Telehealth and weight-loss programs / X
3 X policy rules bear on telehealth and weight-loss programs
3 rules come from X policy and match the wording telehealth and weight-loss programs use. None of them is exclusive to X. The rest are shared with the policies of Meta (Facebook and Instagram), Microsoft Advertising (Bing) and Reddit. None of them block approval; all 3 warn. Of the 13 platforms with a page for this industry, it has the 12th most rules.
What X policy adds
Platform rules are about ad approval and account risk, not law, and policies change. These are the X rules whose wording is about remote prescribing, compounded drugs and weight-loss claims. They run when X is selected in the checker.
CG-PLT-011 · Warns · Citation checked against stored text
A named prescription drug in an ad triggers advance approval on most platforms. Pinterest allows prescription drug ads only with prior permission and GLP-1 ads only from approved healthcare advertisers in the US and Canada, Snap requires prescription advertisers to be pre-approved, and TikTok requires proof of regulator approval and 18+ targeting in the US. Meta requires LegitScript certification or its own review, Meta authorization, a licensed-professional disclaimer and 18+ targeting in the US, Canada or New Zealand. LinkedIn requires prior authorization, US or Canada only, no under-18 targeting. Reddit, X, Microsoft, Amazon and Nextdoor require pre-approval, a sales representative or case-by-case review, and Yahoo accepts FDA-approved prescription drug ads in the US only.
Source: Pinterest Advertising Guidelines (healthcare products and services, weight loss products and services); Snap Ads Category Requirements, Health (prescription medicines); TikTok Healthcare and Pharmaceuticals ad policy (United States, prescription medicine); Meta Advertising Standards, Drugs and pharmaceuticals; LinkedIn Advertising Policies; X Ads healthcare policy; Reddit Ads Healthcare Products and Services policy; Microsoft Advertising Healthcare and Pharmaceutical policy; Amazon Ads Healthcare products and services policy; Nextdoor Ads Policy; Yahoo Ad Policy, Prescription drugs; Spotify Advertising Policies
Safer wording: Get the platform's written approval first, then run the ad only on the platform that approved it, with the approved audience and age limits. Otherwise advertise the clinical service without naming the drug.
Meta Advertising Standards, Drugs and pharmaceuticals, Nextdoor Ads Policy, Yahoo Ad Policy, Prescription drugs, Spotify Advertising Policies, Microsoft Advertising Healthcare and Pharmaceutical policy, Reddit Ads Healthcare Products and Services policy, Amazon Ads Healthcare products and services policy, TikTok Healthcare and Pharmaceuticals ad policy, Snap Ads Category Requirements, Health, Pinterest Advertising Guidelines, LinkedIn Advertising Policies, X Ads healthcare policy
CG-PLT-020 · Warns · Citation checked against stored text
Telehealth and telemedicine ads are gated. Google allows telemedicine providers only with LegitScript certification plus Google certification, and Meta requires telehealth providers that promote prescription drugs to be LegitScript certified and authorized. LinkedIn allows telehealth only in the United States with prior authorization, X allows licensed providers only in the states where they are licensed and with prior authorization, Reddit asks for industry certifications and a sales representative, Microsoft preapproves telemedicine providers that sell prescription drugs, and Amazon Ads does not accept telemedicine as display ads in its store.
Source: Google Ads Healthcare and medicines policy, additional sections; Meta Advertising Standards, Drugs and pharmaceuticals; LinkedIn Advertising Policies; X Ads healthcare policy; Reddit Ads Healthcare Products and Services policy; Microsoft Advertising Healthcare and Pharmaceutical policy; Amazon Ads Healthcare products and services policy; LegitScript Healthcare Merchant Certification
Safer wording: Get LegitScript certification if you prescribe or sell prescription drugs, then ask each platform for its telehealth authorization before the ad runs, and name only the states where you are licensed.
Meta Advertising Standards, Drugs and pharmaceuticals, LegitScript Healthcare Merchant Certification, Google Ads Healthcare and medicines policy, additional sections, Microsoft Advertising Healthcare and Pharmaceutical policy, Reddit Ads Healthcare Products and Services policy, Amazon Ads Healthcare products and services policy, Google Ads Healthcare and medicines policy, LinkedIn Advertising Policies, X Ads healthcare policy
CG-PLT-021 · Warns · Citation checked against stored text
Meta bars click-bait in a health or weight loss context, such as "1 crazy tip to lose weight!". Microsoft lists "use this 1 weird tip" and "kill stomach fat" as click-bait examples, and Nextdoor, X and Reddit bar sensationalistic, exaggerated or click-bait ads.
Source: Meta Advertising Standards, Unrealistic outcomes; Microsoft Advertising Information Integrity and Misleading Content policy; Nextdoor Ads Policy; X Ads deceptive and fraudulent content policy; Reddit Ads Deceptive, Untrue, or Misleading Advertising policy
Safer wording: State what the service is and who provides it. Drop the teaser and the secret-knowledge framing.
Meta Advertising Standards, Unrealistic outcomes, X Ads deceptive and fraudulent content policy, Nextdoor Ads Policy, Microsoft Advertising Information Integrity and Misleading Content policy, Reddit Ads Deceptive, Untrue, or Misleading Advertising policy
What the checker flags with X selected
Sample wording we wrote, run through the engine with X selected. Only samples where a X rule fires are shown.
