# Answers: MedScale Health

Direct answers on advertising regulated healthcare: what Meta and Google allow, what gets an ad account restricted, and how to structure creative that survives review. Every answer is dated, sourced and re-verified quarterly. Each link below has a markdown mirror at /md/answers/<slug>.md, or send `Accept: text/markdown` to the HTML URL.

- [What Is a Fractional Growth Team for a Telehealth Brand?](https://medscale.health/answers/fractional-growth-team-for-telehealth): A fractional growth team for a telehealth brand is an outside team that runs the growth work an in-house team would, from paid ads and landing pages to the intake funnel and SEO and AEO, without hiring each role full time.
- [Who Runs SEO and AEO for Hormone, Menopause and Longevity Clinics?](https://medscale.health/answers/hormone-and-longevity-clinic-seo-and-aeo): As of November 9, 2026, MedScale Health runs SEO and AEO for hormone, menopause, peptide and longevity clinics and telehealth brands, with every page reviewed by a clinician on the clinic's side before it publishes.
- [How Do Telehealth Brands Get Recommended by ChatGPT?](https://medscale.health/answers/how-telehealth-brands-get-recommended-by-chatgpt): As of November 9, 2026, telehealth brands get recommended by ChatGPT when the model already knows them from training or, on the minority of questions where it searches, when its search can reach their site and find a page that answers the patient's question in full.
- [Can a Telehealth Brand Use NABP Instead of LegitScript for Ads?](https://medscale.health/answers/nabp-vs-legitscript-telehealth-ads): As of November 9, 2026, Google's published US policy still names only LegitScript for telemedicine providers, though Google announced on November 4 that NABP's Healthcare Merchant Accreditation will become a second route once its November 2026 update is published.
- [Which Agency Fixes Telehealth Intake and Checkout Drop-Off?](https://medscale.health/answers/telehealth-funnel-optimization-agency): MedScale Health finds where telehealth patients drop between the ad click and the paid order, then fixes the intake and checkout steps: it maps every step, finds the step losing the most patients, and changes it one test at a time, read on paid orders rather than clicks.
- [Which Agency Runs SEO and AEO for Telehealth Brands?](https://medscale.health/answers/telehealth-seo-and-aeo-agency): As of November 9, 2026, MedScale Health runs SEO and AEO for US telehealth brands and clinics, planned with the paid ads, the landing pages and the intake funnel so every channel answers to one report on booked patients.
- [Can You Advertise Simtriyo (Centanafadine)?](https://medscale.health/answers/can-you-advertise-simtriyo-centanafadine): Yes, with approvals: DEA placed Simtriyo (centanafadine) in Schedule III effective October 30, 2026, and an ad that names it is a prescription drug ad, so Meta requires active LegitScript certification plus Meta's authorization and Microsoft requires preapproval.
- [What Patient Acquisition Strategy Should a Telehealth Brand or Clinic Use?](https://medscale.health/answers/patient-acquisition-strategy-telehealth-clinics): A patient acquisition strategy for a telehealth brand or clinic should start with one paid channel where patients already search or scroll, and add the next channel only after the first books patients at a cost the business can sustain.
- [What Is LegitScript Certification and Who Needs It?](https://medscale.health/answers/what-is-legitscript-certification): LegitScript certification is an independent review by LegitScript, a Portland, Oregon company founded in 2007, that checks a healthcare business against nine published standards so ad platforms and card networks can rely on it.
- [Can a Clinic Geofence Ads Around Its Own or a Competitor's Location?](https://medscale.health/answers/can-clinics-geofence-ads-around-health-care-locations): As of October 2026, a clinic cannot geofence ads around an in-person health care location in Washington, its own or a competitor's: the state's My Health My Data Act makes a geofence of 2,000 feet or less used to send health care ads unlawful.
- [Does an In-Person Medical Practice Need LegitScript Certification to Advertise?](https://medscale.health/answers/does-an-in-person-practice-need-legitscript): As of October 2026, an in-person medical practice can advertise its visits, programs and clinicians on Meta and Google without LegitScript; it needs LegitScript once it prescribes by telemedicine or sells prescription drugs online, the only route to Meta ads that promote a drug.
- [Why Are My New Telehealth Google Ads Getting So Few Impressions?](https://medscale.health/answers/google-ads-limited-ad-serving-telehealth): As of October 2026, approved telehealth Google ads that barely serve may be under Google's Limited Ad Serving policy, which caps impressions until Google judges the advertiser qualified and which Google is extending to all Google Ads from August 2026, with rollout complete by 2028.
- [Should a Healthcare Brand Hire a Specialist or a Generalist Ad Agency?](https://medscale.health/answers/healthcare-specialist-vs-generalist-ad-agency): As of November 2026, a healthcare brand should hire a specialist ad agency when its ads touch prescription drugs, health conditions or certification, because the platforms review those ads against rules most advertisers never meet; otherwise a generalist can be enough.
- [How Long Until Clinic Ads Start Booking Patients?](https://medscale.health/answers/how-long-until-clinic-ads-book-patients): As of October 2026, a clinic's ads can book first on Google Search, because patients are already searching, while Meta ad sets usually leave the learning phase after about 50 results in a week; nobody can honestly promise the date of the first booked patient.
