Meta and Google for women's health telehealth
Women's health and menopause telehealth advertising
MedScale Health is a women's health paid-ads agency for US telehealth brands: it runs Meta, Google, Microsoft and TikTok ads, creative and landing pages for menopause, birth control and other women's health programs, with every ad pre-checked against health policy before it spends. 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.
How it is sold
The model, before the rules.
Menopause programs run on a video or async visit, a prescriber, and estradiol or progesterone shipped monthly, often with a membership fee for ongoing care. Birth control, UTI and yeast programs are short async visits with a one-time or recurring pharmacy fill. Fertility and PCOS programs sell labs and supplements alongside the visit. Compounded bioidentical hormones are a common add-on. They are compounded, not FDA-approved, which changes what the ad can claim. 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 women's health ad agency?
As a women's health ad agency, MedScale plans each sub-service on its own, because menopause, birth control and UTI care are different intents with different rules. You get 8 ads at launch, one landing page per sub-service 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 are not yet certified, and a written report every Monday on spend, patients and cost per patient by campaign. Compounded hormones are labelled as compounded. 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
The rejections are personal-attribute hooks ("hot flashes keeping you up?") and hormone names without certification. The account risks are pharmacy-style pages and, for compounded hormones, product positioning of an unapproved formulation. Reproductive services carry their own layer: Meta allows contraception and fertility ads framed around medical efficacy with 18+ targeting, and Google runs medication-abortion ads under a separate certification and labelling policy, which is out of scope here and handled separately if you offer it.
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
- Prescription hormones and contraceptives require LegitScript certification and written authorization to be named, 18+ targeting and a consult-a-professional disclaimer. Sexual and reproductive health ads, including contraception, fertility and menopause treatment, are allowed when focused on medical efficacy and targeted 18+. The personal-attributes rule bars implying the reader has a condition.
- Google Ads
- Telehealth for menopause, birth control and UTI is treated as prescription drug services in the US, so the provider needs Google's prescription drug services certification before its prescription-drug ads serve and to bid on drug terms. Google judges the ads, the site and the app, so care-intent ads ("menopause doctor online", "birth control online") that don't name a drug are still judged on the whole site. Certification is the path.
- TikTok
- As of October 2026, TikTok may allow US prescription medicine ads with proof of FDA approval and certification, restricted to 18+. Compounded hormones can't qualify. Contraceptive and sexual-health products are restricted to 18+ with non-sexual framing.
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 women's health.
- Channels
- Meta on provider-led menopause and program creative from launch. Google Search once certification clears, on care intent by sub-service and then drug terms. Retention is the economics, so the report follows members to month three; email and SMS, run by your team or a partner, carry the ongoing-care membership.
- Creative that passes
- Care is available, here is who provides it, here is what the visit covers, here is the cost. Providers to camera. Symptoms are named as things the program treats, never as things the reader has.
- Landing page
- One page per sub-service, because menopause, birth control and UTI are different intents with different rules. Compounded hormones are labelled as compounded. Membership terms in plain language.
- 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 by sub-service: intake completed and eligible.
- Consult booked
- Visit scheduled or async visit submitted, attributed to the campaign.
- Rx issued
- Prescription written, reported from the intake platform.
- 90-day retention
- Members still active at month three, by sub-service and campaign.
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 by sub-service, with the reproductive-health rules mapped separately
Server-side tracking live with no symptom, diagnosis or form field forwarded
Provider-led Meta campaigns live; care-intent search live once certification clears
Weekly report on CPQL through retention by sub-service
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.
Women's health questions
What brands in this category ask first.
What does MedScale run as a women's health ad agency?
MedScale runs Meta and Google ads, ad creative, landing pages and server-side tracking for US women's health telehealth brands, planned by sub-service so menopause, birth control and UTI care each follow their own rules. You get 8 ads at launch, and every ad and page is checked against each platform's health rules before it is submitted.
How does working with MedScale start for a women's health brand?
With the free Growth Audit: MedScale reads your live ads, landing pages and tracking against the rules for each sub-service 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 women's health ads?
No. Platform review, auction prices, your offer and how your intake converts 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.
Can we name estradiol or progesterone in a menopause ad?
With Google's prescription drug services certification and with LegitScript plus Meta's written authorization, yes. Without them the ad names the care ("menopause treatment with a licensed provider") and the page names the medication.
Are compounded bioidentical hormones advertisable?
Not as a product. They are compounded, not FDA-approved, so the platforms treat a compounded-hormone ad the way they treat any unapproved substance. The program can be advertised; the compounded option is explained on the page and labelled as compounded.
Does a birth-control or UTI visit need the same certification?
Yes. Any telehealth visit that ends in a prescription is prescription drug services on Google and a prescription-drug advertiser on Meta. On Meta, care-intent ads that name no drug can run before certification. On Google, certification is the path before the ads serve.
What leaves our site and reaches the ad platforms?
A generic event name and the ad click ID. No name, email, phone number, IP address or browser ID, and the symptom questionnaire, the diagnosis, the medication and the state never leave the server. That is what keeps a women's health pixel out of Meta's restricted health tier.
From the answers library
Rules that decide Women's health campaigns.
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. MedScale Health, a paid ads agency for US telehealth brands and clinics, runs menopause accounts care first and adds prescription hormone ads only once authorized. Naming estradiol, progesterone or any other prescription hormone needs active LegitScript certification and Meta's authorization, in the US, Canada or New Zealand.
Reviewed October 24, 2026
How Do You Advertise a Telehealth Brand on Meta Without Losing the Ad Account?
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. MedScale Health, a paid ads agency for US telehealth brands and clinics, finds that accounts are almost never lost to a single bad ad but to an accumulating pattern of disapprovals nobody was tracking.
Reviewed October 24, 2026
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
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
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