Growth systems built for modern telehealth brands.
Telehealth and DTC healthcare are some of the most competitive acquisition environments in healthcare. The brands that win are not simply buying traffic. They are building compliant acquisition systems, differentiated positioning, strong retention, and operational infrastructure that improves patient lifetime value.
DTC healthcare growth system
Five operational layers · designed for scale and compliance
Compounding
01
Acquisition channels
Search · paid social · CTV · content, built for the program mix
02
Compliance layer
FDA · FTC · platform policy alignment built into creative and routing
03
Consult booking
Verification · physician oversight · clear program enrollment
04
Retention & subscription
Adherence · refills · patient communication · churn reduction
05
Patient LTV
Compounding subscription revenue per enrolled patient
The Market
What's actually happening in DTC healthcare marketing.
Telehealth acquisition has changed dramatically over the last several years.
As competition increased and compliance enforcement tightened, the brands that relied entirely on aggressive acquisition tactics became vulnerable.
The strongest DTC healthcare brands now win through differentiated positioning, operational quality, patient retention, trust, and compliant growth infrastructure.
What We Build
Patient acquisition for the full DTC healthcare spectrum.
GLP-1 & medical weight loss
Compliant acquisition built around medical supervision and physician oversight, not the medication itself. Operates inside FDA and FTC guidelines.
Hormone replacement (HRT / TRT)
Highly motivated patients frustrated with conventional dismissal. Acquisition built around clinical depth and the alternative your program represents.
Men's health programs
Compete with Hims/Ro on what platforms can't deliver: real physician relationships, personalized protocols, and clinical depth.
Peptide therapy
Careful navigation of evolving FDA/FTC guidance. Marketing focuses on the supervised program, not specific peptide claims.
Subscription LTV acquisition
Recurring revenue model changes the math. We track cost-per-enrolled-subscriber, not cost-per-lead.
DTC Program Map
Where in DTC healthcare does your brand live?
GLP-1, HRT, TRT, men's health, peptides, concierge, specialist telehealth, each category requires distinct acquisition channels, compliance posture, and LTV math.
DTC market positioning
Six DTC categories · four operational dimensions
Operational view
Subscription telehealth
Highly competitive, wins on retention
HighHighMedHighGLP-1 / weight loss
Compliance-heavy, high-CAC category
HighMedHighHighHRT / TRT
Strong LTV · motivated patients
MedHighMedMedPeptide programs
Compliance navigation defines the program
MedMedHighLowConcierge
Premium positioning · long retention
LowHighLowLowSpecialist telehealth
Niche depth wins over generalist platforms
MedMedMedMed
Telehealth Economics
Why acquisition cost looks different for telehealth.
Subscription LTV changes everything about what's a rational CAC. The brands that misjudge this either underspend on the right programs or overspend on the wrong ones.
Telehealth unit economics
Subscription LTV changes acquisition math entirely
Recurring
CAC
$150-$400
Per enrolled patient
Retention
12 mo
Median tenure on compliant programs
Patient LTV
$2,400+
Per enrolled subscriber
Payback
2-3 mo
Subscription revenue covers CAC
FAQs
Common questions from telehealth and DTC healthcare practices.
Get Started
Ready to build a compliant, scalable patient acquisition system for your telehealth programs?
We'll look at your program mix, your current channels, and the regulatory landscape, and come back with a clear picture of what we'd build.
Continue exploring
Related work and reading.
Services
Related services
Specialties
Related specialties
Case Studies
Outcomes from similar engagements
How a national GLP-1 telehealth practice generated 200+ new patients at $22 CPL in 60 days.
The practice wanted to compete in the GLP-1 weight-loss space, but Google's pharmaceutical advertising restrictions block most healthcare providers from running compliant campaigns at all. We secured LegitScript certification, built intent-tiered Google Ads, a trust-optimized landing page, and ad copy written within Google's pharmaceutical guidelines. The practice became one of the few telehealth providers running compliant, profitable GLP-1 patient acquisition at scale.
How a compounding pharmacy with no ad history produced 20-30 calls per week at 11:1 ROI in 60 days.
The pharmacy had no functional website or patient acquisition system to support its compounding services. We built an SEO-ready website, local SEO targeting high-intent compound searches, and Google and Meta campaigns reaching both patients and referring providers. Within 60 days, the pharmacy was generating 20–30 weekly inquiries at an 11:1 return on ad spend.