Short answer
As of October 2026, only if your own domain is certified. Meta's prescription drug authorization asks for the website URL certified by LegitScript and stops if that URL isn't certified or in good standing, Google's application asks for the certified domain, and LegitScript certifies root domains. A platform's certificate for its own domain does not carry over to yours. MedScale Health, a paid acquisition agency for telehealth brands and clinics, checks domain status before any drug-named ad is built.
What this means for you
- LegitScript certifies root domains. If your ads send people to your own brand domain, that domain needs its own certification, whoever applies for it.
- Meta's prescription drug authorization asks for the URL certified by LegitScript. If that URL isn't certified or in good standing, the application can't go on.
- Google's healthcare application is made in the Google Ads account that runs the ads, with its customer ID and the certified domain.
- Microsoft requires online pharmacies and telemedicine providers that sell prescription drugs to be preapproved before their ads serve.
- While that is pending, Meta still lets you run ads that promote telehealth services generally, as long as they don't promote a prescription drug.
MedScale Health, a paid acquisition agency for telehealth brands and clinics, launches brands built on white-label telehealth platforms, where the platform provider runs intake, prescribing or pharmacy fulfilment behind the brand's own website. This page sets out what each ad platform checks and which domain the check lands on. This page is marketing guidance, not medical or legal advice. Platform policies change, so check the sources listed at the end before acting on a specific rule.
Why the platform's certificate is not yours
LegitScript's FAQ says Healthcare Certification applies to the root domain: if example.com is certified, shop.example.com and support.example.com are covered under the same certification. A different root domain is a different website. When a platform provider says it holds LegitScript certification, that tells you its own domains are certified. It does not tell you whether your brand's domain is.
LegitScript's own vocabulary fits the white-label model. Its FAQ describes a facilitator as a business that presents itself as the healthcare-facing business while third-party telemedicine providers or pharmacies deliver the care, and gives the example of a business that markets a treatment program under its own brand while relying on a partner network for consultations and fulfillment. The same FAQ says software platforms are usually not eligible unless they hold healthcare licensure, contract directly with providers or pharmacies, process payments for prescription drugs, or interact directly with patients.
Who applies, and what LegitScript wants disclosed
There are two routes to a certified brand domain. The brand can apply itself, or the platform provider can manage certification for the brands on its network. LegitScript says self sign-up and Enterprise Healthcare Certification lead to the same certification, and describes enterprise certification as built for organizations such as telehealth infrastructure providers that manage certification at scale. Ask the platform which route it uses and whether your root domain is on a certificate today.
Either way, LegitScript's standards reach past the brand. Applicants must provide all domain names and websites under their control and disclose all affiliates, and partner pharmacies responsible for fulfilment are generally required to be LegitScript-certified or accredited by another recognized body. Websites must clearly disclose every state where services are available. After certification, LegitScript asks to be told about changes in ownership, partnerships, new services and expansion into new jurisdictions, which matters when a brand changes platform or pharmacy.
What Meta checks
Meta's help page defines telehealth providers as entities that promote or facilitate access to online health-related services, such as prescribing, and requires them to be actively certified with LegitScript before applying for prescription drug authorization. In the application you provide the website URL that has been certified by LegitScript. Meta's note is blunt: if the URL you provide has not been certified or is not in good standing with LegitScript, you will not be able to proceed. You then choose the ad accounts to authorize.
Authorization stays inside a business portfolio. Meta lets authorized advertisers extend authorization to other ad accounts within the same business portfolio, so a platform's authorization in its own portfolio does not reach an ad account in yours. To keep authorization you must maintain an active LegitScript certification, and Meta says it may be revoked if you no longer have one. Ads that only promote telehealth services generally need no authorization, so service ads can run while the application is in progress.
What Google and Microsoft check
Google requires advertisers to be certified by Google to serve ads for prescription drug services, and in the US it allows telemedicine providers accredited by LegitScript's Healthcare Merchant Certification Program. The application is made at the child account level, not the manager account, with the Google Ads customer ID and the certified domain. Google adds that it errs on the side of caution with landing pages that link or refer to anything that appears to facilitate online prescribing, so a brand page that links to the platform's intake is in scope even if the ad names no drug.
Microsoft Advertising says online pharmacies, telemedicine providers that sell prescription drugs and prescription drug manufacturers must be preapproved before their ads serve, starting with its Pharmacy and Telemedicine advertiser program form. Its US rules say online pharmacies advertising prescription drugs must be accredited by NABP or LegitScript, and ask advertisers using LegitScript to add the certification badge to the site before appealing disapprovals.
What to ask the platform provider
- Is my root domain certified by LegitScript today, and under whose application? Check it yourself on LegitScript's Website Certification Status lookup.
- Which pharmacies fulfil my orders, and are they LegitScript-certified or accredited?
- Which states are the prescribing clinicians licensed in, and does my website list them?