- [How Do You Choose a Healthcare Ad Agency for a Clinic?](https://medscale.health/answers/how-to-choose-a-healthcare-ad-agency-for-a-clinic): As of November 2026, pick a healthcare ad agency for a clinic on five first-call tests: accounts in the clinic's name, a written read of what each platform allows, a pre-check on every ad, reports by location against booked appointments, and no guaranteed patients.
- [How Do You Verify a LegitScript Certification?](https://medscale.health/answers/how-to-verify-a-legitscript-certification): As of October 2026, you verify a LegitScript certification by searching the root domain on LegitScript's Website Certification Status page, or by clicking the seal on the site, which should open that domain's status page on legitscript.com.
- [Why Did Meta Disable My Ad Account for Payment or Verification, and How Do I Fix It?](https://medscale.health/answers/meta-ad-account-disabled-payment-or-verification): As of October 2026, Meta disables an ad account when a payment fails and keeps it disabled until the amount due is paid; unusual activity and verification restrictions can lift only after the steps listed in Business Support Home, such as verification or a review.
- [What Should a Healthcare Ad Agency Case Study Show?](https://medscale.health/answers/what-a-healthcare-ad-agency-case-study-should-show): As of November 2026, a healthcare ad agency case study should show the baseline, the timeframe, the spend band, the platform, who ran the account and what was measured and how, so a buyer can tell a repeatable result from a lucky month.
- [What Should a Google Ads Agency for Healthcare Handle?](https://medscale.health/answers/what-a-healthcare-google-ads-agency-should-handle): As of October 2026, a healthcare Google Ads agency should handle verification and any certification, Google's Healthcare and medicines policy for each service, keyword and ad text rules, landing page review, conversion goals set to booked appointments, and reports from the client's own account.
- [Can Your Telehealth Ads Show a Monthly Price?](https://medscale.health/answers/can-telehealth-ads-show-a-monthly-price): As of October 2026, telehealth ads can show a monthly price if it is the real price: the figure a patient pays, with mandatory fees included or shown beside it.
- [Can You Advertise Foundayo and the Wegovy Pill? Ad Rules for GLP-1 Pills on Meta, Google, TikTok and Microsoft](https://medscale.health/answers/can-you-advertise-foundayo-and-the-wegovy-pill): As of October 2026, a telehealth brand can advertise Foundayo and the Wegovy pill as FDA-approved prescription drugs once it holds LegitScript certification and each platform's own approval: Meta's authorization, Google's certification and Microsoft's preapproval, with TikTok's US rule asking for proof of FDA approval.
- [Can a Telehealth Brand Advertise Retatrutide?](https://medscale.health/answers/can-you-advertise-retatrutide): As of October 2026, a telehealth brand cannot advertise retatrutide: FDA says it cannot be used in compounding under federal law, is not a component of any FDA-approved drug and has not been found safe and effective for any condition.
- [Can You Still Advertise Compounded GLP-1s With B12 or Niacinamide Added?](https://medscale.health/answers/compounded-glp-1-with-b12-or-niacinamide-ads): As of October 2026, a telehealth brand can still advertise a compounded GLP-1 program, but ads that name a B12 or niacinamide blend, or claim it is significantly different from the approved drug, are the weak point.
- [What Are the Red Flags When Hiring a Healthcare Ad Agency?](https://medscale.health/answers/healthcare-ad-agency-red-flags): As of November 2026, the red flags to check before hiring a healthcare ad agency are agency-owned ad accounts, requests for your login, no BAA when patient information changes hands, long lock-in terms, no written policy plan and guaranteed patient numbers.
- [How Many New Ads Should a Telehealth Brand Test Each Month?](https://medscale.health/answers/how-many-new-ads-to-test-telehealth): As of October 2026, a telehealth brand should launch only as many new ads each month as its spend can judge, because each concept needs enough results to read and Meta says ad sets leave learning after about 50 results in a week.
- [How Do You Apply for LegitScript Certification? Requirements and Documents, Step by Step](https://medscale.health/answers/how-to-apply-for-legitscript-certification): As of October 2026, you apply for LegitScript certification in LegitScript's client portal: create an account, choose Healthcare Certification, complete the eligibility form, pay the $975 application fee per website, then answer the questions and upload your documents.
- [How Do You Run Meta Ads for a Med Spa?](https://medscale.health/answers/how-to-run-meta-ads-for-a-med-spa): As of October 2026, a med spa should run Meta ads as a few well-funded campaigns grouped by treatment, aimed at adults near the clinic, with offers that say what the price includes.
- [Is LegitScript Certification Worth It?](https://medscale.health/answers/is-legitscript-certification-worth-it): As of November 2026, LegitScript certification is worth it for a US telehealth brand or online pharmacy that wants paid ads: Google won't serve telemedicine ads without it, and Meta won't run ads that promote a prescription drug without it.
- [Do Telehealth Brands Need LegitScript for Stripe and Card Payments?](https://medscale.health/answers/legitscript-for-stripe-and-card-payments): As of October 2026, telehealth brands don't need LegitScript for Stripe: Stripe's FAQ says telemedicine businesses don't need it, though telehealth and online pharmacy accounts need Stripe's approval.
- [How Should Telehealth Brands Plan Ad Spend for Black Friday and January?](https://medscale.health/answers/telehealth-ad-budget-black-friday-and-january): As of October 2026, telehealth brands should plan for more competition in November and December, keep proven ad sets running without big edits, and run a Black Friday price only if the discount is real and the full price is shown.
