What is Decoda Health building?

An AI-native operating system built for the next generation of clinical care. We're empowering medical practices with the tools they need to thrive in an AI-native world. From autonomous front desks to intelligent charting, we've got you covered.

How much did Decoda Health raise and who led the round?

Decoda Health Raises $4.5M to Build the Operating System for Modern Care, led by Y Combinator.

What are the new med spa laws in 2026?

State legislatures are regulating med spas directly for the first time. Indiana's SB 282, Texas's Jenifer's Law, California's SB 351, and New Jersey's S2996 — each has specific requirements, deadlines, and a 2026 compliance checklist.

How can med spas reduce no-shows?

Cut your med spa no-show rate below 5%. See which reminders, deposits, and card-on-file rules to use for each appointment — with research, a copy-paste cancellation policy, and a plan for backfilling empty slots.

How much does it cost to open a med spa in 2026?

Med spa startup costs in 2026 run $150K–$500K. See the full cost breakdown, medical director requirements, and how long until a new med spa is profitable.

How can med spas set up VIP memberships and patient wallets?

Modern med spas can set up custom membership tiers, auto-convert recurring charges to patient credit, and split payments across wallets, gift cards, and physical cards at checkout.

What's the best way to manage recurring memberships for a med spa without a separate CRM?

A purpose-built med spa EMR like Decoda handles multi-tier memberships natively — including per-item rollover, tiered discounts, configurable billing cycles, and automatic credit conversion — so you never need a separate CRM or spreadsheet to track member benefits. Membership configuration that most general-purpose tools fail to deliver is built directly into the checkout and patient profile.

How do I set up and conduct telehealth or virtual follow-up visits inside my practice management software without letting patients self-book them?

You can configure virtual locations within your scheduling settings and restrict them to staff-initiated booking only, keeping telehealth appointments — like post-operative follow-up calls — fully internal. The virtual visit lives inside the same scheduling and clinical documentation environment as your in-person care, so notes and records stay in one place.

AI-native EMR vs. legacy EMR with AI added on — what's the real difference for a med spa?

A legacy system that bolts AI on top can only apply intelligence to what its rigid architecture allows — typically scheduling or chat. An AI-native system is built so that AI understands context across the full patient journey, from the first phone call through clinical notes, inventory, and follow-up campaigns. For a med spa, that difference shows up in charting speed, front desk automation, and inventory tracking — not just appointment reminders.

What are the biggest software switching triggers for elective-care clinics in 2026?

The most common reasons independent practices switch software are poor customer support, fragmented tools that don't talk to each other, missing or broken membership features, and compliance gaps in clinical documentation. Multi-location growth and new state licensing requirements in 2026 are also pushing owners to find a single system that works across locations.

Can I manage high-risk payment processing — like peptides, semaglutide, or ketamine — through my med spa software?

Yes — Decoda supports high-risk payment processing through its Rainforest integration, which covers services and products like peptides, semaglutide, GLP-1, ketamine, and TRT/HRT. If you currently have a merchant relationship with Stripe or Square, it's worth verifying compatibility before assuming your existing setup covers high-risk categories, since those processors routinely freeze funds for these service types.

How do I reduce the time my front desk spends on phone calls without losing the personal feel patients expect?

An AI front desk answers missed calls, texts patients back immediately, and handles routine booking and follow-up questions 24/7 — so your staff focuses on the patients already in the room. Clinic partners using this approach see a 70% reduction in inbound call volume on average, which gives the front desk time to deliver the attentive experience that keeps patients coming back.

What should I look for in a med spa EMR if I'm running GLP-1 or weight loss programs?

Look for billing cycles that match your program cadence — 6-week, 10-week, and 12-week options are standard for structured weight loss and GLP-1 protocols — along with automated patient follow-ups and high-risk payment processing for compounding medications. Clinical note templates and care plan timelines purpose-built for weight loss workflows prevent the documentation gaps that create compliance risk.

Will patients see my personal or work email address when they join a telehealth video call?

No — telehealth video calls initiated through Decoda are conducted within the platform's virtual visit environment, so your personal or work email address is not exposed to patients. The invite and join flow is handled through the scheduling and communications layer, keeping your contact information private.

How long does it actually take to migrate from an existing EMR to a new practice management system?

A well-managed migration from an existing EMR takes three to four weeks when the new vendor handles the heavy lifting — data transfer, appointment history, and team training. The practices that report painful migrations are almost always ones where the vendor handed them a checklist and disappeared; white-glove migration support, where the team configures the system to match how your practice actually runs, is the difference between chaos and a clean cutover.

What does a system of record actually mean for an independent med spa, and why does it matter?

