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Wispr Flow handles the transcription, Vox provides the microphone and the button.
1

Turn off Vox dictation

Otherwise both tools transcribe at once. See Use another dictation tool instead.
2

Set Vox as Wispr Flow's microphone

In Wispr Flow, open Settings and set the input device to Vox. See Use Vox as a microphone anywhere on Mac.
3

Note Wispr Flow's activation key

Open Wispr Flow settings and set its dictation shortcut to one of your Vox buttons. In Vox, make sure Settings → Basic → Other apps → Use Vox in other apps is enabled so the audio is routed to Wispr Flow.
4

Map a Vox button to it

In Vox, open Buttons in the left sidebar, select a button, and assign the Wispr Flow push-to-talk shortcut to its Press, Double press, or Hold gesture. See Map shortcuts to your buttons.
Vox buttons support press, double press, and hold. Map a press or double press to Wispr Flow’s push-to-talk shortcut if it supports that gesture, or map the button’s hold gesture to the shortcut Wispr Flow uses for push-to-talk.
Vox noise suppression is currently an internal experiment and is not available as a user-facing setting. If it becomes available, avoid using it with external dictation tools in general because it can hurt speech-to-text performance.

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Troubleshooting

Likely the hold vs tap problem above. Switch Wispr Flow to a toggle trigger if it offers one.
Check that Vox is connected and that Wispr Flow has microphone permission.
Vox dictation is still on. Turn it off.