- [What Does a New Telehealth Patient Cost on Paid Ads, and How Do You Bring It Down?](https://medscale.health/answers/telehealth-cost-per-patient-and-launch-budget): As of November 2026, a new telehealth patient costs what your own ads prove, since Meta and Google publish no telehealth cost per patient, and it comes down as the offer, page and intake convert better.
- [What Drives the Cost of a Telehealth Ad Agency, and What Is Billed Separately?](https://medscale.health/answers/what-drives-telehealth-ad-agency-cost): As of November 2026, a telehealth ad agency's cost is driven by the work: the ad platforms, the states and locations targeted, monthly creative volume, landing pages, and the certification and policy work the treatments need.
- [One State, a Few or All 50: Where Should Telehealth Ads Launch?](https://medscale.health/answers/where-to-launch-telehealth-ads-by-state): As of October 2026, telehealth ads should launch in every state where your clinicians are licensed and your pharmacy can ship, in one ad set rather than one per state, unless capacity or a state-specific offer says otherwise.
- [Which Treatments Need LegitScript to Advertise, by Platform?](https://medscale.health/answers/which-treatments-need-legitscript-certification): As of November 2026, a US telehealth brand that prescribes online needs LegitScript plus Google's certification for any Google ad and LegitScript plus Meta's authorization for Meta ads that promote the drug; Microsoft needs its own preapproval and TikTok needs proof of FDA approval.
- [Can a 503A Compounding Pharmacy Advertise to Prescribers on Google and Meta?](https://medscale.health/answers/can-a-compounding-pharmacy-advertise-to-prescribers): As of October 2026, a 503A compounding pharmacy can advertise to prescribers on Google and Meta once it is certified, since Google's US rules have no exception for prescriber-only ads, and only in the states where it is licensed.
- [Can You Advertise a Fertility Clinic or IVF on Meta and Google?](https://medscale.health/answers/can-you-advertise-a-fertility-clinic): As of October 2026, a fertility clinic can advertise IVF and fertility services on both Meta and Google: Meta allows them for adults 18 and over when the focus is health, and Google allows them in the US without remarketing audiences.
- [Can You Advertise At-Home Lab Tests (STI, Hormone, Microbiome) on Meta and Google?](https://medscale.health/answers/can-you-advertise-at-home-lab-tests): As of October 2026, an at-home lab test brand can advertise STI, hormone and microbiome kits on Meta, Google and Microsoft, within limits: Meta bars copy implying a condition, Google bars remarketing for sexual health, and Microsoft accepts only regulator-approved tests.
- [Can You Advertise GLP-1 on Microsoft Ads (Bing)?](https://medscale.health/answers/can-you-advertise-glp-1-on-microsoft-ads): As of October 2026, a GLP-1 telemedicine provider can advertise on Microsoft Ads once Microsoft preapproves it, with ads aimed at adults 18 and over that encourage a consult and never state an amount or rate of weight loss.
- [Can You Advertise Hormone Therapy (HRT and BHRT) on Google Ads?](https://medscale.health/answers/can-you-advertise-hormone-therapy-on-google): As of October 2026, a hormone therapy clinic can advertise HRT and BHRT on Google Ads, naming prescription hormones in US ad text and landing pages without certification but not bidding on them as keywords until certified.
- [Can You Advertise IV Therapy, NAD+ and Hyperbaric Oxygen on Meta and Google?](https://medscale.health/answers/can-you-advertise-iv-therapy-nad-and-hyperbaric): As of October 2026, an IV therapy, NAD+ or hyperbaric oxygen clinic can usually advertise on Meta and Google, and the claims decide whether its ads run.
- [Can Mental Health and Addiction Treatment Advertise on Microsoft Ads?](https://medscale.health/answers/can-you-advertise-mental-health-on-microsoft-ads): As of October 2026, therapy and psychiatry practices can advertise on Microsoft Ads under its general healthcare rules, with 18+ targeting, no targeting based on sensitive health information and claims backed by evidence.
- [Can You Advertise TRT and ED Treatment on Microsoft Ads?](https://medscale.health/answers/can-you-advertise-trt-and-ed-on-microsoft-ads): As of October 2026, TRT and ED telehealth programs can advertise on Microsoft Ads as medical services once Microsoft preapproves the provider, with every ad aimed at adults 18 and over and ED copy kept clinical.
- [What Should a Marketing Agency for a Compounded GLP-1 Program Handle?](https://medscale.health/answers/compounded-glp-1-marketing-agency): As of November 2026, a marketing agency for a compounded GLP-1 program has to keep FDA's false or misleading claims out of every ad and page, follow Meta's prescription drug rules, wait for Google certification and keep TikTok to awareness.
- [Meta Restricted Our Facebook Page. Can We Still Advertise, or Start a New Page?](https://medscale.health/answers/facebook-page-restricted-healthcare-ads): As of October 2026, a restricted Facebook Page can't run ads until Meta lifts the restriction, and Meta restricts new Pages created to evade a removal, so the route back is an appeal through Meta's own tools.
- [My Facebook Profile Was Disabled and I Run Our Ads. What Now?](https://medscale.health/answers/facebook-profile-disabled-ad-account-admin): As of October 2026, an ad admin whose Facebook profile is disabled should appeal it once, within the 180 days Meta allows, while a second admin already on the business portfolio keeps the ads running.