A system of record means every patient interaction — calls, bookings, clinical notes, payments, inventory usage, and follow-ups — lives in one place and feeds the same patient profile. For an independent med spa, this matters because fragmented tools create data silos where rebooking reminders don't fire, membership credits get miscounted, and providers walk into appointments without full patient history. One connected record is how a small team operates like a much larger one.

Manage Med Spa Inventory Without the Chaos (August 2026)

See how top med spa inventory tools handle Botox, filler, and retail tracking, ranked by clinical integration in August 2026.

What Is a Med Spa Inventory Management System?

A med spa inventory management system tracks every product that moves through your practice, from Botox vials and filler syringes to retail skincare on your front desk shelf. The difference from a general retail tool is that stock connects directly to clinical activity: when a provider documents a treatment, units deduct automatically. When a product sells at checkout, the count updates in real time.

Med spas carry two fundamentally different product categories. Clinical consumables like injectables, peptides, and IV fluids tie to specific patients and treatments. Retail products move through point-of-sale. A system built for general retail won't track that a patient received 40 units of Botox, or flag that a filler lot expires in three weeks.

Systems built for med spas also handle purchase orders, low-stock alerts, and supplier tracking, giving reorders a data foundation instead of a gut check. When inventory connects to both the clinical chart and the POS, stock levels stay accurate without a separate tally at the end of every shift.

How We Ranked Med Spa Inventory Management Systems

Does inventory connect to clinical charting?

A system that only tracks sales skips the injectable layer entirely. Treatment deductions, where documented units automatically reduce stock, are the most important capability for injectables.

How much manual work does the system cut?

AI-assisted entry, like scanning a packing slip to populate stock, saves hours that add up fast across a busy week.

Low-stock alerts and predictive restocking keep you from discovering a shortage the morning of a packed schedule. Running out of Botox mid-week is lost revenue, full stop.

Peptides, semaglutide, and compounding pharmacy integration need to be trackable without the system flagging them as unsupported. If your system can't handle these, your front desk is working around it every day.

Multi-location visibility is a requirement if you run more than one location. Consolidated inventory reporting should not be optional.

Integration with the rest of your workflow is the last filter. Inventory housed in a separate tool forces manual reconciliation. Systems where inventory, scheduling, billing, and clinical notes share a single record cut out that step entirely.

Rankings reflect publicly available feature documentation and product specs, measured against these criteria for independent elective-care practices.

Best Overall Med Spa Inventory Management System

Decoda Health

We put Decoda first on this list, which you should weigh accordingly. The specific reason: most systems keep inventory in their own module and quietly make your front desk the integration layer. In Decoda, the injector documents a treatment, and that's the whole transaction. Stock drops, the charge queues, the note gets signed. Nobody opens a second tab, and nobody tallies vials after the last patient.

AI Photo Upload: photograph a packing slip or product box and Decoda auto-populates your inventory records. No manual entry, no retyping packing slips.
Treatment Deductions: a unit annotation tool queues used units for checkout and removes them from stock at the moment of treatment documentation. Charting, billing, and inventory update in one action.
Low Stock and Predictive Alerts: the system flags seasonal demand shifts before you hit zero, giving you enough lead time to reorder before a packed week turns into a shortage.
High-Risk Product Support: peptides, semaglutide, ketamine, and TRT/HRT are all trackable and payable through procurement native to your EMR via Rainforest integration. Most independent elective-care practices carrying these products can process them here without a workaround.

Decoda is the only system on this list where AI Photo Upload, treatment deductions, clinical charting, and payment processing are unified without a third-party integration or a separate reconciliation step.

Zenoti

Zenoti's inventory capabilities run deep. It includes a built-in POS with real-time stock alerts, lot number and expiration date tracking, and consolidated multi-location visibility. For a large chain with dedicated operations staff, that infrastructure earns its cost.

For independent practices, the picture changes. Zenoti is an enterprise-level solution designed for multi-location chains, and that scope shows up in both implementation effort and cost. Its AI scribe is priced as a separate add-on rather than being included in the base platform.

If you're running one to three locations and want inventory connected to clinical charting without a dedicated ops manager, Zenoti is more infrastructure than your practice needs.

AestheticsPro

AestheticsPro combines inventory tracking, appointment scheduling, procedures, and billing in one system. Stock levels are visible while booking treatments or processing payments.

POS-connected inventory with UPC-scanner integrated checkout. Stock adjusts in real time as products sell or get used during treatments.
Tracks consumables with low-inventory alerts
Revenue Cycle Management with procedure tracking to flag issues like overstocked items

The 15-year track record in medical aesthetics means the core product logic is solid for practices managing both injectable and retail inventory with mature workflows.

