Ad Policy Tracker

What each platform allows, by vertical.

Restriction levels for Meta, Google Ads and TikTok across the healthcare categories we work in. Each cell separates what gets an ad rejected from what gets the account disabled, because those are different mistakes with very different costs.

Reviewed 2026-08-30. Re-verified quarterly against the platform policy pages listed at the bottom.

Where a cell says certification, it names which one. Most of the time that is LegitScript, the third-party certification Meta and Google require before an online pharmacy or telehealth provider can advertise prescription drugs.

OpenOpen
Runs on a standard account. Ordinary creative rules still apply.
CertificationnamedCertification required
Runs once a named certification is on file with the platform.
RestrictedRestricted
Clinic and consultation positioning runs; the product does not.
ClosedClosed
No compliant path to advertise the product on this platform.
GLP-1 / medical weight loss
MetaCertificationLegitScriptGoogleCertificationLegitScriptTikTokRestricted
MetaCertificationLegitScript
Rejects the ad
Before/after or idealized-body imagery; "tired of the weight?" personal-attribute hooks; naming semaglutide or tirzepatide without certification; under-18 targeting.
Risks the account
Landing page that reads like an online pharmacy; repeated resubmission of flagged creative; pixel events named after the drug.
Requires
LegitScript certification, then Meta's authorization, before an online pharmacy or telehealth provider can name a prescription drug. Meta's weight-loss policy sends prescription weight loss to that rule. Clinic-service ads that never name the drug run without it.
Google AdsCertificationLegitScript
Rejects the ad
Drug-name keywords and ad text without certification (auto-rejected); unrealistic weight-loss claims.
Risks the account
Bidding on trademarked drug names; circumventing certification with misspellings.
Requires
Google's Healthcare & medicines certification, which in the US needs LegitScript (or NABP for a pharmacy) first, before drug terms can appear in ads, keywords or landing pages. Program- and clinic-intent keywords are open without it.
TikTokRestricted
Rejects the ad
Prescription drugs prohibited; weight-management products restricted; body-shaming or transformation content.
Risks the account
Advertising compounded medication as a product.
Requires
Weight-loss surgical procedures in the US need TikTok sales-rep approval; supplements and meal replacements run 18+. TikTok publishes no US rule for prescription weight-loss drugs, so verify with your rep before relying on it.
How we run it
TRT / men's health
MetaCertificationLegitScriptGoogleCertificationLegitScriptTikTokRestricted
MetaCertificationLegitScript
Rejects the ad
"Low T?" and sexual-performance personal-attribute hooks; prescription product names; sexualized imagery.
Risks the account
Pharmacy-style landing pages; ED medication sold as a product without certification.
Requires
LegitScript certification plus Meta authorization for telehealth or pharmacy positioning that names testosterone, ED or hair-loss prescriptions. Clinic-service positioning runs without it.
Google AdsCertificationLegitScript
Rejects the ad
Testosterone, ED and hair-loss drug terms without certification; unproven claims.
Risks the account
Unapproved substances (peptides) in ads; trademark bidding on drug brands.
Requires
Google's Healthcare & medicines certification, backed by LegitScript telemedicine certification in the US, to name drugs. Clinic-intent keywords are open.
TikTokRestricted
Rejects the ad
Sexual-health products and prescription drugs.
Risks the account
Prescription products as the offer.
Requires
Awareness content only in most markets. No published US certification path for prescription men's-health products; verify with your rep.
How we run it
Peptides / longevity compounds
MetaClosedGoogleClosedTikTokClosed
MetaClosed
Rejects the ad
Any ad for a non-FDA-approved peptide as a product.
Risks the account
Advertising unapproved substances is a common cause of permanent account loss.
Requires
No certification path for unapproved substances; LegitScript does not certify them. Longevity clinic services can run without naming compounds.
Google AdsClosed
Rejects the ad
Unapproved pharmaceuticals and supplements policy.
Risks the account
Repeated unapproved-substance ads.
Requires
None available. Clinic and consultation intent only.
TikTokClosed
Rejects the ad
Prescription and unapproved substances.
Risks the account
As above.
Requires
No certification path. Nothing to file.
Hair loss / ED telehealth
MetaCertificationLegitScriptGoogleCertificationLegitScriptTikTokRestricted
MetaCertificationLegitScript
Rejects the ad
Personal-attribute hooks about hair or performance; prescription product names without certification.
Risks the account
Telehealth positioning without LegitScript.
Requires
LegitScript certification for the telehealth provider or online pharmacy, then Meta authorization, before finasteride, sildenafil or tadalafil can be named.
Google AdsCertificationLegitScript
Rejects the ad
Finasteride, minoxidil (Rx strength), sildenafil, tadalafil terms without certification.
Risks the account
Drug-brand trademark bidding.
Requires
Google's Healthcare & medicines certification, backed by LegitScript telemedicine certification (or NABP if you are the dispensing pharmacy) in the US.
TikTokRestricted
Rejects the ad
Prescription products; sexual-health content.
Risks the account
Prescription product as the offer.
Requires
Pharmacy ads accept LegitScript or NABP; no published US path for prescription telehealth offers. Verify with your rep.
Mental health / psychiatry / ADHD
MetaRestrictedGoogleRestrictedTikTokOpen
MetaRestricted
Rejects the ad
"Do you have anxiety?" personal-attribute framing; medication names; implying a diagnosis of the viewer.
Risks the account
Sensitive-category data sent through the pixel; controlled-substance promotion.
Requires
None for therapy and psychiatry services. Conversion-event optimization limited for sensitive categories.
Google AdsRestricted
Rejects the ad
Controlled-substance and some ADHD-medication terms; addiction-treatment ads without certification.
Risks the account
Addiction-treatment services without LegitScript in the US.
Requires
LegitScript Addiction Treatment Certification for recovery-oriented addiction services in the US. Therapy and psychiatry intent is open without it.
TikTokOpen
Rejects the ad
Medication content; claims of cure.
Risks the account
Prescription promotion.
Requires
No certification. Standard account and creative review.
How we run it
Ketamine / psychedelic therapy
MetaRestrictedGoogleRestrictedTikTokClosed
MetaRestricted
Rejects the ad
Ketamine as a product; outcome claims for depression; patient testimonials implying results.
Risks the account
Psilocybin, MDMA or other scheduled substances in any ad.
Requires
Clinic and consultation positioning only.
Google AdsRestricted
Rejects the ad
Drug-term keywords; outcome claims; unapproved-substance ads.
Risks the account
Scheduled substances; repeated outcome claims.
Requires
Clinic and consultation intent only.
TikTokClosed
Rejects the ad
Prescription and controlled substances.
Risks the account
As above.
Requires
No certification path. Nothing to file.
How we run it
Dental / orthodontics
MetaOpenGoogleOpenTikTokOpen
MetaOpen
Rejects the ad
Before/after that implies inferiority; under-18 targeting for cosmetic procedures.
Risks the account
Rare. Misleading pricing or guarantee claims.
Requires
No certification. Standard account and creative review.
Google AdsOpen
Rejects the ad
Unrealistic cosmetic claims; misleading pricing.
Risks the account
Rare.
Requires
Local Services Ads verification where used.
TikTokOpen
Rejects the ad
Graphic procedure footage; cosmetic claims without substantiation.
Risks the account
Rare.
Requires
No certification. Standard account and creative review.
How we run it
Med spa / aesthetics
MetaRestrictedGoogleOpenTikTokRestricted
MetaRestricted
Rejects the ad
Before/after imagery; idealized-body or "look younger" personal-attribute framing; under-18 targeting.
Risks the account
Adding prescription weight-loss to the menu without restructuring pages and ads.
Requires
None for cosmetic services; prescription add-ons follow the GLP-1 row.
Google AdsOpen
Rejects the ad
Unrealistic claims; prescription add-ons named without certification.
Risks the account
Drug-term bidding for weight-loss add-ons.
Requires
No certification. Standard account and creative review.
TikTokRestricted
Rejects the ad
Cosmetic-procedure ads restricted by market; transformation content.
Risks the account
Injectables promoted as products.
Requires
No certification path. Nothing to file.
How we run it
Telemedicine (general / primary care)
MetaOpenGoogleCertificationLegitScriptTikTokRestricted
MetaOpen
Rejects the ad
Prescription-drug promotion without certification; personal-attribute hooks.
Risks the account
Pharmacy-style positioning; health-term pixel events tiering the account.
Requires
General telehealth services run without written authorization. Promoting prescription drugs needs LegitScript certification and Meta authorization.
Google AdsCertificationLegitScript
Rejects the ad
Telemedicine ads in markets that require certification; drug terms.
Risks the account
Circumventing certification.
Requires
LegitScript telemedicine certification, then Google's Healthcare & medicines certification, for US telemedicine that facilitates prescribing. Several other markets accept LegitScript the same way.
TikTokRestricted
Rejects the ad
Prescription services as the offer.
Risks the account
Prescription promotion.
Requires
No published US telehealth certification path; verify with your rep.
How we run it

