LAUNCH TIMELINE

How long does it take to launch on Tessic Health?

Four business days from signed agreement to a live clinic is typical, and most brands see their first patient inside the first week. Below is every stage from contract to first patient: how long each one takes, what the operator supplies, what Tessic Health does, and what actually causes delays.

Day 4

Typical go-live, in business days

< 1 wk

Typical signature to first patient

8

Stages, each with a named owner

0

State licenses to wait on

THE WHOLE LAUNCH

Eight stages, most of them at the same time.

Day 0 is the day the agreement is signed, and every day on this page is a business day. Dark bars show the typical window. Light tails show how far a stage can run when it goes long.

  1. 01KickoffDay 0

  2. 02Agreements signedDays 0–1

  3. 03Treatment program set upDays 1–2

  4. 04Storefront, portal, and messagesDays 1–3

  5. 05Payments connectedDays 0–4

  6. 06Compliance reviewDays 2–3

  7. 07Test patientDay 3

  8. 08Go live and first patientDays 4–6

Typical windowWhen it runs longGo-live

WHY IT TAKES DAYS

The slow parts were finished before you signed.

A clinic built from scratch spends most of its first year waiting on state boards, lawyers, and pharmacies. On Tessic Health those lines are already done, so a launch only has to cover the brand. The "built alone" times come from Tessic's own launch-cost ledger.

  • Provider licenses in all 50 states

    Licenses are held provider by provider, state by state, and are live before a brand arrives.

    Built alone: 3 to 9 months

    Done before you sign

  • Credentialed providers

    Every provider is checked at the source before a first visit and re-checked every month.

    Built alone: Weeks per provider

    Done before you sign

  • MSO and friendly-PC structure

    The professional corporation and its physician owner exist. The operator signs the management agreement; nothing new is formed.

    Built alone: 1 to 3 months

    Done before you sign

  • Wholesale pharmacy contracts

    Pharmacy network, 0% markup pricing, and cold-chain shipping are contracted and running.

    Built alone: 2 to 4 months

    Done before you sign

  • E-prescribing, EPCS, and labs

    Prescribers are identity-proofed for controlled-substance e-prescribing and the lab network is connected.

    Built alone: Weeks of vendor setup

    Done before you sign

  • Storefront, portal, and billing

    The software, the HIPAA controls, and the SOC 2 Type II program under it already run other clinics.

    Built alone: Quarters of engineering

    Done before you sign

STAGE BY STAGE

Every stage, who does what, and when it is done.

Each stage names what the operator supplies, what Tessic Health does, and the exit condition that closes it. A launch lead runs the checklist and a 15-minute daily check-in until go-live.

01

Kickoff

Day 0

One working call, the day the agreement is signed.

The operator supplies

  • The signed order form and setup fee
  • One decision-maker who can approve copy and prices
  • Company legal name, EIN, and state of formation
  • The treatment categories to launch first

Tessic Health does

  • Names the launch lead and books a daily 15-minute check-in
  • Opens the launch checklist with an owner and a date on every item
  • Sends the management services agreement and BAA the same day
  • Starts the payments underwriting packet

Done when: Every checklist item has an owner and a date, and go-live is on the calendar.

02

Agreements signed

Days 0–1

Runs long only when outside counsel needs extra days to review.

The operator supplies

  • Review and e-sign the management services agreement
  • Review and e-sign the Business Associate Agreement (BAA)

Tessic Health does

  • Prepares the MSO and friendly-PC document set for the operator's company
  • Countersigns the same day
  • Nothing new is formed or licensed: the professional corporation, its physician owner, and its providers already exist

Done when: The operator's company is the MSO for its clinic, and the professional corporation can treat patients under the brand.

03

Treatment program set up

Days 1–2

Assumes launch treatments come from the existing catalog.

The operator supplies

  • The treatments to offer, chosen from the catalog
  • Patient prices, plan lengths, and refill intervals

Tessic Health does

  • Loads the medical director's protocols and intake questions for each treatment
  • Maps every medication to a pharmacy product at wholesale cost
  • Applies each state's visit rules, so video-first states and controlled medications book a video visit automatically
  • Assigns credentialed providers to the brand's clinic in all 50 states

Done when: A test intake from any state reaches a provider licensed in that state, with the right visit type.

