Meta and Google for sleep telehealth
Sleep telehealth advertising
MedScale Health is a sleep paid-ads agency for US telehealth brands: it runs Meta, Google, Microsoft and TikTok ads, creative and landing pages for insomnia care and home sleep test programs, with every ad pre-checked against health policy before it spends. 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.
How it is sold
The model, before the rules.
Insomnia programs run a visit and either CBT-I (structured behavioural treatment delivered through an app or a clinician) or a prescription such as trazodone, doxepin or a Z-drug like zolpidem, which is Schedule IV. Apnea programs sell a home sleep test, a diagnosis read by a sleep physician, and then a CPAP or oral appliance on a monthly resupply subscription, often billed through insurance as durable medical equipment. Both sit under a prescriber; only one ends in a drug. MedScale starts with a free growth audit; campaigns are live by Day 14 from access when certifications are in place.
The offer
What do you get with MedScale as your sleep ad agency?
As a sleep ad agency, MedScale runs insomnia care and the apnea test-and-device path as separate campaigns with separate pages, because the buyers and the rules differ. You get 8 ads at launch, a landing page for each path on your domain, every ad and page checked against Meta's, Google's and TikTok's health rules before it is submitted, help with the LegitScript application if you prescribe sleep medication, and a written report every Monday on spend, patients and cost per patient by campaign. You own the accounts, and MedScale works month to month.
- 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
Week 1
Access, an audit of your accounts and site, tracking installed, the launch offer and landing page agreed.
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.
Week 3
Daily checks through the first full week of spend.
Week 4
First full Monday report, and the next round of ads planned from what is working.
How it gets restricted
Insomnia ads fail for personal-attribute hooks ("can't sleep?") and for naming a prescription sleep aid without certification, and a Z-drug is a controlled substance with its own flag. Apnea ads fail for cure claims and for the pixel: a sleep-test order or a results page can leak a diagnosis into an event name or URL and move the account into Meta's restricted health tier. Supplement add-ons carry Google's unapproved-supplements rule if they claim drug-like effects.
Paid outlookCertification first
Policy by platform
Where a platform asks for LegitScript, it means LegitScript certification: the third-party check Meta and Google require before a telehealth business can name a prescription drug in an ad. It certifies the business, its prescribers and its pharmacies. It does not change what a drug is.
- Meta
- Sleep services and sleep tests run under the health and wellness rules with 18+ targeting and no personal-attribute framing. Naming a prescription sleep medication requires LegitScript certification and written authorization. Sensitive-health classification, triggered by what the pixel sends, limits conversion optimization.
- Google Ads
- A telehealth service that prescribes sleep medication is prescription drug services and needs Google's certification before its prescription-drug ads serve and to bid on drug terms. Google judges the ads, the site and the app, so insomnia-care ads on a prescribing site are judged on the whole site; certification is the path. Sleep-test and apnea-device intent on a site that doesn't prescribe is open. Supplements with pharmaceutical or dangerous ingredients are prohibited.
- TikTok
- TikTok's US prescription path, updated September 2026, needs proof of FDA approval and 18+ targeting, and over-the-counter medicines are restricted to 18+ with approval. Sleep-test and device awareness can run; provider and program content is the reliable format.
Policy pages read 2026-10-05. Meta: Drugs and pharmaceuticals · Meta: Health and wellness · Meta: Personal attributes · Google: Healthcare and medicines · Google: Prescription drug services certification. Dated rule changes
What we run
The plan for sleep.
- Channels
- Google Search on apnea-test and insomnia-care intent, split into separate campaigns because the buyers differ; on a site that prescribes sleep medication, Google follows certification. Meta on the home-test offer and clinician-led insomnia creative. Resupply is where apnea revenue lives; email and SMS, run by your team or a partner, carry it, and the tracking credits each resupply to the campaign that found the patient.
- Creative that passes
- The test arrives at your door, a sleep physician reads it, treatment starts within days. Providers to camera. Symptoms named as things the program treats, no "you", no cure language, no bedroom-misery imagery.
- Landing page
- Two pages, not one: apnea test-and-device, and insomnia care. Insurance handled up front for the device path. Medication named on the insomnia page only, with controlled-substance rules stated.
- Tracking
- Server-side events with generic names (lead, qualified, booked, purchase), under a BAA. No names, emails, phone numbers, IP addresses or browser IDs go to the ad platforms. The ad click ID rides a bridge token into the intake platform, so the consult and the prescription land on the campaign that produced them even though the visitor left our page to book.