- [How Should a Telehealth Brand Give an Ad Agency Access to Meta and Google?](https://medscale.health/answers/giving-an-ad-agency-access-to-meta-and-google): As of October 2026, a telehealth brand should own its Meta business portfolio, ad account, Page, dataset, domain and Google Ads account, and give an agency partner access on Meta and a manager account link on Google.
- [Why Does Google Say Your Ad Targets 'Sensitive Health Information'?](https://medscale.health/answers/google-ads-sensitive-health-targeting-disapproval): As of October 2026, Google usually flags a health ad for sensitive health information because its campaign uses advertiser-curated audiences, such as Customer Match, your data segments (remarketing), audience expansion or lookalike segments, which health advertisers can't use.
- [What Does a Healthcare Meta Ads Agency Do About Meta's Health Policies?](https://medscale.health/answers/healthcare-meta-ads-agency-health-policies): As of October 2026, a healthcare Meta ads agency should turn Meta's health policies into a written process: a pre-check on every ad and page, prescription drug ads only after authorization, health-safe tracking and one evidenced review after a rejection.
- [How Do You Appeal a Rejected Healthcare Ad on Meta?](https://medscale.health/answers/how-to-appeal-a-rejected-healthcare-ad-on-meta): As of October 2026, you appeal a rejected healthcare ad on Meta by reading the policy cited in Business Support Home, then either editing the ad, which sends it back for review, or using Request review if it was rejected by mistake.
- [Why Do Meta Catalog Ads Get Telehealth Accounts Restricted?](https://medscale.health/answers/meta-catalog-ads-prescription-products): As of October 2026, Meta catalog ads can get a telehealth account restricted because a synced store catalog can put prescription or peptide products into ads nobody wrote or checked, against Meta's prescription drug rules.
- [Can You Target Health Conditions on Meta in 2026?](https://medscale.health/answers/meta-health-condition-targeting-2026): As of October 2026, advertisers can't target health conditions on Meta: Meta removed detailed targeting tied to health causes from January 19, 2022, and flags custom and lookalike audiences that reference a health condition so they can't run.
- [Can Telehealth Brands Run Creator Partnership Ads on Meta?](https://medscale.health/answers/meta-partnership-ads-for-telehealth): As of October 2026, a telehealth brand can run creator partnership ads on Meta from its own ad account with the creator's permission, and Meta reviews them as the brand's ads, under the brand's limits.
- [Meta Restricted Your Health Dataset: How Do You Keep Campaigns Optimizing?](https://medscale.health/answers/meta-restricted-dataset-keep-campaigns-optimizing): As of October 2026, campaigns on a restricted Meta health dataset keep optimising on the deepest event the dataset may still share, or, under full restrictions, on the Awareness, Engagement or Traffic objectives Meta suggests.
- [Paid Ads Agency or Full-Service Healthcare Marketing Agency: Which Does a Telehealth Brand Need?](https://medscale.health/answers/paid-ads-agency-vs-full-service-healthcare-marketing): As of November 2026, most telehealth brands need both kinds of work, not necessarily from one firm: a paid team for campaigns, ad creative, ad landing pages, tracking and reporting, and specialist partners for brand, PR, events, organic social, email and SMS.
- [What Consent Do You Need to Use Patient Before-and-After Photos in Ads?](https://medscale.health/answers/patient-before-and-after-photo-consent-for-ads): As of October 2026, a HIPAA covered clinic should get the patient's signed HIPAA authorization before a treatment photo appears in any ad, with every core element 45 CFR 164.508 lists, a revocation route and an expiry.
- [What Happens in the First 30, 60 and 90 Days With a Telehealth Ad Agency?](https://medscale.health/answers/telehealth-ad-agency-first-30-60-90-days): As of November 2026, the first 90 days with a telehealth ad agency run in three stages: setup with campaigns live by Day 14, learning through days 31 to 60, and a review against the agreed target at day 90.
- [How Do You Track Which Ads Drive Patient Phone Calls Without Sharing PHI?](https://medscale.health/answers/tracking-patient-phone-calls-from-ads): As of October 2026, track patient calls by tying each call to the ad click and sending the platform only a neutral conversion, never the recording, the transcript or the reason for the call.
- [What Does a Telehealth Paid Ads Agency Actually Do?](https://medscale.health/answers/what-a-telehealth-paid-ads-agency-does): As of November 2026, a telehealth paid ads agency should run five jobs inside your own accounts: campaigns, ad creative, landing pages, tracking and reporting, with every ad and page checked against Meta's, Google's and TikTok's health rules before it is submitted.
- [Does Your White-Label Telehealth Platform's LegitScript Cover Your Brand's Ads?](https://medscale.health/answers/white-label-telehealth-legitscript-coverage): As of October 2026, a white-label telehealth platform's LegitScript certification covers a brand's ads only if the brand's own root domain is on the certificate, because Meta and Google check the certified domain the ads send people to.
- [What Certification Do You Need to Advertise Addiction Treatment?](https://medscale.health/answers/addiction-treatment-advertising-certification): As of October 2026, US addiction treatment advertisers need LegitScript Addiction Treatment Certification first, then Google's own addiction services certification and Meta's written permission for ads that target people in the United States.
- [What Can Paid Ads Do for Behavioral Health Marketing?](https://medscale.health/answers/behavioral-health-marketing-paid-ads): As of November 2026, paid ads can reach people looking for therapy, psychiatry, TMS and mental health programs on Google and Meta without certification, while US drug and alcohol addiction treatment needs LegitScript first, then Google's certification and Meta's written permission.