Before-and-after photo tools offer only a slider view with no side-by-side comparison. Practices also report unreliable post-appointment patient texting, clunky clinical records workflows, and online booking failures that ignore blocked time. If you need AI-assisted stock entry, lot and expiration date tracking, high-risk product support, or a tighter connection between clinical charting and inventory, AestheticsPro isn't currently built for that.

Aesthetic Record

Aesthetic Record is an EMR-driven system built around clinical workflows, and the inventory tracking reflects that. When a provider administers an injectable, stock updates automatically. Lot numbers and expiration dates are tracked per batch, and par-level alerts go out before you hit zero.

Real-time, procedure-driven inventory tracking with automatic updates as injectables are administered
Lot and expiration tracking with low-stock alerts tied to par levels
ChartSmart AI for procedure notes, before-and-after photo and video management with markup, and chart sign-off for medical director oversight

If your practice is injector-led, doesn't carry high-risk products, and runs straightforward membership structures, Aesthetic Record covers the clinical side well. It's a strong fit for that profile.

Membership configuration is where practices most often leave Aesthetic Record. Before-and-after tools offer only a slider view with no side-by-side comparison. Forms spread across multiple folders can import as duplicates during migration, and you'll need to clean those up before going live. If you need AI-assisted inventory entry, high-risk product support, or complex membership structures, Aesthetic Record isn't currently built for those workflows.

Meevo

Meevo's med spa management software was built for aesthetic practices that rely on clinical charting and HIPAA compliance but don't need a full medical EMR. Booking, payments, charting, inventory, and reporting sit in one connected system.

Product usage tracking ties each unit of an injectable or retail item directly to a service. Billing stays accurate without a separate count at the end of the day.
Automatic purchase orders triggered by stock thresholds, with timing based on actual usage data rather than a manual reorder estimate.
Multi-location inventory consolidated in one view for practices operating across sites.

Meevo fits spa and salon businesses that offer some advanced aesthetic services without a full med spa system. Where it falls short: there is no native client credit banking, so practices running membership credits work around it through loyalty points. Discount configurations don't transfer automatically when switching systems and have to be rebuilt by hand, which is real setup work for practices with layered promotional structures.

Meevo has no native payment processing for high-risk products like semaglutide or peptides. If you carry these, you'll need a separate payment processor running alongside it. For independent elective-care practices building out weight loss or hormone programs, that's a gap that shows up at checkout every time a patient pays.

Feature Comparison Table of Med Spa Inventory Management Systems

Feature	Decoda	Zenoti	AestheticsPro	Aesthetic Record	Meevo
AI-assisted inventory data entry (photo upload)	Yes	No	No	No	No
Treatment-linked automatic unit deduction	Yes	Yes	Yes	Yes	Yes
Low-stock and predictive seasonal alerts	Yes	Yes	Yes	Yes	Yes
Lot and expiration date tracking	Yes	Yes	No	Yes	No
High-risk product payment support (peptides, semaglutide, ketamine)	Yes	No	No	No	No
Inventory integrated with clinical notes in same system	Yes	No	Yes	Yes	No
Multi-location inventory visibility	Yes	Yes	No	No	Yes
Native membership credit and banking tied to inventory checkout	Yes	Yes	No	No	No

This table reflects publicly available feature documentation as of August 2026. Capabilities change, and you should verify current specs directly with each vendor before making a final decision.

Why Decoda Is the Best Med Spa Inventory Management System

Every other system here separates inventory from the clinical record. When a provider charts a treatment in Decoda, billing queues and stock deduct in the same action. When a packing slip arrives, AI Photo Upload populates the records. The step where someone reconciles vials against the chart after the last patient simply doesn't happen.

Our clinic partners see an average 80% reduction in check-in time. For independent practices running peptides, semaglutide, and high-cost medications, complex membership structures, and packed provider schedules, no other system on this list handles all of it natively. That's why Decoda tops this list.

Which Med Spa Inventory System Fits Your Practice?

A solid med spa inventory management system cuts the reconciliation work that piles up at the end of every shift. The options above each cover different ground, but where they diverge most is in the clinical layer: how well stock tracks to treatment documentation without extra steps. For practices running peptides, memberships, and packed provider schedules, that's where the real difference shows up. Grab a quick intro call to see how Decoda handles inventory, memberships, and high-risk payments in one system.

Frequently Asked Questions

How do I choose which EMR is best for my med spa?

Start with clinical charting integration. If you need treatment deductions, high-risk product support, and membership management in one system without third-party integrations, Decoda is the only option on this list that handles all three natively. For a large multi-location chain with dedicated ops staff, Zenoti has the depth for that scale. For injector-led practices with simpler membership needs, Aesthetic Record covers the clinical side well.

What is treatment-linked inventory deduction, and why does it matter for injectables like Botox and filler?

