Tessic vs OpenLoop vs Wheel

Tessic Health, and it is the only one of the three. The Tessic pricing page carries the whole rate card: a flat $25 per completed consult, 0% medication markup, no revenue share, Launch at $1,000 a month after a one-time $8,000 setup, Grow at $2,000 a month after $15,000, Scale at $4,000 after $25,000, and Tessic Prescribe on custom pricing, all month to month. A founder can build a contribution-margin model from the website before booking a call.

OpenLoop publishes no rate card as of September 4, 2026. The written proposal reviewed for this comparison prices implementation at $9,000, split $4,500 at signing and $4,500 at the first patient, adds expedited LegitScript certification as a $3,000 option, and charges $1,500 a month from the first patient seen, on a 12-month initial term. That is $30,000 of fixed cost in year one against $20,000 on Tessic's Launch plan, the $8,000 setup plus twelve months at $1,000. Wheel publishes nothing at all: no per-consult fee, no subscription rate, no revenue share terms, and third-party listings such as Capterra carry no rate either, so unit economics arrive only after a sales cycle.

Fixed fees are the smaller half of the question. What a platform takes per patient, every month, for as long as that patient stays is the number that decides whether a brand compounds or plateaus, and only one of the three states it.

All three, which is why coverage is the wrong differentiator. Tessic Health fields licensed providers in all 50 states, credentialed under the client's brand and managed by Tessic, and providers practice through a friendly-PC inside an MSO structure Tessic drafts for the client's ownership as part of setup.

OpenLoop supplies a 50-state professional corporation network across 35 or more specialties with NCQA-certified credentialing, and offers clients the option to form their own PC. Wheel supplies the Wheel Provider Group, an independent network of board-certified physicians and nurse practitioners in all 50 states plus DC and Puerto Rico, governed by Wheel Medical Group. Both clear the licensure bar that matters, since a visit is governed by the state where the patient is physically located.

The real question is what arrives with the clinicians. On Tessic Health, the pharmacy, the labs, the billing, the storefront, the patient portal, and the compliance structure arrive as one platform. OpenLoop supplies pharmacy and labs too, on its own supply chain and inside its own money flow. Wheel supplies clinicians and software and fulfills medication through Amazon Pharmacy, with labs not published as of September 4, 2026.

Tessic Health runs both, at cost. Prescriptions route to cold-chain pharmacy fulfillment, labs are included, and e-prescribing with EPCS covers controlled categories such as testosterone. Medication passes through at wholesale with 0% markup, so the platform has no margin on a refill and no reason to steer one.

OpenLoop runs a pharmacy and lab network with at-home collection kits, fulfilled through its own supply chain, with medication cost bundled into the share it retains rather than itemized. Wheel fulfills medication through an Amazon Pharmacy integration with a GoodRx pricing integration, and does not publish lab coverage or medication markup as of September 4, 2026.

This is the line item that is easiest to lose. A markup buried in a medication price or a spread on fulfillment does not appear on an invoice as a fee, but it is charged on every refill for the life of the patient. Ask each vendor for the medication economics in writing, and treat an unwillingness to state a number as the answer.

OpenLoop's strengths are breadth and speed to a storefront. Its site reports more than 400 brands and 700,000 patients a month, a provider network across 35 or more specialties, a payer network of more than 600 plans, and a Launchpad tool that stands up a storefront in as little as 24 hours. Those matter to an enterprise that already has counsel reviewing the merchant-account arrangement and values payer relationships over published unit economics. A cash-pay brand gets none of that value and pays all of the cost: 50 to 59 percent of a maintenance patient's payment retained, a 12-month term, and card tokens it does not hold. Tessic Health stands up the same branded storefront in days, with the brand billing its own patients on a flat $25 consult and 0% markup.

Wheel's strengths are enterprise credentials. Founded in 2018 in Austin, with more than $216 million raised and 7 million patient visits reported, Wheel offers 70 or more evidence-based care programs, white-labeled or API-first deployment on Wheel Horizon, and HIPAA, SOC 2, and HITRUST alignment. Those clear an enterprise security review, and they arrive with an enterprise sales cycle, no published price, and go-live in under 90 days per its TPA offering. Tessic Health includes every treatment vertical on every plan, carries SOC 2 Type II, SSO, and a 99.9% uptime SLA on Scale, and publishes the whole rate card.

For an enterprise or multi-brand operator that wants that scale without giving up published terms, Tessic Health's Scale plan runs $4,000 a month after a $25,000 setup, with unlimited brands on one account, SOC 2 Type II, SSO, a 99.9% uptime SLA, a dedicated launch and compliance team, and a sandbox with custom integrations, on the same $25 per completed consult, 0% markup, and no revenue share as every other plan. Each of OpenLoop's and Wheel's advantages is real for a buyer that is not a brand. For the brand, Tessic Health is the obvious choice.