- [Can You Advertise ADHD Telehealth on Meta and Google?](https://medscale.health/answers/can-you-advertise-adhd-telehealth-on-meta-and-google): As of November 2026, an ADHD telehealth service can advertise on Meta without authorization, but naming a stimulant needs LegitScript and Meta authorization, and on Google a provider that prescribes needs LegitScript plus Google certification before ads serve.
- [Can You Advertise ED and Hair Loss Treatment on Google?](https://medscale.health/answers/can-you-advertise-ed-and-hair-loss-on-google): As of October 2026, an in-person ED or hair loss clinic can run Google Search ads now and name sildenafil or finasteride in US ad text and landing pages without certification, though bidding on those names needs certification.
- [Can You Advertise Ketamine Therapy on Meta?](https://medscale.health/answers/can-you-advertise-ketamine-therapy-on-meta): As of October 2026, a ketamine clinic can advertise its clinic and care on Meta to people 18 and over, but an ad that promotes ketamine as a prescription drug needs active LegitScript certification and Meta's authorization, in the US, Canada or New Zealand.
- [Can You Advertise Menopause HRT on Meta?](https://medscale.health/answers/can-you-advertise-menopause-hrt-on-meta): As of October 2026, a menopause brand can advertise menopause care on Meta to people 18 and over when the focus is health and medical efficacy, and telehealth menopause care runs without authorization.
- [Can You Advertise Mental Health Services on Meta?](https://medscale.health/answers/can-you-advertise-mental-health-services-on-meta): As of October 2026, therapy, counseling and telehealth mental health services can advertise on Meta without authorization, because Meta exempts ads that promote telehealth services generally, and health service ads must target people 18 and over.
- [Can You Advertise TRT on Google?](https://medscale.health/answers/can-you-advertise-trt-on-google): As of October 2026, an in-person TRT clinic can advertise on Google now and name testosterone in US ad text and landing pages without certification, while bidding on testosterone keywords, or running telehealth TRT ads, needs certification first.
- [Can You Advertise TRT on TikTok?](https://medscale.health/answers/can-you-advertise-trt-on-tiktok): As of October 2026, a TRT brand should plan on no testosterone ads on TikTok, because TikTok's drugs policy bars ads and landing pages that promote controlled drugs, and testosterone is a Schedule III controlled substance.
- [What Does the DEA Telemedicine Rule Mean for Telehealth Ads in 2026?](https://medscale.health/answers/dea-telemedicine-rule-2026-advertising): As of November 2026, the DEA flexibilities that let practitioners prescribe controlled medications by telemedicine without an in-person visit run through December 31, 2026, under the fourth temporary extension (Federal Register 2025-24123).
- [How Do Google Ads Rules Apply to Eating Disorder Treatment?](https://medscale.health/answers/eating-disorder-treatment-google-ads): As of November 2026, Google does not treat eating disorder treatment as an addiction service, so an eating disorder program needs no certification for Search ads unless it also promotes drug and alcohol treatment or prescribes online.
- [How Do Addiction Treatment Providers Apply for LegitScript Certification?](https://medscale.health/answers/legitscript-certification-for-addiction-treatment): As of October 2026, an addiction treatment provider gets LegitScript's Addiction Treatment Certification in the five steps LegitScript publishes: check eligibility, gather documents, submit in its client portal, expert review, and certification.
- [How Do LegitScript Renewal and Monitoring Work?](https://medscale.health/answers/legitscript-renewal-and-monitoring): As of October 2026, LegitScript Healthcare Certification renews every year: the renewal questionnaire opens 60 days ahead, the $2,150 annual fee per website is charged automatically on the renewal date, and LegitScript monitors the business in between.
- [What Mental Health Ad Copy Gets Approved, and What Gets Rejected?](https://medscale.health/answers/mental-health-ad-copy-examples): As of October 2026, mental health ad copy gets approved when it describes the service and rejected when it describes the reader.
- [Why Do Telehealth Meta Ads Stall in the Learning Phase?](https://medscale.health/answers/meta-learning-phase-telehealth): As of October 2026, telehealth Meta ad sets stall in learning because they can't reach about 50 results in the week after their last significant edit, which Meta says is when ad sets usually leave the learning phase.
- [Should a Telehealth Brand Start on Meta or Google?](https://medscale.health/answers/meta-or-google-first-for-telehealth): As of October 2026, a telehealth brand that prescribes online and isn't yet certified should start on Meta, because Meta lets any telehealth brand promote its services without authorization while Google's prescription drug service ads wait for LegitScript and Google certification.
- [How Do You Get Meta's Authorization to Advertise Prescription Drugs?](https://medscale.health/answers/meta-prescription-drug-authorization-steps): As of October 2026, a telehealth provider or online pharmacy gets Meta's authorization to advertise prescription drugs in two steps: active LegitScript Healthcare Certification, then a request in the Authorizations and verifications tab of Meta Business Suite using the certified URL.
- [What Happens When Meta Restricts a Health Site's Conversions?](https://medscale.health/answers/meta-restricted-health-custom-conversions): As of October 2026, when Meta puts a health site's dataset in its health and wellness category, it may strip custom parameters and URL paths, block certain mid and lower funnel events, or restrict every event.