Compounded semaglutide, no prescription needed.
- Blocks approval
CG-REG-007Also matches CG-RFA-006, CG-TRG-005, CG-CMP-002, CG-TRL-003, CG-RPL-002, CG-TRH-005, CG-RPL-004, CG-PLT-011FDA has sent warning letters to telehealth and online sellers over marketing of compounded GLP-1 drugs and unapproved peptides. Compounded drugs are not FDA approved, and these products raise misbranding and unapproved-drug issues.
Source. FDCA 503A and 503B; FDA warning letters to telehealth firms on compounded GLP-1 marketing
Safer wording.
Same active ingredient as Wegovy. Lose 20 pounds in 30 days, guaranteed.
- Blocks approval
CG-REG-006Also matches CG-RFA-006, CG-TRI-008, CG-PLT-011Compounded drugs are not FDA approved and are not the same as, or generics of, the brand product. Telehealth sellers have received FDA warning letters for these claims.
Source. FDCA 503A and 503B; FDA warning letters to telehealth firms on compounded GLP-1 marketing; FTC Act section 5
Safer wording. Say the medication is compounded, that it is not FDA approved, and that a licensed clinician decides whether it is appropriate.
- Blocks approval
CG-TRL-007Also matches CG-ABS-007Promising effortless fat loss, fixed amounts of weight lost in a short time, or eating without restriction while losing weight is an unsubstantiated and misleading weight-loss claim.
Source. FTC Act section 5; FTC Health Products Compliance Guidance (2022); FTC weight-loss advertising enforcement (e.g. Operation Big Fat Lie, Red Flag guidance on weight-loss claims)
Safer wording. Remove claims of effortless or rapid loss. Say that results vary and depend on diet, activity and medical supervision, and cite evidence for any number.
- Warning
CG-ABS-001Outcome guarantees are unsubstantiated absolute claims.
Source. FTC Act section 5, 15 U.S.C. 45; FTC Health Products Compliance Guidance
Safer wording. Remove the guarantee. If you offer a refund policy, describe the policy ("30-day refund if you are not satisfied") instead of guaranteeing results.
Reverse your diabetes with our GLP-1 program.
- Blocks approval
CG-DIS-004Also matches CG-TRA-001, CG-TRE-001, CG-TRI-001, CG-TRK-004, CG-DIS-016, CG-PLT-001Claiming to reverse a disease or its damage is an efficacy and disease claim.
Source. FTC Health Products Compliance Guidance; 21 CFR 101.93(g)
Safer wording. Describe the lifestyle or care support offered without promising reversal.
The federal rules that still apply
46 federal and general rules matched to telehealth and weight-loss programs run next to the X ones. The ones that weigh most:
CG-CSR-001 · Blocks approval · Citation checked against stored text
Prescribing a controlled substance without a real evaluation, records or follow-up violates the Controlled Substances Act and DEA telemedicine rules.
Source: 21 U.S.C. 829 and 841(h); 21 CFR 1306.04 (prescription issued for a legitimate medical purpose); 21 CFR 1306.05 (manner of issuance, so a prescription must carry the patient and practitioner details); FTC Act section 5
Safer wording: Do not advertise controlled substances. A licensed clinician must decide whether to prescribe after a real evaluation.
21 CFR 1306.04, 21 U.S.C. 829, 21 CFR 1306.05 · Needs counsel review
CG-DEA-003 · Blocks approval · Citation checked against stored text
Offering to fill a prescription for a controlled substance based only on an online questionnaire is a listed example of an internet distribution violation.
Source: 21 U.S.C. 841 subsection (h) lists offering to fill a controlled substance prescription based solely on a consumer's online medical questionnaire as an example of a violation
Safer wording: Do not tie a controlled substance prescription to a questionnaire alone. Describe a live evaluation by a licensed practitioner who decides if a prescription is appropriate.
21 U.S.C. 841 · Needs counsel review
CG-DIS-028 · Blocks approval · Citation checked against stored text
Comparing a supplement to a GLP-1 prescription drug ("natural Mounjaro", "mimics Ozempic") claims drug-like effects on weight and blood sugar and implies the product does what an approved drug does.
Source: FDCA 201(g)(1); 21 CFR 101.93(g); FTC Act section 5; FTC Health Products Compliance Guidance
Safer wording: Do not name or compare to a prescription drug. Describe the ingredients.
21 CFR 101.93(g) · Needs counsel review
CG-OIG-001 · Blocks approval · Citation checked against stored text
Paying or rewarding anyone for referring patients or for each prescription can violate the federal anti-kickback statute, and paying influencers without disclosure violates endorsement rules.
Source: federal anti-kickback statute, 42 U.S.C. 1320a-7b; OIG Special Fraud Alert on telemedicine arrangements; FTC Endorsement Guides, 16 CFR Part 255
Safer wording: Remove payments tied to referrals or prescriptions. Pay marketers a fixed fee for services set in advance, and require clear disclosure of any paid endorsement.
16 CFR Part 255, 42 U.S.C. 1320a-7b · Needs counsel review
Everything for the industry is on the telehealth and weight-loss programs page, and all X rules for any industry are on the X page.
Next step
Check your X telehealth copy
Pick X in the checker's ad platforms picker and every flag cites the rule and source listed above.