Which Treatments Need LegitScript to Advertise, by Platform?

By treatment

• GLP-1, FDA-approved brands. Meta: LegitScript + authorization. Google: LegitScript + Google. Microsoft: preapproval, and its weight loss rules bar stated amounts or rates of loss. TikTok: check; FDA proof may allow it, but TikTok's drugs policy also lists weight loss drugs among those not allowed.
• GLP-1, compounded. Meta: LegitScript + authorization; LegitScript's checklist has a compounding addendum for this. Google: LegitScript + Google. Microsoft: preapproval, and its US rules require compounded weight loss drugs to be labeled "This is a compounded drug" or equivalent, with no suggestion of FDA approval. TikTok: not allowed, because a compounded drug has no FDA approval to show.
• Testosterone (TRT). Meta: LegitScript + authorization. Google: LegitScript + Google. Microsoft: preapproval. TikTok: check, and plan on no; testosterone is a Schedule III controlled substance, TikTok bars controlled drugs and drugs for enhancement or performance, and its US prescription exception doesn't say it covers them.
• ED medication. Meta: LegitScript + authorization, with ads focused on health rather than pleasure and aimed at 18 and over. Google: LegitScript + Google. Microsoft: preapproval. TikTok: check; FDA proof may allow it, but TikTok lists drugs for enhancement among those not allowed.
• Hair loss medication. Meta: LegitScript + authorization. Google: LegitScript + Google. Microsoft: preapproval. TikTok: check; FDA proof may allow an FDA-approved drug for adults.
• Peptides that aren't FDA-approved, such as BPC-157, TB-500 and retatrutide. Meta: not allowed; Meta needs LegitScript to promote a prescription drug, and LegitScript bars certified businesses from offering, promoting or advertising impermissible peptides. Google: not allowed when marketed as safe or effective for a condition, under its unapproved substances policy. Microsoft: check; peptides aren't on its disapproved list, but it bars experimental treatments. TikTok: not allowed without FDA approval.
• Ketamine. Meta: LegitScript + authorization to promote ketamine; ads for the clinic and the care need none. Google: LegitScript + Google. Microsoft: preapproval. TikTok: check, and plan on no; ketamine is a Schedule III controlled substance.
• ADHD medication. Meta: LegitScript + authorization for stimulant ads; evaluation ads need none. Google: LegitScript + Google. Microsoft: preapproval. TikTok: check, and plan on no; amphetamine, lisdexamfetamine and methylphenidate are Schedule II controlled substances.
• Mental health therapy without prescribing. Meta: no certification; health service ads target 18 and over. Google: no certification, but Health is a sensitive category, so customer lists, remarketing and lookalikes are off. Microsoft: no certification; 18 and over, and no targeting on sensitive health information. TikTok: check; medical institutions may be allowed for adults and may need certification.
• Addiction treatment. Meta: LegitScript plus Meta's written permission for US ads. Google: LegitScript addiction services certification plus Google's own. Microsoft: LegitScript, US only, with every URL in the ad certified. TikTok: check; its US healthcare rules don't address addiction treatment.
• Online pharmacy. Meta: LegitScript + authorization; Meta accepts no other certifier. Google: LegitScript or NABP, plus Google. Microsoft: preapproval plus NABP or LegitScript. TikTok: proof of certification from NABP or LegitScript.
• Lab tests. Meta: no certification named; sexual health test ads must focus on health and target 18 and over. Google: no certification for STI and fertility testing in the US, and HIV home tests must be FDA-approved. Microsoft: only at-home tests approved by regulators. TikTok: check; medical devices may need certification.
• Med spa procedures. Meta: no certification; cosmetic procedures, injectables and fillers included, target 18 and over. Google: no certification for procedures, but bidding on drug names such as Botox needs Google's certification, and injections count as Health for targeting. Microsoft: no certification named; 18 and over. TikTok: cosmetic clinics may be allowed for adults, with fillers given as an example.

What changes for an in-person clinic

The list assumes online prescribing. LegitScript's FAQ says in-person-only clinics that don't prescribe through telemedicine or take card-not-present payments for prescription drugs are generally not eligible for Healthcare Certification. In the US, Google lets any advertiser name a prescription drug in ads and landing pages without certification, but keyword-targeting drug terms needs it. Meta limits prescription drug authorization to online pharmacies, telehealth providers and manufacturers, so an in-person clinic's Meta ads stay on the clinic and the care.

Why some entries say check

TikTok's drugs policy lists prescription drugs, controlled drugs and drugs for weight loss or enhancement as not allowed, then allows prescription drugs in the US if a regulator has approved them and the audience is adult. It doesn't say how far that exception reaches, so get written confirmation from a TikTok representative before building a campaign there. Microsoft names no rule for peptides. For ketamine, LegitScript's own FAQ says it can't predict whether a platform will approve ketamine-related ads.

What MedScale does

MedScale Health maps each client's treatments against this list before choosing channels, starts LegitScript certification first where Google or drug-named Meta ads are in the plan, and files the platform requests on the certified domain. Meta service ads can run while certification is pending. Where an entry says check, MedScale gets the platform's answer in writing before spending on it.