Telehealth marketing agency

# Telehealth marketing agency for paid ads that pass review

MedScale runs paid acquisition for telehealth brands: the Meta and Google campaigns, the ads, the landing pages and the tracking under them. Each category is sold under different rules, so we run GLP-1, TRT and men's health, mental health, women's health and the rest each on its own terms.

The offer

## What you get with MedScale.

One team runs the ads, the creative, the pages and the tracking, so nothing is lost between them. Fees are set by scope after a free Growth Audit.

**Campaigns**

Meta and Google Ads, set up and run inside your own accounts. TikTok where the category allows it.

**Ad creative**

8 ads at launch, statics and motion video. On Growth, 6 new ads every month; on Scale, a new round every week.

**Landing pages**

A page for each offer, written for the ad that sends people to it, on your domain.

**Tracking**

Server-side conversion tracking under a BAA, so no health information reaches the ad platforms.

**Compliance review**

Every ad and page checked against Meta's, Google's and TikTok's health rules before it is submitted, with the rule it clears written down.

**Reporting**

A written report every Monday: spend, patients and cost per patient by campaign, what we changed and why. Calls on your package's schedule.

**Ownership**

Ad accounts, pages, creative and tracking stay in your name. We work as a partner on your accounts.

Your first 30 days

1. Week 1 Access, an audit of your accounts and site, tracking installed, the launch offer and landing page agreed.
2. Week 2 Landing page built, launch ads written and designed, every ad and page pre-checked against the rules, and campaigns live by Day 14.
3. Week 3 Daily checks through the first full week of spend.
4. Week 4 First full Monday report, and the next round of ads planned from what is working.

[Start with a free Growth Audit](https://medscale.health/audit)

Choosing an agency

## Which telehealth agency is best for paid ads?

The best telehealth marketing agency for paid ads is one that files your platform approvals before launch, checks every ad against Meta and Google health policy before it runs, and reports cost per booked consult instead of clicks. MedScale Health is a US paid-ads agency built for that work, for telehealth brands and clinics, and it starts with a free Growth Audit.

[Book the audit](https://medscale.health/audit)

1. 01 Approvals filed before launch Meta requires telehealth providers to hold active LegitScript certification, then its own authorization, before an ad promotes a prescription drug. A good agency files both and runs the ads that need neither while they complete.
2. 02 Every ad pre-checked against policy Each ad and landing page checked against Meta and Google health rules before it is submitted, with the rule it clears written down.
3. 03 Creative about the program, not the viewer Meta's personal attributes policy says ads must not assert or imply a person's physical or mental health. The ads describe the care, never the person reading them.
4. 04 Landing pages built to the same rules One offer and one button per page, written to the same policy as the ad that sends the click.
5. 05 Reporting by booked consult Cost per booked consult by campaign every week, reconciled to your booking tool rather than clicks or the platform's own count.

Hold any agency to these five, in writing, before you sign. Our detail by platform is on the [Meta ads agency](https://medscale.health/services/meta-ads) and [Google Ads agency](https://medscale.health/services/google-ads) pages, and our results are in the [case studies](https://medscale.health/results). To compare agencies, read [how to choose a telehealth ad agency](https://medscale.health/answers/how-to-choose-a-telehealth-ad-agency), [whether to hire a specialist or a generalist](https://medscale.health/answers/healthcare-specialist-vs-generalist-ad-agency) and [what a case study should show](https://medscale.health/answers/what-a-healthcare-ad-agency-case-study-should-show).

Why telehealth ads get rejected

## Five reasons, and how we design around each one.

### No certification behind a prescription ad

Meta and Google both require LegitScript certification, plus their own authorization, before an ad promotes a prescription drug. We sequence it so the ads that can run, run first.

[LegitScript and Google Ads](https://medscale.health/answers/legitscript-vs-google-healthcare-certification)

### Copy that implies the viewer's condition

“Struggling with your weight?” breaks Meta's personal attributes rule. Every ad we write speaks about the program, never the person reading it.