- [Can Telehealth Brands Advertise on Microsoft Ads (Bing)?](https://medscale.health/answers/microsoft-ads-for-telehealth): As of October 2026, telehealth brands can advertise on Microsoft Ads (Bing), and those that sell prescription drugs need Microsoft's preapproval first: telemedicine providers file its Pharmacy and Telemedicine advertiser program form, and US online pharmacies need NABP or LegitScript accreditation.
- [What Are the Rules for Advertising an Online Pharmacy?](https://medscale.health/answers/online-pharmacy-advertising-rules): As of November 2026, a US online pharmacy needs third-party certification before it advertises on Google, Meta, Microsoft or TikTok: LegitScript or NABP for Google, Microsoft and TikTok, LegitScript only for Meta, then each platform's own approval.
- [Which Google Ads Keywords Can a Psychiatry Practice Use?](https://medscale.health/answers/psychiatry-practice-google-ads-keywords): As of October 2026, a psychiatry practice can bid on provider, service, coverage and location keywords on Google without certification, but keyword-targeting prescription drug names needs Google certification, and telepsychiatry that prescribes online needs LegitScript and Google certification.
- [How Should a Telehealth Brand Structure Its Meta Campaigns?](https://medscale.health/answers/telehealth-meta-campaign-structure): As of October 2026, a telehealth brand should run Meta as one offer in one campaign, adding a second campaign only for ads that must stay apart, such as prescription drug ads that need LegitScript and Meta's authorization.
- [How Do You Run Meta Ads for a Therapy Practice?](https://medscale.health/answers/therapy-practice-meta-ads-copy): As of October 2026, a therapy practice can run Meta ads without authorization or LegitScript, as long as every ad targets people 18 and over, describes the service rather than the viewer, and uses no audiences built from health information.
- [How Do You Market a TMS Clinic on Google and Meta?](https://medscale.health/answers/tms-clinic-marketing-google-and-meta): As of November 2026, a TMS clinic can advertise on Google Search and Meta without LegitScript, because TMS is a device treatment, not a prescription drug service or an addiction service.
- [What TRT Ad Creative Passes Meta and Google Review?](https://medscale.health/answers/trt-ad-creative-that-passes-review): As of October 2026, TRT creative passes Meta and Google review when it sells the clinic rather than the hormone: a clinician on camera, the steps of the process, a clear price for the visit and labs, and a consultation as the first step.
- [Can You Advertise ED and Hair Loss Treatment on Meta?](https://medscale.health/answers/can-you-advertise-ed-and-hair-loss-on-meta): As of October 2026, an ED or hair loss telehealth brand can advertise on Meta to people 18 and over when the ads focus on health rather than pleasure, and naming sildenafil, tadalafil or finasteride also needs LegitScript certification and Meta's authorization.
- [Can You Advertise GLP-1 on TikTok?](https://medscale.health/answers/can-you-advertise-glp-1-on-tiktok): As of October 2026, compounded GLP-1 cannot be advertised on TikTok in the US, because TikTok allows prescription medicine ads only with proof of FDA approval and certification, and compounded drugs are not FDA-approved.
- [Can You Advertise Ketamine Therapy on Google?](https://medscale.health/answers/can-you-advertise-ketamine-therapy-on-google): As of November 2026, an in-person ketamine clinic can run Google Search ads and name ketamine in US ad text and landing pages without certification, but keyword-targeting ketamine needs certification, and telehealth ketamine needs LegitScript plus Google certification before ads serve.
- [Can You Advertise Mental Health Services on Google?](https://medscale.health/answers/can-you-advertise-mental-health-services-on-google): As of October 2026, therapy and psychiatry practices can run Google Search ads without certification, but remarketing, customer match and lookalike audiences are off, online prescribing needs LegitScript plus Google certification, and drug and alcohol addiction treatment needs its own certification.
- [Can You Advertise TRT on Meta?](https://medscale.health/answers/can-you-advertise-trt-on-meta): As of November 2026, a TRT clinic can advertise on Meta in two layers: clinic ads for the labs, the visit and the provider run without authorization, and ads naming testosterone need active LegitScript certification and Meta's authorization.
- [How Do You Choose a Telehealth Ad Agency?](https://medscale.health/answers/how-to-choose-a-telehealth-ad-agency): As of November 2026, choose a telehealth ad agency on six tests: LegitScript and Meta authorization fluency, how it handles a restricted account, pre-checked creative volume, tracking that sends no personal data, weekly reporting against a target, and contract terms that leave you owning everything.
- [How Should a Telehealth Brand Budget Its First 90 Days of Meta Ads?](https://medscale.health/answers/telehealth-ad-budget-first-90-days): As of October 2026, a telehealth brand should budget its first 90 days of Meta ads backwards from cost per order (cost per click divided by the share of visitors who order), then step up about 20% a week only while that cost holds.
- [Should a Telehealth Brand Run Ads In-House or Hire an Agency?](https://medscale.health/answers/telehealth-ads-agency-vs-in-house): As of November 2026, run telehealth ads in-house when your team already covers five specialist jobs and has the volume to keep them busy, use a freelancer for one defined gap, and hire an agency when several jobs are uncovered at once.
- [What Are the Advertising Rules for Med Spas and Aesthetic Clinics on Meta and Google?](https://medscale.health/answers/aesthetic-clinic-advertising-rules): As of October 2026, med spa and aesthetic clinic ads are open on Google with realistic claims and open on Meta with limits: cosmetic procedure ads must target adults and may show before-and-after results, including Botox and filler since July 22, 2026.