When a provider documents a Botox or filler treatment in the clinical chart, the units used are automatically removed from stock in the same action. Without it, your team manually matches what was charted against what was used. That creates count errors and end-of-shift cleanup work that adds up across a busy week.

When should a med spa switch from a standalone inventory tool to a system like Decoda?

The clearest signal is when your team is cross-referencing stock counts against clinical notes and POS sales by hand. If accurate inventory counts require touching three separate tools or running a separate tally at the end of each shift, the system is adding work, not removing it.

Is Decoda or Aesthetic Record a better fit for a single-location injector-led practice tracking lot numbers and expiration dates?

Both track lot numbers and expiration dates, so that feature alone doesn't decide it. The choice comes down to what else you need: Decoda handles high-risk products like peptides and semaglutide through native payment processing, supports complex membership structures, and offers AI Photo Upload for inventory entry. Aesthetic Record is a strong fit for practices with straightforward membership needs that want a clinically mature EMR without those additions.

Can med spa inventory management systems track high-risk products like semaglutide and peptides?

Most cannot process payments for high-risk products without a workaround. Of the systems covered here, Decoda is the only one with native high-risk payment support through Rainforest integration, covering peptides, semaglutide, ketamine, and TRT/HRT. The other systems on this list don't confirm this capability in their public documentation. For the majority of elective-care practices now carrying these products, that's a gap worth knowing before you commit to a system.

How does charting handle different neuromodulator products like Botox, Dysport, and Xeomin — and does each one deduct from the correct inventory category?

Each neuromodulator is tracked as a separate product in Decoda, so when a provider documents a Dysport treatment, units come off the Dysport stock, not Botox. The unit annotation tool queues the specific product and dose at the point of clinical documentation, keeping every inventory category accurate without manual sorting after the fact.

Can I upload existing product and service inventory into a new system, or do I have to build everything from scratch?

You can import existing inventory data rather than rebuilding it by hand. Decoda's onboarding team handles data migration as part of the go-live process, and the AI Photo Upload feature lets you add new stock by photographing a packing slip or product box rather than entering each item manually.

How does a med spa inventory management system handle sub-unit tracking, like half syringes or partial vials of filler?

Decoda tracks injectable usage at the unit level within the clinical chart, so partial vials and fractional doses are documented at the point of treatment. The unit annotation tool records exactly what was used per patient, which means stock reflects actual consumption rather than rounding to the nearest full unit.

How does a first-in-first-out inventory rule work in a med spa EMR, and can it prevent product expiration?

When multiple shipments of the same product are in stock, a system that respects first-in-first-out deducts from the oldest lot first, reducing the chance that earlier stock expires before it's used. Decoda tracks lot numbers and expiration dates and surfaces low-stock and predictive alerts before you hit a shortage.

What does migrating from an existing practice management system to Decoda actually look like, and how disruptive is it?

Decoda targets a 4-to-6-week go-live window from contract signing, with their team handling data migration, configuration, and staff training. The main practical note: credit card information cannot be transferred, so practices need to collect new card-on-file details from membership clients before their next billing cycle.

How do role-based permissions work in Decoda's med spa inventory management system — can you limit which staff can adjust stock counts?

Yes, permissions are configurable by staff role, so you can allow providers to document treatments and trigger automatic deductions without giving front desk staff the ability to manually edit stock counts. The same role controls extend across clinical records, revenue dashboards, and scheduling, so each team member sees only what their role requires.

How does inventory sync across multiple locations in real time — can I see stock levels at both sites from one view?

Decoda gives multi-location practices a consolidated inventory view, so stock levels at every location are visible without logging into separate accounts or pulling separate reports. Deductions happen in real time at the point of treatment documentation, keeping counts current across sites without a manual reconciliation step.

Can a med spa send patient communication blasts for promotions or location updates without a third-party tool?

Yes, Decoda includes native email and SMS blasts with no character limit, along with a Blast Analytics Dashboard that shows open rates, click rates, and bookings generated directly from each campaign. There is no need for a separate tool like Klaviyo to execute and measure those messages.

How does an AI-native med spa inventory management system differ from traditional software that just adds AI on top?

Legacy systems were built around manual data entry and added AI as a layer on top of a rigid architecture, which limits what the AI can actually do. Decoda was built with AI as the foundation, so features like AI Photo Upload for stock entry and treatment-linked deductions are woven into the core workflow rather than bolted onto a system that wasn't designed for them.

How does a supervising physician remotely co-sign clinical notes in a med spa EMR without needing full system access?

Decoda supports medical director chart sign-off within the clinical documentation workflow. Role-based permissions mean a supervising physician can be granted access to review and co-sign notes without full administrative access to scheduling, billing, or inventory data across the practice.