- Who tells LegitScript when my offer, pharmacy or states change?
- Which domains does a patient pass through between my ad and checkout?
The order of filings
When the platform runs intake and pharmacy, we work in this order. First, confirm or obtain certification for the brand's root domain, with every domain in the patient path disclosed. Second, request Meta authorization from the brand's own business portfolio with that URL. Third, apply for Google healthcare certification in the brand's own Google Ads account. Fourth, submit Microsoft's preapproval form if Bing is in the plan. Meta ads for the service that promote no prescription drug can run from the first week.
What MedScale does
MedScale Health checks the certification status of every domain in a white-label brand's patient path before building drug-named ads, files the Meta, Google and Microsoft applications in the brand's own accounts, and runs service ads while they are pending. The brand owns every ad account. MedScale tracks server-side under a BAA with neutral event names, and no names, emails, phone numbers, IP addresses or browser IDs go to any ad platform. No approval date is promised. Book the free growth audit at medscale.health/audit for a written plan.
Common questions
- 01Does my telehealth platform's LegitScript certification cover my brand?
- Only for domains on the certificate. LegitScript certifies root domains, so your brand's own domain needs to be certified, either through your own application or through the platform provider's enterprise certification. Check the status on LegitScript's website.
- 02Can I run Meta ads before my brand's domain is certified?
- Yes, for the service. Meta says ads that promote telehealth services generally need no authorization. Ads that promote prescription drugs need active LegitScript certification for the URL you submit and Meta's authorization.
- 03Can the platform's Meta authorization be shared with my ad account?
- Meta lets authorized advertisers extend authorization only to ad accounts within the same business portfolio. An ad account in your own business portfolio needs its own authorization, tied to a LegitScript-certified URL.
- 04Who applies for Google healthcare certification for a white-label brand?
- The application is made in the Google Ads account that will run the ads, at the child account level, with its customer ID and the certified domain. An agency applying for the advertiser sends documentation of the relationship.
Sources
- 01Meta Business Help Center: About Meta's Prescription Drugs advertising policychecked October 8, 2026
- 02Meta Advertising Standards: Drugs and Pharmaceuticalschecked October 8, 2026
- 03Google Ads policy: Prescription drug serviceschecked October 8, 2026
- 04Google Ads Help: Apply for healthcare-related advertisingchecked October 8, 2026
- 05Google Ads policy: Healthcare and medicines (United States section)checked October 8, 2026
- 06LegitScript: Healthcare Certification (standards and multiple websites)checked October 8, 2026
- 07LegitScript: Healthcare Certification FAQschecked October 8, 2026
- 08Microsoft Advertising policy: Healthcare and Pharmaceutical (updated Oct 5, 2026)checked October 8, 2026
Related answers
Who Needs LegitScript Certification to Advertise Telemedicine?
As of October 2026, US telemedicine providers and online pharmacies need LegitScript certification before Google or Meta will run their prescription-drug advertising. Google names LegitScript as the accreditation for US telemedicine providers, and Meta requires active LegitScript certification plus its own authorization to promote a prescription drug. MedScale, a paid acquisition agency for telehealth brands and clinics, treats certification as a launch dependency, because campaigns planned around an uncertified account will not deliver.
Reviewed October 5, 2026
How Do You Get Meta's Authorization to Advertise Prescription Drugs?
As of October 2026, a telehealth provider or online pharmacy gets there in two steps: active LegitScript Healthcare Certification first, then a request in the Authorizations and verifications tab of Meta Business Suite using the certified URL. Meta says the answer comes right away. Authorized ads may only target people 18 and over in the United States, Canada or New Zealand, where the business is certified. MedScale Health, a paid acquisition agency for telehealth brands and clinics, files both steps for its clients.
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LegitScript and Google Ads: Which Do You Need, and How Do You Apply?
As of October 2026, a US telehealth provider or online pharmacy advertising prescription drug services on Google needs both, in order: LegitScript certification first, then Google's own healthcare certification, which Google requires before those ads serve. To apply, open Google's healthcare troubleshooter, choose prescription drug services provider and the United States, and file the form from the child account with its customer ID and the certified domain. MedScale Health, a paid acquisition agency for telehealth brands and clinics, files both.
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How Do You Launch a Telehealth Brand? The Compliance Checklist
As of October 2026, launching a telehealth brand that can advertise on day one means settling the visit model and the states first, contracting prescribers, an EHR, a pharmacy, payments and identity verification in your own name, building a site that reads as a clinic rather than a pharmacy, structuring pages for the LegitScript review the ad platforms require, and installing server-side tracking with generic event names from the first visit. MedScale Health, a paid acquisition agency for telehealth brands and clinics, launches the ads, pages, tracking and LegitScript side of that build.
Reviewed October 5, 2026
Last reviewed October 8, 2026. Platform policies change often; we re-verify every answer quarterly.