[Meta's personal attributes policy](https://medscale.health/answers/meta-personal-attributes-policy-weight-loss)

### A pixel sending health data

A browser pixel on a treatment page tells Meta which page someone viewed. Meta restricts data sources that look like health data. We track server-side, with neutral event names.

[Restricted health data and custom conversions](https://medscale.health/answers/meta-restricted-health-custom-conversions)

### Landing pages that promise too much

Reviewers read the page as part of the ad. “Same as Wegovy,” outcome promises and missing compounded disclosures get ads rejected even when the ad itself is clean.

[Telehealth landing page compliance](https://medscale.health/answers/telehealth-landing-page-compliance)

### Patterns at the account level

Lapsed business verification, repeated rejections and unmonitored notices end in restrictions. We check account health weekly and keep renewals on a calendar.

[When Meta restricts a telehealth account](https://medscale.health/answers/meta-ad-account-restricted-telehealth)

Why the category matters

## The same funnel, eight different rulebooks.

A GLP-1 brand and a peptide brand run the same intake form, the same async visit, the same partner pharmacy and the same monthly subscription. One of them can advertise on Meta and Google once it holds LegitScript certification (the third-party check Meta and Google require before a telehealth business can name a prescription drug in an ad). The other cannot advertise its product at all, because no certification makes an unapproved drug approved.

Therapy is one of the most open categories on every platform; the stimulant prescribed by the same psychiatry brand is one of the most closed. A sleep brand selling home apnea tests needs structure, not certification; the same brand prescribing zolpidem needs both. Treating these as “telehealth” is how accounts get lost.

Hiring for this works the same way. Two answers set out the agency's side: [what a marketing agency for a compounded GLP-1 program should handle](https://medscale.health/answers/compounded-glp-1-marketing-agency), and [what a healthcare Meta ads agency does about Meta's health policies](https://medscale.health/answers/healthcare-meta-ads-agency-health-policies).

The table below is the short version. Each category page has the long one: how it is sold, how it gets restricted, what each platform says, what we run, what we measure and what we commit to by day.

Side by side

## What gets you restricted, and what has to be in place first.

Platform policy pages read 2026-10-05. [How the platforms compare](https://medscale.health/answers/telehealth-advertising-policy-map)

| Category | Paid outlook | What gets you restricted | What has to be in place | Open page |
| --- | --- | --- | --- | --- |
| [GLP-1 Weight Loss](https://medscale.health/telehealth/glp-1-weight-loss) | Certification first | Drug names without certification, fat-pinching or dated-result creative, pharmacy-style landing pages, compounded-equivalence claims | LegitScript plus Meta written authorization; Google prescription-drug services certification |  |
| [Peptide Therapy](https://medscale.health/telehealth/peptides) | Closed to paid | Any ad for a non-FDA-approved peptide as a product; no certification path exists | Nothing unlocks the compound. Paid runs on the clinic, the consult and the labs |  |
| [TRT and Men's Health](https://medscale.health/telehealth/trt-mens-health) | Certification first | "Low T?" hooks, drug names without certification, enclomiphene and peptides as products | LegitScript plus Meta authorization; Google prescription-drug services certification; clinic positioning for the compounds |  |
| [Hair Loss and Sexual Health](https://medscale.health/telehealth/hair-and-sexual-health) | Certification first | Personal-attribute hooks, drug and brand names without certification, sexual framing | LegitScript plus Meta authorization; Google prescription-drug services certification; medical-efficacy framing |  |
| [Women's Health](https://medscale.health/telehealth/womens-health) | Certification first | Personal-attribute hooks about symptoms, hormone names without certification, compounded hormones as products | LegitScript plus Meta authorization for prescriptions; Google prescription-drug services certification |  |
| [Mental Health](https://medscale.health/telehealth/mental-health) | Restricted | "Feeling anxious?" framing, condition data in the pixel, anything that reads as a route to a stimulant or benzodiazepine | Nothing for therapy beyond structure; Google prescription-drug services certification for psychiatry; LegitScript for addiction treatment |  |
| [Sleep](https://medscale.health/telehealth/sleep) | Certification first | "Can't sleep?" hooks, prescription sleep aids without certification, cure claims, diagnosis in the pixel | Google prescription-drug services certification and LegitScript for any prescribing; structure only for the apnea test-and-device path |  |
| [Skin and Dermatology](https://medscale.health/telehealth/skin) | Certification first | Inferiority framing, "struggling with acne?" hooks, drug names without certification, the pixel on the photo step | LegitScript plus Meta authorization; Google prescription-drug services certification; compounded formulas labelled |  |

