Texts that get delivered. Ads that stay live.
Two invisible failures quietly kill clinic marketing. Carriers filter your texts because the A2P campaign was never registered properly, and Meta restricts your ad account because a health claim slipped through. Both look like a marketing problem and neither is. We handle the registration, the consent capture, and the policy review.
The compliance work that decides whether anything else runs
Compliance is treated as paperwork until the day it becomes the whole problem. A filtered SMS campaign and a restricted ad account both present as poor performance, which is why they often go undiagnosed for months.
A2P 10DLC brand and campaign registration
Brand verification and campaign registration with the carriers, including the sample messages, opt-in description, and use case that actually get approved rather than rejected and resubmitted.
Consent capture that holds up
Marketing consent captured separately from terms, privacy, and telehealth consent, recorded against the patient record, with working opt-out handling. A single combined checkbox does not constitute marketing consent.
Meta health ad policy review
Every ad, landing page, and message reviewed against Meta's health and wellness policy before launch. No restricted compound names, no implied personal health attributes, no before-and-after imagery.
LegitScript and prescription advertising path
Where the clinic advertises prescription treatment, we map the LegitScript certification and Meta prescription-drug authorization route, and tell you plainly when a product cannot be advertised on Meta at all.
What goes wrong without it
carriers filter unregistered A2P traffic, with no error shown
Meta health policy violations restrict the whole ad account
TCPA exposure attaches to each non-consented text sent
This is operational compliance support, not legal advice. We are not attorneys and we do not provide legal opinions. Clinics should have counsel review their consent language and retention practices.
The guarantee
Compliance work is included in the ScaleClinics build. We would rather lose a punchier ad than an ad account, and we hold that line even when a client pushes for it. Research-use-only products are a hard disqualification on Meta, and we say so on the first call rather than take the money and fail.
“Our compliance position is not caution, it is the moat. Anyone can write a louder ad. Very few agencies can keep a GLP-1 clinic advertising on Meta for twelve straight months.”
Built for clinics advertising regulated treatment
If you prescribe GLP-1 medication, hormones, or peptides and you market on Meta or by text, every one of these requirements already applies to you. The question is only whether anyone has handled them.
The most common findings when we audit a new clinic are the same three: SMS going out on an unregistered or misregistered A2P campaign, marketing consent bundled into a general terms checkbox, and ad copy that names a compound Meta will not permit. All three are fixable, and all three are cheaper to fix before launch than after a restriction.
A2P registration and clinic compliance, answered
What is A2P 10DLC and why does my clinic need it?
A2P 10DLC is the registration framework US carriers require for application-to-person text messaging sent from standard 10-digit numbers. Any clinic sending appointment reminders, follow-ups, or marketing texts falls under it. Without registration, carriers filter or block the traffic, frequently without returning an error, so your system reports the message as sent while the patient never receives it. Registration requires brand verification and a campaign approval that describes your use case, opt-in method, and sample messages.
Does a checkbox on my intake form count as SMS marketing consent?
Usually not. A checkbox covering terms of service, privacy policy, and telehealth consent covers those things. Marketing consent for text messaging has to be captured separately and explicitly, with the patient understanding they will receive marketing messages and how to stop them. This distinction matters because TCPA exposure attaches per message sent. When we inherit a contact list from a provider platform, we verify the actual consent value on the record before sending anything rather than assuming it.
Do I need LegitScript certification to advertise my clinic on Meta?
You need it to advertise prescription drugs specifically, alongside a Meta prescription-drug authorization. Many clinics can advertise their service without naming a prescription product and therefore without certification, which is a legitimate route and often the faster one. Where certification is required, the process takes several weeks to a few months and carries application and annual fees. We map which branch applies to your clinic before you spend money on either path.
What gets a clinic ad account restricted on Meta?
The frequent causes are promising a specific health outcome, copy or imagery that implies the viewer has a condition, naming a restricted or compounded medication, and before-and-after photos. Violations accumulate at the account and portfolio level, so history follows you. Prevention is a review step before launch. Appeals after a restriction are slow and often unsuccessful, which is why we treat pre-launch review as non-negotiable rather than a nice-to-have.
Can you advertise research-use-only products?
Not on Meta. Research-use-only products cannot be advertised there, and we treat that as a hard disqualification during the sales conversation rather than discovering it after a clinic has paid. Where a clinic's catalogue is RUO-only, alternative channels such as native advertising networks are the realistic route, and we will say that upfront.
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