.
What Telegra does publish is encouraging on one dimension. Its Bring Your Own Pharmacy option on Pro is described as "We integrate. You keep the relationship," which is exactly the clause our ownership guide tells founders to look for. Its integrations also let a brand sell on its own site: Checkout Champ's Telegra plugin, for example, has the customer buy on the merchant's store before Telegra handles the clinical assessment and fulfillment.
What it does not publish: whose merchant account processes payments on a Telegra checkout, which clinical entity treats the patient when Telegra's providers do the visit, whether you can bring your own clinicians, and what a full data export contains at termination. None of those gaps is unusual; most vendors in the OpenLoop alternatives table leave the same cells blank. Ask all four in writing before you pay the onboarding fee, since that money is gone if the answers disappoint you later.
For the record, our answers: billing runs on your own gateway accounts, your data is readable through the API while you are a customer, and the clinical entity structure is set up with your counsel. Verify those in our demo the same way.
Pick Telegra if
- You need a budget a board or lender can read. A published monthly fee and a published onboarding fee beat any quote.
- You want a native app in the App Store on launch day and are willing to pay for Pro to get it.
- You already have a pharmacy relationship and want to keep it. Pro's BYOP is built for that.
- A fixed 21-day onboarding fits your calendar, and your PC, medical director and LegitScript work are already moving.
- You want labs and supplements as packaged add-ons from the same vendor.
- You expect several hundred patients quickly, so the flat fee falls fast on a per-patient basis.
Where Turbopills fits
Turbopills runs the storefront, conditional intake, state-aware provider routing, billing that starts only after clinical approval, pharmacy routing, the branded portal, a native app and an affiliate program as one system, with a GraphQL API on the same data. Launches take weeks, and the pace is usually set by the founder's legal setup, not the software.
What we cannot offer today: a public price, self-serve signup or unlimited onboarding capacity. We are in private beta, every program gets a quote and hands-on onboarding, and we do not do payer billing. If a published flat fee is the deciding factor, Telegra wins that comparison outright. If you get our quote, force it into the same shape as the table above (year one, year two, and cost per patient at 100, 500 and 2,000 patients) and compare like for like. The demo scorecard has the rest of the questions.
FAQ
How much does Telegra cost? Plus is $2,999 a month with $5,000 onboarding (or three payments of $1,750); Pro is $5,999 a month with $10,000 onboarding (or three of $3,500). ID verification is $1.00 or $0.75 per patient per year. Medication, labs and clinician fees are separate.
Is Telegra legit? Yes. Telegra publishes its pricing, says it supports more than 200 health brands, and displays a LegitScript Enterprise Certification Partner badge. Ask for references in your treatment category before signing.
Does Telegra include a mobile app? Only on Pro, which includes a white-labeled iOS and Android app. Plus does not.
What are the alternatives to Telegra? All-in-one platforms such as Turbopills, Bask Health, Cuvo and Karpa, or a clinician network you build around, such as MD Integrations.