04

Storefront, portal, and messages

Days 1–3

Runs long when brand files or domain access arrive late.

The operator supplies

  • Logo files, brand colors, and photos
  • Final copy, or approval of Tessic's default copy
  • Access to the domain's DNS settings
  • Sender names for email and text messages

Tessic Health does

  • Builds the storefront, intake flow, and patient portal on the brand's own domain
  • Writes the order, shipping, refill, and reminder emails and texts
  • Sets up email authentication (SPF, DKIM, DMARC) so messages reach inboxes

Done when: The complete site runs on the brand's domain in a private preview.

05

Payments connected

Days 0–4

The most variable stage. New companies can wait two to three weeks on underwriting.

The operator supplies

  • A merchant account in the company's name, new or existing (the brand owns the billing relationship)
  • Business bank account and owner ID for underwriting
  • Processing history, if the company has any

Tessic Health does

  • Supplies the underwriting packet processors ask telehealth businesses for: clinic structure, licensing, pharmacy, refund, and subscription policies
  • Sets up plans, renewals, and the rebill schedule
  • Turns on failed-payment recovery (dunning) on Grow and Scale

Done when: A real card clears in the storefront and a test renewal bills on schedule.

06

Compliance review

Days 2–3

Each round of claim rewrites adds about a day.

The operator supplies

  • Every patient-facing claim: storefront copy, launch emails, ads, and landing pages
  • Fixes to any line the review flags

Tessic Health does

  • Reviews claims against FTC and state advertising rules, including compounded-medication disclosures and auto-renewal terms
  • Publishes the telehealth consent, privacy notice, and refund terms
  • Prepares and files the brand's LegitScript application

Done when: Every live claim is approved in writing and the LegitScript application is filed.

07

Test patient

Day 3

Fixes found in testing are made the same day.

The operator supplies

  • A test order placed as a patient would place it
  • Sign-off on the go-live checklist

Tessic Health does

  • Runs a test patient end to end: intake, provider review, e-prescription, pharmacy order, shipping label, portal messages, and first renewal
  • Fixes anything that breaks before go-live

Done when: The operator signs the go-live checklist.

08

Go live and first patient

Days 4–6

The clinic opens on day 4. The first patient arrives as soon as the operator's demand does.

The operator supplies

  • Demand: the email list, social channels, creators, and affiliates
  • Paid search and social ads for prescriptions start once LegitScript certification clears

Tessic Health does

  • Opens the storefront to the public
  • Providers review intakes as they arrive, async where the state allows and by video where it requires
  • The pharmacy ships, with cold-chain packaging for GLP-1s and peptides

Done when: The first patient has been seen by a licensed provider. Brands launching to an existing list usually see a first intake on go-live day.

BEFORE DAY 0

What to have ready before you sign.

Every item below is something only the operator can supply. Brands that arrive with all of it are the ones that go live on day 4.

Company

  • A formed company (LLC or corporation) and its EIN
  • A business bank account
  • One person authorized to sign

Brand

  • Brand name and logo files
  • Colors, fonts, and photos
  • A domain, and the login to its DNS settings

Offer

  • The treatments to launch first
  • Patient prices and plan lengths
  • The states to open (all 50 are available)

Payments and demand

  • A merchant account, or the application started
  • Launch ads and landing pages, ready for review
  • The audience the launch goes to: a list, a following, or partners

WHAT CAUSES DELAYS

What actually slows a launch down.

Almost every delay comes from the business side of a launch. These are the ones that happen, how many days each one usually costs, and how to avoid it.

  1. 01

    Merchant account underwriting

    Usual cost: +3 to 15 business days

    Why it happens

    Card processors treat prescription telehealth as high risk and ask for documents before approving. New companies with no processing history wait the longest.

    How to avoid it

    Start the application on day 0 or before signing, using Tessic's underwriting packet, or connect an account the company already has.

  2. 02

    Brand files and domain access arriving late

    Usual cost: +1 day for each day late

    Why it happens

    The storefront cannot be finished without logo files, final copy, and a way to point the domain. A registrar login nobody can find is the classic version.

    How to avoid it

    Collect every item on the day-zero list before signing, and confirm who controls the domain.

  3. 03

    Prices or treatments changing mid-build

    Usual cost: +1 to 3 business days

    Why it happens

    Each change resets plan setup, storefront pages, and the compliance review of that copy.