- [AI Intake for Clinics: What Does It Change for Paid Ads?](https://medscale.health/answers/ai-intake-for-clinics-explained): As of November 2026, AI intake means a system that answers a missed call or web form by text or voice within about a minute, qualifies the person, books the consult and hands anything clinical to a human.
- [Google Ads Suspended Our Telehealth Account. What Happens Next?](https://medscale.health/answers/google-ads-account-suspended-telehealth): As of October 2026, a telehealth Google Ads suspension is usually recoverable when the label is healthcare and medicines and certification was the missing piece, and permanent except in compelling circumstances when the label is circumventing systems or unacceptable business practices.
- [Is Email and SMS Marketing HIPAA Compliant for a Clinic?](https://medscale.health/answers/hipaa-email-sms-for-clinics): As of October 2026, a clinic can run compliant email and SMS when the sending platform signs a business associate agreement, no message or segment ties a person to a condition or medication beyond what they need to act on, and marketing texts have TCPA written consent.
- [How Do You Advertise TRT on Meta and Google Without Losing the Account?](https://medscale.health/answers/how-to-advertise-trt-on-meta-and-google): As of October 2026, TRT telehealth advertises in two layers on Meta: clinic and program positioning (labs, the visit, the provider, the price) runs without certification, and naming testosterone needs LegitScript plus Meta's authorization.
- [How Do You Launch a Telehealth Brand? The Compliance Checklist](https://medscale.health/answers/how-to-launch-a-telehealth-brand-checklist): As of November 2026, a telehealth brand that can advertise on day one settles its visit model and states first, contracts prescribers, an EHR, a pharmacy and payments in its own name, and builds a clinic-first site structured for LegitScript review.
- [What Are the Rules for Medical Weight Loss Clinic Ads on Meta and Google?](https://medscale.health/answers/medical-weight-loss-clinic-ads-rules): As of October 2026, an in-person medical weight loss clinic can advertise its program on Meta and Google without certification, and may name semaglutide in US Google ad text and on its page, but not keyword-target it.
- [Meta Disabled Our Healthcare Ad Account. How Do We Get It Back?](https://medscale.health/answers/meta-ad-account-disabled-healthcare-recovery): As of October 2026, the path back from a disabled Meta ad account for a clinic or telehealth brand has four steps: read the exact notice, fix the cause (creative, pharmacy-style pages, condition-named pixel events), verify the business, then file one evidenced review.
- [What Makes a Telehealth Landing Page Pass Meta and Google Review?](https://medscale.health/answers/telehealth-landing-page-compliance): As of November 2026, a telehealth landing page passes Meta and Google review when it reads as a clinic rather than a pharmacy: the program and prescriber first, medication detail second, and no drug-name headlines or per-drug pricing without certification.
- [What Does a Telehealth Growth Audit Include?](https://medscale.health/answers/what-a-telehealth-growth-audit-includes): As of November 2026, a telehealth growth audit worth reading covers five things: the channels your category can run, every ad and page read against health policy, the patient's conversion path, what your tracking sends to the ad platforms, and a costed 90-day plan.
- [How Long Does LegitScript Certification Take?](https://medscale.health/answers/how-long-legitscript-certification-takes): As of October 2026, LegitScript certification takes weeks to a few months end to end: LegitScript publishes no standard review time, but says 70 to 80% of applicants with a complete application are certified in under four weeks.
- [How Much Does LegitScript Certification Cost in 2026?](https://medscale.health/answers/legitscript-certification-cost): As of October 2026, LegitScript Healthcare Certification costs $975 per website to apply, nonrefundable, plus $2,150 per website each year once approved, so a single-domain telehealth brand pays $3,125 in year one.
- [Does a Compounding Pharmacy Need LegitScript Certification?](https://medscale.health/answers/legitscript-for-compounding-pharmacies): As of October 2026, a compounding pharmacy needs LegitScript certification if it sells, dispenses or facilitates prescription medications online or card-not-present, because LegitScript calls it a necessary part of card-not-present Visa and Mastercard approval and of advertising on Google and Bing.
- [LegitScript and Google Ads: Which Do You Need, and How Do You Apply?](https://medscale.health/answers/legitscript-vs-google-healthcare-certification): As of November 2026, a US telehealth provider or online pharmacy needs two certifications to advertise prescription drug services on Google, in order: LegitScript (or NABP, for a pharmacy) first, then Google's own healthcare certification.
- [Why Do LegitScript Applications Fail, and How Do You Pass?](https://medscale.health/answers/why-legitscript-applications-fail): As of October 2026, LegitScript applications fail or stall for six reasons visible in LegitScript's own standards and terms, starting with licenses that do not cover every state the business serves.
- [What Are the Rules for Advertising Compounded Semaglutide in 2026?](https://medscale.health/answers/advertising-compounded-semaglutide-after-shortage-delisting): As of November 2026, compounded semaglutide can be advertised only on much narrower ground than during the shortage.
- [Does Async or Synchronous Care Change What You Can Advertise?](https://medscale.health/answers/async-vs-synchronous-care-advertising): As of October 2026, whether a telehealth brand's care is asynchronous or synchronous changes its advertising in two ways: how platforms and LegitScript categorize the business, and where patient health information enters the funnel.