Sources: [Meta: Drugs and pharmaceuticals](https://transparency.meta.com/policies/ad-standards/restricted-goods-services/drugs-pharmaceuticals/) · [Meta: Health and wellness](https://transparency.meta.com/policies/ad-standards/restricted-goods-services/health-wellness/) · [Meta: Personal attributes](https://transparency.meta.com/policies/ad-standards/objectionable-content/privacy-violations-personal-attributes) · [Google: Healthcare and medicines](https://support.google.com/adspolicy/answer/176031) · [Google: Prescription drug services certification](https://support.google.com/adspolicy/answer/15598647) · [TikTok: Healthcare and pharmaceuticals](https://ads.tiktok.com/resources/help/article/tiktok-ads-policy-healthcare-pharmaceuticals) · [TikTok: Weight management and body image](https://ads.tiktok.com/resources/help/article/tiktok-ads-policy-weight-management) · [LegitScript: Healthcare merchant certification](https://www.legitscript.com/certification/healthcare-certification/).

Categories

## Pick the one you sell.

Certification first

### [GLP-1 Weight Loss](https://medscale.health/telehealth/glp-1-weight-loss)

Semaglutide and tirzepatide programs sold online under a prescriber. The largest telehealth category by spend and the one the platforms, the FDA and 35 state attorneys general are all watching at once.

Closed to paid

### [Peptide Therapy](https://medscale.health/telehealth/peptides)

BPC-157, TB-500, CJC-1295 and the rest of the longevity menu. Real demand, sold through compounding pharmacies, and the one telehealth category where the compound can't be advertised no matter what you certify. The consult, the labs and the provider can.

Certification first

### [TRT and Men's Health](https://medscale.health/telehealth/trt-mens-health)

Testosterone therapy, enclomiphene, hCG and the longevity add-ons, sold with at-home labs and a monthly shipment. High intent, high subscription value, and a controlled substance at the center of the offer.

Certification first

### [Hair Loss and Sexual Health](https://medscale.health/telehealth/hair-and-sexual-health)

Finasteride, minoxidil, sildenafil and tadalafil, sold on price and discretion with an async visit and a subscription. The most commoditised telehealth category, and the one where the ad rules are clearest and most enforced.

Certification first

### [Women's Health](https://medscale.health/telehealth/womens-health)

Menopause and hormone therapy, birth control, UTI and yeast treatment, PCOS and fertility support. A category the platforms allow more readily than most, with rules that change by sub-service and by state.

Restricted

### [Mental Health](https://medscale.health/telehealth/mental-health)

Therapy subscriptions, psychiatry and medication management, ADHD evaluation. Therapy is one of the most open categories in telehealth advertising. Controlled substances are one of the most closed. Most brands sell both.

Certification first

### [Sleep](https://medscale.health/telehealth/sleep)

Insomnia care and sleep apnea care, which look like one category and are two. One sells a visit and sometimes a prescription. The other sells a home sleep test and a device on a resupply plan.

Certification first

### [Skin and Dermatology](https://medscale.health/telehealth/skin)

Acne, anti-aging, rosacea and custom compounded formulas, sold through a photo-based visit and a monthly bottle. A visual category in which the visual is the thing the platforms restrict.

Free tools

## Check your own ads and budget first.

### [Ad copy pre-check](https://medscale.health/pre-check)

Paste an ad and see the lines a Meta reviewer reads as personal attributes, outcome promises or drug claims.

### [Ad budget calculator](https://medscale.health/tools/telehealth-ad-budget-calculator)

Turn your price and target cost per patient into a starting budget for the first 90 days.

