Why underwriters look closely at telemedicine & card-absent pharmacies
Prescription sales
Selling prescription drugs without a face-to-face visit requires card-brand registration and acquirer approval.
Licensing
Providers must be licensed where the patient is, and pharmacies where they ship.
Certification
Many acquirers require LegitScript certification for online pharmacies and prescribing platforms.
A payment setup that fits
How we usually set up telemedicine providers. Your consultant tailors it to how you actually sell.
- 1
Visit fees and memberships
One-time consult fees and recurring memberships on the same account.
- 2
Medication charges kept separate
A clear line between your service fees and pharmacy charges.
- 3
HSA and FSA cards
Accept health savings cards for eligible services.
What you’ll need to apply
Have these ready and your application moves faster. Your consultant confirms the exact list for the processor you’re matched with.
- Government ID for every owner with 25% or more
- Voided business check or bank letter
- Recent business bank statements
- Recent processing statements, if you have taken cards before
- Articles of incorporation and EIN letter
- A website with clear pricing, refund, cancellation and contact details
- Provider licenses for each state served
- LegitScript certification, if you prescribe or dispense
- Pharmacy partner licenses
- DEA registration if controlled substances are involved
- Patient terms and refund policy
Why applications get declined, and how to avoid it
- Prescribing without a proper clinical consultation
- Compounded or controlled medications without the right approvals
- Providers not licensed where patients are
We review your website, policies and statements against these before anything is submitted.
Keeping the account healthy after approval
Getting approved is half the job. These habits keep your account in good standing, and our platform tracks the numbers behind them for you.
- Keep licensing current in every state you serve
- Explain what the visit fee covers if no prescription is issued
- Make membership cancellation simple
Telemedicine & card-absent pharmacies: common questions
Do we need LegitScript certification?
If you prescribe or dispense medication online, most acquirers will ask for it. Consultation-only services may not need it.
Can we sell weight-loss medications?
Some acquirers accept them with full licensing and certification. Compounded versions get extra scrutiny. Tell us your model.
Can patients use HSA or FSA cards?
Generally yes, for eligible medical services.
What happens after I’m approved?
We keep working with you. Our platform gives you one view of every account, and we review your chargebacks, approval rate, fraud tools and fees with you so the account stays healthy and gets cheaper over time.