What we measure
- CPQL
- Cost per qualified lead: test ordered or insomnia intake completed and eligible.
- Consult booked
- Physician review scheduled or results consult booked, attributed to the campaign.
- Rx issued
- Device or medication prescribed after review, reported from the platform.
- 90-day retention
- Patients on resupply or in care at month three, by path.
Reported weekly by campaign from the tracking installed in the first two weeks. We publish the definitions, not a benchmark, because the number depends on your price, your states and your pharmacy.
Commitments
What is done by which day.
Policy read with the insomnia and apnea paths mapped separately
Server-side tracking live with no test result or diagnosis forwarded
Home-test and insomnia-care campaigns live on Meta, and on Google once certification clears where the site prescribes
Weekly report on CPQL through resupply retention by path
Days count from kickoff. Certification timelines belong to LegitScript and the platforms, so campaigns that need drug terms start on program intent and add them when approval lands.
Sleep questions
What brands in this category ask first.
What does MedScale run as a sleep telehealth ad agency?
MedScale runs separate insomnia-care and home sleep test campaigns on Meta and Google, with a landing page for each path, 8 ads at launch, and server-side tracking under a BAA that forwards no test result or diagnosis. Where the site prescribes sleep medication, Google follows certification, and MedScale helps with the LegitScript application.
How does working with MedScale start for a sleep brand?
With the free Growth Audit: MedScale reads your live ads, landing pages and tracking against the insomnia and apnea rules and writes a 90-day plan within five business days of access. Campaigns are live by Day 14 from access when certifications are in place. Engagements run month to month, and the ad accounts stay in your name.
Can MedScale guarantee approval or patient numbers for sleep ads?
No. Platform review, auction prices, your offer and how many tests come back decide the numbers, and no one controls all of those. MedScale checks every ad and page against Meta's, Google's and TikTok's rules before it is submitted and reports spend, patients and cost per patient by campaign every Monday.
Do we need certification to advertise a home sleep test?
No. The test, the physician read and the device are services and equipment, not prescription drugs. Certification enters when the program also prescribes sleep medication, at which point Google treats it as prescription drug services and Meta requires LegitScript before a drug is named.
Can we advertise zolpidem or Ambien?
Zolpidem is a Schedule IV controlled substance. Even with certification, controlled-substance promotion is flagged separately and draws account-level review. MedScale advertises insomnia care and CBT-I and leaves medication to the page and the prescriber.
Does the DEA's proposal for suvorexant, lemborexant and daridorexant change the ads?
No. Suvorexant, lemborexant and daridorexant are Schedule IV. On August 11, 2026 the DEA proposed moving them to Schedule V. Either way they stay controlled substances, so MedScale advertises insomnia care, not the drug.
Why did our apnea account lose its conversion events?
The pixel, usually. A results page URL or an event named after the diagnosis moves the account into Meta's restricted health tier and cuts off optimization. Server-side delivery with generic event names is the fix.
What should the apnea funnel measure?
Test ordered, test returned, physician review completed, device shipped, and resupply at ninety days. The first two are cheap to buy and the last two are the business, so the report shows all five by campaign.
From the answers library
Rules that decide Sleep campaigns.
Does Async or Synchronous Care Change What You Can Advertise?
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. MedScale Health, a paid ads agency for US telehealth brands and clinics, treats the care model as an input to the media plan: async concentrates the risk in the intake flow, and synchronous moves it into scheduling.
Reviewed October 24, 2026
Why Are Your Google Ads Disapproved for Telehealth, and How Do You Fix It?
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. MedScale Health, a paid ads agency for US telehealth brands and clinics, checks certification status first, because an uncertified account keeps failing review however carefully the creative is written.
Reviewed October 24, 2026
How Do Meta, Google and TikTok Differ on Telehealth Advertising?
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). MedScale Health, a paid ads agency for US telehealth brands and clinics, plans the channel mix around those three gates and runs TikTok only for non-prescription offers. Compounded drugs cannot meet TikTok's rule, and its prescription ads must target people 18 or older.
Reviewed October 24, 2026
Can You Target Health Conditions on Meta in 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. MedScale Health, a paid ads agency for US telehealth brands and clinics, builds health campaigns on broad audiences of adults 18 and over and names the condition in the creative, written about the service rather than the viewer. Meta can also restrict the events a health website shares.
Reviewed October 24, 2026
Next step
Start with the audit.
We read your live ads, landing pages and pixel against the rules on this page and send back the flags and the plan. If the account is already restricted, the rescue is the faster door.
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.
- 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