### [LegitScript cost calculator](https://medscale.health/tools/legitscript-cost-calculator)

Add up LegitScript's application and annual fees for your sites, and see what comes after approval.

Telehealth marketing agency questions

## What telehealth brands ask before they hire us.

**How much does a telehealth marketing agency cost?**

MedScale's fee is set by scope after a free Growth Audit: the channels, categories and states, and how much of the work you want run for you. Engagements run month to month, and ad spend is paid to Meta and Google from your own accounts, so it never passes through us. The pricing page shows what each package includes.

**How long until our ads are running?**

Campaigns are live by Day 14 from access when certifications are in place: access, audit and tracking in week 1, then the landing page and launch ads in week 2, each checked against the rules before it runs. Ads that promote prescription drugs wait on LegitScript and each platform's own approval, which the platforms schedule, not us.

**Do we need LegitScript certification before we start?**

Not to start working together. You need it before ads promote prescription drugs: Meta requires active LegitScript certification and its own authorization from telehealth providers, and Google requires LegitScript and Google's certification from telemedicine providers. Until then we run what each platform allows and prepare the rest.

**Do you take on accounts that are already restricted?**

Yes. We read the notice, fix what caused it in the ads, pages, tracking and verification, and file one review through Meta's or Google's own process with the evidence. We never open a new account or Page to get around a restriction, because the platforms treat that as circumvention.

**Who owns the ad accounts and creative?**

You do. Campaigns run inside your own Meta Business Manager and Google Ads account, we work as a partner, and every ad, landing page and tracking setting stays with you if we part ways.

**Do you guarantee a number of patients?**

No. Nobody honest can before the offer, the budget and the certifications are known. What we commit to is a written report every Monday showing what each dollar produced, and changing course when the numbers say so.

**What is the best telehealth marketing agency for paid ads?**

One that files your LegitScript and platform approvals before launch, checks every ad and landing page against Meta and Google health policy before it runs, writes the ads about the program rather than the viewer, and reports cost per booked consult. MedScale Health is a US paid-ads agency built for that work, for telehealth brands and clinics, and it starts with a free Growth Audit.

**What are the top telehealth marketing agencies in 2026?**

MedScale doesn't publish a ranking of other agencies. Judge any shortlist on five things: approvals filed before launch, every ad pre-checked against Meta and Google health policy, creative about the program rather than the viewer, landing pages built to the same rules, and reporting by booked consult. MedScale Health, a US paid-ads agency for telehealth brands and clinics, is built around those five and shows its work in a free Growth Audit.

**Which agencies specialize in paid ads for cash-pay clinics?**

MedScale Health specializes in paid ads for US cash-pay clinics: Meta, Google and Microsoft ads for medical weight loss, TRT, ketamine, mental health, dental and med spa, reported as cost per booked consult by campaign. Whichever agency you pick, it should work only in healthcare and show you your category's ad rules before launch.

**Should a direct-to-consumer telehealth brand hire a specialist paid-ads agency?**

Usually, when the brand prescribes, because the approvals, the policy checks and reporting by booked consult are specialist work. MedScale Health is a specialist paid-ads agency for US telehealth brands, and its answer on specialist and generalist healthcare ad agencies sets out when each fits.

**How do I check an agency's results?**

Ask for case studies that show the category, the starting point, the spend range, cost per booked consult and how the bookings were counted. MedScale Health publishes anonymised results from telehealth brands and clinics on its case studies page, and its answer on what a healthcare ad agency case study should show lists what to ask for.

Growth audit

## See where your growth is leaking.

We audit the ads, the landing pages, the tracking and the compliance posture, then hand you the roadmap. The people writing it have run the same funnel from the inside. You keep it whether or not we work together.

[Book the audit](https://medscale.health/audit)

[Account already restricted? Start a rescue](https://medscale.health/rescue) [Launching a new brand? Plan your telehealth launch](https://medscale.health/build)

**Reviewed**

Funnel, tracking, and compliance posture

**Discussed**

One 30-minute call with the operator on your account

**Delivered**

A written roadmap within 5 business days

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