Tessic Health

INSIGHTS

Notes from the team running the clinics.

Operating notes from the team that runs white-label clinics end to end — licensing timelines, pharmacy economics, legal structure, and the retention mechanics that make telehealth compound.

Economics

September 28, 2026

How telehealth companies make money: five models, one a brand runs

Five telehealth revenue models explained, which ones the public companies run, and why a brand's economics come down to who keeps the pharmacy margin.

9 min read

Marketing

September 29, 2026

What LegitScript is, and what a new founder needs to understand about it

LegitScript explained for a first-time telehealth founder: what the company is, what its certification covers, who relies on it, and what it does not do.

9 min read

Operations

September 29, 2026

Questions to ask when evaluating a telehealth platform

The diligence questions that separate a clinic a brand owns from one it rents: ownership, economics, coverage, pharmacy, legal structure and exit.

9 min read

Legal

September 28, 2026

Corporate practice of medicine by state for telehealth operators

CPOM rules vary by state, but an MSO with a friendly PC satisfies every tier. Why a telehealth operator should pick the structure first and the states second.

10 min read

Pharmacy

September 28, 2026

Compounded semaglutide and tirzepatide in 2026: what a brand can still offer

Where compounded semaglutide and tirzepatide stand after the FDA delistings and the Fifth Circuit, and how a GLP-1 brand should build its medication list now.

9 min read

Growth

September 28, 2026

GLP-1 patient retention: what the data says and what operators can change

Claims data puts one-year GLP-1 discontinuation above 46%. The levers an operator controls are the first 30 days, titration handling and refill timing.

9 min read

Economics

September 28, 2026

Telehealth pricing models: per visit, membership, medication included

Three telehealth pricing models, which treatment types fit each, and worked examples showing where the consult fee lands in the P&L at three price points.

10 min read

Economics

September 28, 2026

Telehealth profit margins: what a brand nets per patient at three sizes

Gross, contribution and net margin for a telehealth brand, with a full P&L at 100, 500 and 2,000 patients and what a revenue share does to each one.

9 min read

Marketing

September 28, 2026

Telehealth patient acquisition cost by treatment type, and the payback math

Why telehealth patient acquisition cost varies by treatment type, what moves it, and why payback months depend more on the fee structure than the ad rate.

10 min read

Legal

September 28, 2026

Asynchronous prescribing by state: where a questionnaire visit is enough

Async telehealth prescribing is lawful for most non-controlled drugs in most states, but some require a live visit. How to build a two-path intake from day one.

10 min read

Legal

September 28, 2026

DEA telemedicine rules after 2026: the special registration rule for brands

Flexibilities run through December 31, 2026 and the special registration final rule is pending. What each product line faces, and what to do before January.

10 min read

Pharmacy

September 28, 2026

Which peptides a pharmacy can legally compound in 2026

How FDA's 503A bulk drug substances list decides which peptides a pharmacy can fill, what changed in April and July 2026, and how to build a peptide menu.

10 min read

Economics

September 28, 2026

Branded Wegovy and Zepbound for a small telehealth brand

How NovoCare and LillyDirect cash pricing removed the medication margin from GLP-1 telehealth, and which program-fee models still work for a small brand.

8 min read

Marketing

September 28, 2026

LegitScript certification for a telehealth brand: cost, timeline, and what reviewers check

LegitScript's published fees, the nine standards reviewers apply, what Google, Meta and card networks need beyond the certificate, and why applications fail.

10 min read

Marketing

September 28, 2026

Meta health data restrictions: measuring telehealth ads without health data

What Meta's health and wellness restrictions block, what the tracking-bulletin vacatur changed, and an event design that sends Meta a sale and nothing else.

10 min read

Operations

September 28, 2026

Collaborating physicians and NP practice authority: the staffing cost

Collaborative practice agreement cost is mostly a state-tier problem: what the agreements contain, what they cost per NP, and why renting a network wins.

9 min read

Operations

September 28, 2026

Multi-state provider licensing for a telehealth brand

There is no multi-state medical license for telemedicine. What the physician, nurse and PA compacts do, and how to read a vendor's 50-state coverage claim.