Certifications named above

Which credential, and what it turns on.

The certification is not the platform approval. It is the credential you hand the platform, and each platform still runs its own authorization after it.

LegitScript
A third-party certification for pharmacies, telehealth providers, med spas and addiction-treatment programs. Meta requires it before an online pharmacy or telehealth provider can promote prescription drugs. Google accepts it for US online pharmacies and requires it for US telemedicine that prescribes and for US addiction treatment. TikTok accepts it for pharmacy ads.
Google Healthcare & medicines certification
Google's own application, filed after the LegitScript or NABP credential is in hand. It is what turns on prescription-drug terms in ads, keywords and landing pages for a US account.
NABP Digital Pharmacy Accreditation
The National Association of Boards of Pharmacy credential. Google and TikTok accept it in place of LegitScript for US online pharmacies; it does not cover telemedicine.
Meta authorization
After LegitScript is active, Meta still requires the advertiser to complete its onboarding and be authorized before prescription-drug ads deliver. Drug manufacturers can use Meta's internal review instead of LegitScript; pharmacies and telehealth providers cannot.

How to read this

Levels describe the reliable structure for direct-response ads in the United States. Platforms enforce unevenly, and a category that is open can still lose an account to one before/after image. Treat this as the map, not the territory, and check the linked policy before relying on a cell.

Where TikTok publishes no US rule for a category, the cell says verify. We would rather leave a gap than invent a requirement.

Check a specific ad against these rules

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