- [Can You Use Before and After Photos in GLP-1 Ads?](https://medscale.health/answers/before-and-after-imagery-glp-1-ads): As of October 2026, GLP-1 and weight loss ads on Meta targeted to adults 18 and over can use before-and-after photos, because Meta's July 22, 2026 Health and Wellness update stopped rejecting them on sight; the claims around the image now decide review.
- [Can You Advertise BPC-157, and What Does the FDA Status Mean?](https://medscale.health/answers/bpc-157-fda-bulk-substances-list): As of November 2026, BPC-157 is not FDA-approved and cannot be advertised as a product on Google or Meta.
- [Can You Advertise GLP-1 on Facebook and Instagram?](https://medscale.health/answers/can-you-advertise-glp-1-on-meta): As of November 2026, GLP-1 telehealth brands can advertise on Facebook and Instagram to adults 18 and over if no copy implies the viewer's body or health; a prescription GLP-1 also needs LegitScript certification and Meta's authorization.
- [Can You Advertise Peptides on Meta?](https://medscale.health/answers/can-you-advertise-peptides-on-meta): As of November 2026, most peptides sold through telehealth cannot be advertised as products on Meta: its Drugs and Pharmaceuticals policy bars ads for substances Meta judges unsafe and lets only LegitScript-certified, authorized advertisers promote prescription drugs.
- [Can You Name Ozempic, Wegovy or Zepbound in Your Ads?](https://medscale.health/answers/can-you-name-ozempic-wegovy-zepbound-in-ads): As of November 2026, a telehealth brand can name Ozempic, Wegovy or Zepbound in ads only once certified: Google requires telemedicine providers to be certified regardless, Meta treats a named prescription drug as promotion needing LegitScript and its authorization, and trademark risk applies on top.
- [GLP-1 Ad Examples That Pass Meta Review](https://medscale.health/answers/glp-1-ad-creative-that-survives-review): As of October 2026, GLP-1 ads that pass Meta review share one structural property: nothing in them asserts anything about the person seeing them.
- [Can You Advertise GLP-1 on Google Ads?](https://medscale.health/answers/google-ads-for-glp-1-telehealth): As of October 2026, a GLP-1 telehealth brand can advertise on Google Ads once it holds LegitScript accreditation and Google's certification, which Google requires before prescription drug service ads serve in the United States.
- [How Do You Advertise a Telehealth Brand on Meta Without Losing the Ad Account?](https://medscale.health/answers/how-to-advertise-telehealth-on-meta): As of October 2026, keeping a telehealth ad account healthy on Meta comes down to three habits: never write copy that implies knowledge of the viewer's health, never send traffic to a page that contradicts the ad, and track disapproval rate as a metric.
- [Who Needs LegitScript Certification to Advertise Telemedicine?](https://medscale.health/answers/legitscript-certification-for-telemedicine): As of November 2026, US telemedicine providers need LegitScript certification before Google or Meta will run their prescription-drug advertising, and online pharmacies need it for Meta and LegitScript or NABP for Google.
- [How Do You Market Peptides When Product Ads Are Closed?](https://medscale.health/answers/marketing-peptides-without-paid-social): As of November 2026, a peptide clinic markets the consult, not the compound: Meta and Google reject ads that sell most peptides, but ads and a landing page for the clinic visit, the clinician and the lab work, with no compound named, still run.
- [What Should You Do When Meta Restricts Your Telehealth Ad Account?](https://medscale.health/answers/meta-ad-account-restricted-telehealth): As of October 2026, a telehealth brand whose Meta ad account is restricted should not open a replacement account, Page or Business Manager; it should find the policy Meta cited, fix it, and request one review.
- [What Is Meta's Personal Attributes Policy and Why Does It Block Weight Loss Ads?](https://medscale.health/answers/meta-personal-attributes-policy-weight-loss): As of October 2026, Meta's Privacy Violations and Personal Attributes policy says “ads must not contain content that asserts or implies personal attributes,” and it names “physical or mental health (including medical conditions),” so weight loss copy about the reader's body fails.
- [Why Does Google Ads Reject Peptide Advertising?](https://medscale.health/answers/peptides-and-google-ads): As of November 2026, Google prohibits promoting unapproved substances and restricts prescription drug promotion to certified advertisers, and most telehealth peptides fall into the first group rather than the second.
- [Research Peptides vs Prescribed Peptides: Which Carries More Advertising Risk?](https://medscale.health/answers/research-peptides-vs-prescribed-peptides): As of October 2026, selling peptides as research chemicals does not reduce advertising risk but relocates it, because a not-for-human-consumption label on a consumer funnel is a mismatch platforms treat as misrepresentation.
- [How Do Meta, Google and TikTok Differ on Telehealth Advertising?](https://medscale.health/answers/telehealth-advertising-policy-map): As of October 2026, Google gates telehealth ads at the advertiser (LegitScript and Google certification), Meta at the content (plus LegitScript and authorization for prescription drug ads), and TikTok at the product (US prescription ads need proof of FDA approval).
- [Why Are Your Google Ads Disapproved for Telehealth, and How Do You Fix It?](https://medscale.health/answers/why-google-rejects-telehealth-ads): As of October 2026, Google disapproves telehealth ads for three recurring reasons: the advertiser is not certified to promote telemedicine or prescription medication, the landing page makes claims the policy treats as unsupported, or the campaign promotes a substance Google restricts outright.

Canonical page: https://medscale.health/answers