    How to avoid it

    Lock the launch catalog at kickoff. Adding a catalog treatment after go-live takes about a day.

  4. 04

    Marketing claims that need rewrites

    Usual cost: +1 to 5 business days

    Why it happens

    Weight-loss guarantees, before-and-after promises, and "FDA-approved" wording on compounded medication all fail review and go back for another round.

    How to avoid it

    Send ads and landing pages on day 1, and write them to the standard in the compliance notes from kickoff.

  5. 05

    A treatment outside the catalog

    Usual cost: +2 to 4 weeks

    Why it happens

    It needs a new protocol from the medical director, a pharmacy source, and a check of each state's rules for that medication.

    How to avoid it

    Launch on catalog treatments and add the new one after go-live, so it never holds up the clinic.

  6. 06

    No company, EIN, or bank account yet

    Usual cost: +1 to 10 business days

    Why it happens

    The management agreement, the BAA, and the merchant account all need a legal entity to sign them.

    How to avoid it

    Form the company and open the bank account before signing.

  7. 07

    Outside counsel review

    Usual cost: +1 to 5 business days

    Why it happens

    Counsel booked on other matters can hold the agreements for days.

    How to avoid it

    Send the agreement package to counsel the day it arrives. The documents are standard and short.

What never causes a delay

These already exist before a brand signs, so no launch waits on them:

  • State licenses, in all 50 states
  • Provider credentialing
  • The professional corporation
  • Pharmacy contracts and cold-chain shipping
  • E-prescribing, including EPCS
  • The lab network

On their own clock, but never blocking patients

LegitScript certification
LegitScript sets its own review schedule. It gates paid search and social ads for prescriptions, not the clinic itself, so the brand treats patients from its own channels while the review runs.
Branded mobile app
App Store and Google Play review, plus the developer accounts they require, usually take one to three weeks. The web storefront and portal launch without it.
Custom integrations
Standard HubSpot, GoHighLevel, and customer.io syncs connect in a day or two. Custom API work is scoped on its own timeline after go-live.

OTHER PATHS

Other ways to launch, and how long each takes.

Under a week

Tessic Prescribe, on your own EHR

Kickoff on day 0, e-prescribing, pharmacy routing, and provider handoff connected to the existing EHR on days 1–3, test prescriptions on day 3, live by day 4. The usual delay is waiting on the EHR vendor to grant API access.

About Prescribe

2 to 4 business days

Another brand on Scale

The clinic, the agreements, and payments already exist. A new brand needs only its storefront, its catalog and prices, and a compliance review of its claims.

See Scale

About 1 business day

A new treatment after launch

Any catalog treatment is a storefront page, a price, and a claims review away. A treatment outside the catalog takes two to four weeks for protocol and pharmacy work.

Already live

A new state

All 50 states are live on day one. Opening a state the brand held back at launch is a setting, not a project.

See coverage by state

LAUNCH FAQ

Questions about launch timing.

  • Four business days from signed agreement to a live clinic is typical, and most brands see a first patient inside the first week. The providers, licenses, pharmacy, and legal structure already exist, so the launch only covers the brand: agreements, treatment setup, storefront, payments, compliance review, and a test patient.

  • Yes, when the operator already has a merchant account, approves Tessic's default storefront copy, and launches on catalog treatments. In that case three business days is realistic.

  • Merchant account underwriting. Card processors review prescription telehealth closely, and a new company with no processing history can wait two to three weeks. Starting the application on day 0 with Tessic's underwriting packet is the single biggest thing an operator can do for the timeline.

  • No. LegitScript certification gates paid search and social ads for prescriptions, not the clinic. Tessic files the application during setup, and the brand treats patients from its own list, social channels, and partners while LegitScript runs its review on its own schedule.

  • Yes. All 50 states are live on day one, and the storefront can open only the states the brand chooses. Opening the rest later is a setting, with no new licenses or paperwork.

  • No. Launch, Grow, and Scale follow the same eight stages. Grow's automation and CRM syncs, and Scale's SSO and sandbox, are set up alongside the core stages rather than after them.

  • The daily launch check-in ends and the clinic runs: providers review intakes, the pharmacy ships, and renewals bill on schedule. Support continues through the plan's support channel, and Scale clients keep a dedicated launch and compliance team.