Advertiser Restrictions
Meta and TikTok take prescription drug and weight-loss ads seriously. One non-compliant ad can restrict the whole account and pause every campaign you run.
Meta + TikTok Ads for LegitScript-certified telehealth
GLP-1 telehealth ads, built compliant from the first draft.
Prescription weight-loss is one of the most regulated categories in paid social. We run Meta and TikTok for LegitScript-certified telehealth brands with medical-legal review, HIPAA-conscious tracking, and creative that converts without crossing a line.
compliance_review.log
[CERT]LegitScript certification verified ✓
[REVIEW]Removed: "lose 20 lbs in 30 days"
[REVIEW]Replaced before/after with provider-led video
[REVIEW]Added safety info + "Rx required" disclosure
[TRACK]PHI stripped from pixel + CAPI events
[META]Ad approved ✓
[TIKTOK]Campaign live ✓
▍
ROAS trajectory
Certified accounts only
3.2x
Blended telehealth ROAS
Attributed revenue
Server-side, PHI-free
$8.4M
Attributed patient revenue
Acquisition efficiency
Intake-to-Rx funnel
$142
Cost per new patient
Managed spend
Ad spend under management
$2.5M+
Across telehealth brands
The Problem
GLP-1 brands don't have a demand problem.
They have a compliance problem.
Weight-loss demand is enormous. The rules around advertising prescription treatments are strict, and most agencies learn them by getting your account restricted.
Weight-Loss Claim Violations
Before/after photos, specific pound-loss promises, and copy that implies something about the viewer are prohibited, yet they show up in most GLP-1 ads.
Drug Naming Mistakes
Calling compounded semaglutide "generic Ozempic" or implying FDA approval creates regulatory exposure, not just ad rejections.
Pixels Leaking PHI
Default tracking can send health information to ad platforms. That's a HIPAA and FTC problem waiting for a headline.
Creative That Says Nothing
Over-cautious ads that never mention treatment don't convert. The skill is saying enough, accurately, to earn the click.
Agencies Learning on Your Account
Most performance agencies have never worked with LegitScript, medical-legal review, or provider-led creative. You pay for their education.
The reality check
What non-compliant GLP-1 advertising costs
87%
of GLP-1 ads we audit contain at least one policy violation
3 weeks
average downtime after an advertiser restriction
$60k+
in lost patient revenue per restriction
What We Do
The full ad stack for telehealth brands
Certification, creative, compliance review, tracking, and media buying, run by one team that knows healthcare advertising policy.
We confirm your LegitScript certification is linked correctly and walk you through Meta and TikTok healthcare advertiser requirements before anything launches.
Provider-led video, patient-journey UGC, and statics with accurate drug naming, required disclosures, and no prohibited weight-loss claims.
Every ad, landing page, and email goes through a documented review against platform policy and FDA/FTC guidance. You get the audit trail.
Campaign structure, audience strategy, and scaling on Facebook and Instagram, with age gating and sensitive-category targeting rules applied.
Creator and in-feed campaigns built for TikTok's healthcare policies, in the markets where your services are allowed to advertise.
Server-side conversion setup that optimizes on intake and prescription events without sending protected health information to ad platforms.
- 01Certification
- 02Creative
- 03Review
- 04Meta Ads
- 05TikTok Ads
- 06Tracking
Every asset passes medical-legal review before it reaches a platform.
Why Us
We solve the whole ad problem.
Everyone else solves a piece.
Generic agencies treat compliance as a final checkbox. We treat it as the brief. That is how GLP-1 campaigns stay live long enough to scale.