9 min read

Operations

September 28, 2026

Telehealth medical director: the role, the cost, and a compliant deal

A telehealth medical director is a clinical-governance role, not a licence to operate. What the job covers, what vendors quote, and which terms draw scrutiny.

10 min read

Clinical

September 28, 2026

GLP-1 screening on telehealth: what a defensible protocol includes

A defensible GLP-1 telehealth protocol is a short intake list, a lab policy and a follow-up cadence, owned by licensed providers and documented at every step.

9 min read

Operations

September 28, 2026

Adding GLP-1 to a med spa: telehealth prescriber or in-house

Three ways a med spa can offer GLP-1, who can prescribe, sourcing after the FDA ended the shortage, in-spa dispensing risks, and a hypothetical margin.

10 min read

Growth

September 28, 2026

GLP-1 programs for gyms and fitness brands: three models and their economics

Referral, a program under the gym's brand, or an in-club clinic: what each costs, who keeps the member, and the compliance rules for an owner with no license.

10 min read

Growth

September 28, 2026

How to start a longevity clinic online

A longevity clinic sells four regulated things and two unregulated ones. Which need a prescriber, how labs work as intake, and how to source and price it.

10 min read

Legal

September 28, 2026

Good faith exams by telehealth: who can perform them, and where

A good faith exam is a new-patient visit under another name: who can perform one, when telehealth works, what California law says, and what an audit wants.

10 min read

Legal

September 28, 2026

Telehealth informed consent by state: written, verbal, and how often

Telehealth consent rules vary by state on form, timing and wording. Build the intake to the strictest version once and every state is covered.

10 min read

Legal

September 28, 2026

Subscription law for telehealth in 2026: click to cancel and auto-renewal

The federal click-to-cancel rule was vacated and a new rulemaking began in March 2026. What still binds a telehealth membership: ROSCA, Section 5 and state law.

10 min read

Operations

September 28, 2026

Why payment processors close telehealth accounts, and billing that survives

A telehealth merchant account gets flagged for recurring card-not-present billing plus prescriptions, not HIPAA. How to design descriptors and refunds.

9 min read

Pharmacy

September 28, 2026

Nonresident pharmacy licensing: why a pharmacy partner cannot ship to every state

A pharmacy needs a nonresident pharmacy license in every state it ships into, plus sterile permits. What to ask before believing a partner ships nationwide.

9 min read

Pharmacy

September 28, 2026

Cold-chain shipping for GLP-1 and peptide brands: who pays when it fails

Semaglutide ships cold and is wasted warm. What a compliant shipment looks like, how carrier cutoffs work, who pays when a box fails, and the contract terms.

10 min read

Legal

September 28, 2026

Texting patients: the TCPA and HIPAA rules for a telehealth brand's messages

TCPA healthcare texting rules and HIPAA side by side: the consent each message needs, what a text may say, where refill reminders land, what a violation costs.

10 min read

Marketing

September 28, 2026

Telehealth affiliate and creator programs: what can be paid for, and what cannot

How to pay creators and affiliates for a telehealth brand: which fees are safe, what the FTC requires creators to disclose, and why the practice never pays.

10 min read

Operations

July 14, 2026

The real cost of launching a telehealth clinic

Software is the cheapest line. A ledger of the legal, licensing, credentialing, pharmacy and certification costs behind a multi-state clinic, in order.

9 min read

Economics

June 18, 2026

Why zero markup matters

Medication markup and revenue share look small on a term sheet and large on a P&L. A worked example of the pharmacy line at 1,000 and 5,000 patients.

8 min read

Legal

May 21, 2026

The MSO and the friendly PC, in plain English

Why a compliant telehealth brand is two companies, what each does, how the money moves, and what to check in a structure someone else drafted.

8 min read

Growth

April 16, 2026

From visits to recurring care

How subscription design, rebill checks, dunning and follow-through automation turn one-off telehealth visits into revenue that survives the month.

8 min read