Capability
Generic Agency
Peptide Agency
LegitScript and platform authorization
Generic Agency:Unfamiliar
Peptide Agency:Handled at onboarding
Weight-loss ad policy expertise
Generic Agency:Learns from rejections
Peptide Agency:Built into every brief
Medical-legal review
Generic Agency:None
Peptide Agency:Documented, every asset
Compounded drug naming and disclosures
Generic Agency:"Generic Ozempic"
Peptide Agency:Accurate and reviewed
PHI-safe conversion tracking
Generic Agency:Default pixel
Peptide Agency:Server-side, PHI-free
Provider-led creative
Generic Agency:Stock before/afters
Peptide Agency:Clinician and patient-journey
Optimizes on real patient outcomes
Generic Agency:Clicks and leads
Peptide Agency:Intake to first Rx
Results
How we solve the hardest ad problems
Metrics are from active telehealth campaigns. Client names are withheld for confidentiality.
Telehealth portfolio snapshot
live · updated weekly
- Total spend managed
- $2.5M+
- Ads approved
- 1,240 ads
- Blended ROAS
- 3.2x
- Advertiser restrictions
- 0
3.4x ROAS
GLP-1 telehealth brand
- Problem:
- Restricted after running before/after creative.
- What we did:
- Rebuilt creative around provider-led video and reviewed every claim.
- Outcome:
- Back live in 9 days, 3.4x ROAS at scale.
-38% CAC
Weight-loss telehealth brand
- Problem:
- Pixel sending intake answers to Meta; optimizing on leads.
- What we did:
- PHI-free server-side events optimizing on first prescription.
- Outcome:
- Cost per new patient down 38%.
31% from TikTok
Telehealth + compounding pharmacy
- Problem:
- Meta was working; TikTok had never been tested.
- What we did:
- Creator campaigns built to TikTok healthcare policy.
- Outcome:
- 31% of new patients now from TikTok.
Our Process
From certified to live in 14 days
If your LegitScript certification is in place, your first reviewed ads go to the platforms by the end of week one.
Step 1: Compliance audit
We review your certification, current ads, landing pages, and tracking against Meta and TikTok healthcare policy. You get a written list of every issue.
Step 2: Build
Reviewed creative, compliant landing pages, and PHI-free conversion tracking. Nothing ships without sign-off.
Step 3: Launch
First campaigns go live on Meta, TikTok, or both, with age gating and approved targeting.
Step 4: Scale
We scale on intake and prescription data, refresh creative weekly, and re-review as platform policy changes.
Who We Serve
Built for telehealth brands
doing it by the book
We only work with brands that hold LegitScript certification and prescribe through licensed providers. That standard is what keeps every client account in good standing.
GLP-1 Telehealth Platforms
Semaglutide and tirzepatide programs prescribing through licensed providers, with LegitScript certification in place.
Compounding Pharmacy Partners
Pharmacies and 503A/503B partners supporting telehealth brands that need accurate, reviewed patient-facing advertising.
Brands Restarting After a Restriction
Certified brands whose accounts were restricted by non-compliant creative. We audit, rebuild, and relaunch the right way.
FAQ
Questions we get every call
Anything else — bring it to the strategy call. Request a call and pick a time.
Yes. Meta requires LegitScript certification to advertise prescription drugs and telehealth services that prescribe them, and we only onboard certified brands. If you are mid-application, we can prepare creative and tracking in parallel.
No. Platform policies prohibit before/after imagery and specific weight-loss claims for these products. We use provider-led education, patient-journey storytelling, and process-focused creative instead, and it converts.
Accurately. We never call compounded medications generic versions of branded drugs or imply FDA approval. Every claim and disclosure is reviewed before launch.
We design tracking so no protected health information reaches ad platforms, using server-side events that optimize on intake and prescription milestones. Your legal team should still confirm the setup against your BAA and policies.
Yes, where TikTok's healthcare policies allow your service in your target markets. We confirm eligibility during the audit before building anything.
We recommend at least $20k/month in spend. Below that there isn't enough conversion data to optimize toward patient outcomes.
Request a call on /apply. After a few questions you pick a time for a free 15-minute strategy call. We'll send a calendar invite to your email.
Scale patient acquisition
without the compliance risk
Request a free 15-minute strategy call. We'll review your current ads and funnel against Meta and TikTok healthcare policy and send you a written compliance audit, whether or not you work with us.
Request Your Free Strategy CallLegitScript certification required to onboard.