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Google suspended us for "Promotion of unauthorized pharmacies"

The notice
Promotion of unauthorized pharmacies
On this page

Google suspended the account because it concluded that your ads, website or account offer prescription drugs without a prescription, or target places where you are not licensed. Those are the two things its Unauthorized pharmacies policy forbids. The policy is egregious, so there was no warning: accounts are suspended "upon detection and without prior warning", and Google says a violating advertiser "will not be allowed to advertise with Google Ads again" unless an appeal succeeds. For a telehealth clinic that genuinely requires a prescription, the gap is usually proof: accreditation, certification with Google, and a website that makes the clinical step and your licensed states obvious. Close that gap, then file one appeal built on documents.

Curve Compliance helps you get your tracking right while you work on the appeal. Curve's team reviews what your website sends to Meta, Google and TikTok with you and shows what's likely triggering the flag. Curve then rebuilds your conversion tracking so it's HIPAA-compliant and keeps campaigns optimizing, sending conversions server-side to Meta Conversions API, Google Ads, TikTok, Microsoft and LinkedIn, under a BAA signed on every plan. Book a call with Curve.

What Google means by an unauthorized pharmacy

The policy is two lines long. Google does not allow "Offering prescription drugs without a prescription" or "Targeting locations where you are not licensed". It sits under Healthcare and medicines, but it does not start with a disapproved ad. Google judges the whole business, and says it "may review information from multiple sources including your ad, website, accounts, and third-party sources."

Telehealth sites get caught by how their pages read. Google's related Prescription drug services policy says it "errs on the side of caution", especially for "landing pages that link or refer to content that in any way appears to be or to facilitate the online prescription, dispensation, or sale of medicines." Patterns that can read as selling without a prescription:

  • A medication name, dose and monthly price next to an order or checkout button, with no visible clinical visit in between.
  • Copy that makes the prescription sound like a formality, such as promising treatment with no appointment.
  • Campaigns targeting every US state when your clinicians are licensed in some of them.
  • Links from your site straight into a pharmacy partner's ordering pages.

Why this suspension is harder than a strike

Several healthcare sub-policies, such as Prescription drug services, work through disapprovals and a warning at least 7 days before any suspension. Unauthorized pharmacies does not. Google lists "Promotion of unauthorized pharmacies" among its egregious policies, next to Circumventing systems and Unacceptable business practices, and suspends as soon as it detects a violation. Accounts are reinstated "in compelling circumstances, and when there is good reason". Google gives a mistake as its example, so the appeal has to show either that Google misread the business or exactly what changed.

The appeal mechanics, advertiser verification and what a suspended account can still do are the same for every suspension and are covered in Google Ads suspended our healthcare account. This page covers what is specific to the pharmacy notice.

Build the evidence before you appeal

Google's tip for egregious suspensions is to explain your situation for each violating policy and to be "thorough, accurate, and honest". For this notice, an explanation is far stronger with documents behind it, so assemble the proof first:

  1. Name your business model. In the US, Google allows telemedicine providers accredited by LegitScript's Healthcare Merchant Certification Program, and online pharmacies accredited by LegitScript or the National Association of Boards of Pharmacy (NABP). "Advertisers must also be certified with Google", and Google warns: "Do not apply for a category that does not match your business model."
  2. Get the accreditation in place, and keep the certificate, your prescribers' state licenses and your pharmacy partner's license or accreditation together for the appeal.
  3. Make the clinical step unmissable on the website: a consultation or intake with a licensed clinician comes before any medication is offered, and the site says where you are licensed. For GLP-1 offers, check what Google and Meta allow for GLP-1 advertising.
  4. Match location targeting to your licenses in every campaign, so no ad reaches a state where you can't treat patients.
  5. File one appeal through the notice in the suspended account. Say what Google may have seen, what you changed, and which documents prove it. Google's certification application rules are listed on our Healthcare and medicines page.

What not to do

Don't keep selling prescription products through ads without the certification Google requires, and don't open a new account to carry on. Google's Circumventing systems policy names "creating new accounts to re-enter the system" after a suspension decision, and "Using several accounts, either gradually or all at once, to promote products or services for which you lack the necessary Google Ads certifications". Either one adds a second egregious violation to the first. See Google suspended our account for "Circumventing systems".

Don't show Google a compliant page and patients a different one either. That is cloaking, and it falls under the same policy. If you are weighing a fresh start on another account or domain, read should we open a new ad account after a restriction? first.

Talk to Curve

A pharmacy suspension is the right moment to put every part of your patient funnel in order, including what your tracking sends. Curve's team does the setup for you, typically live in about a week (it varies case by case), and your conversions reach Meta, Google, TikTok, Microsoft and LinkedIn server-side, with PHI-like patterns detected before data reaches an ad platform and attribution kept through booking tools such as IntakeQ, Calendly and Jane. To see what your site sends today, book a call with Curve.

How Curve helps

  • Curve's team reviews what your website sends to Meta, Google and TikTok with you and shows what's likely triggering the flag.
  • Rebuilds your conversion tracking so it's HIPAA-compliant and keeps campaigns optimizing, sending conversions server-side to Meta Conversions API, Google Ads, TikTok, Microsoft and LinkedIn.
  • Detects PHI-like patterns before data reaches an ad platform.
  • Signs a BAA on every plan.
  • Setup is done for you by Curve's team, typically live in about a week (varies case by case).

Frequently asked questions

We're a telehealth clinic, not a pharmacy. Why did Google call us one?

Google looks at your ads, website, accounts and third-party sources, and it is cautious with pages that appear to be or to facilitate the online sale of medicines. If a patient can reach a medication offer without a visible clinical step, or your ads reach states where you aren't licensed, the policy can apply even though you employ prescribers.

Did Google warn us before suspending?

No. Promotion of unauthorized pharmacies is an egregious policy, so Google suspends "upon detection and without prior warning". There are no strikes or temporary holds first.

Do we need LegitScript to advertise telehealth on Google in the US?

Yes. Google allows telemedicine providers in the US if they are accredited by LegitScript's Healthcare Merchant Certification Program, and advertisers must also be certified with Google.

Can we appeal more than once?

Google says a rejected appeal can be re-appealed through the same process, but if you file too many appeals for the same suspension it may not process them. Send one complete appeal with your documents rather than several thin ones.

How does Curve help after a pharmacy suspension?

Curve's team reviews what your website sends to Meta, Google and TikTok with you, then rebuilds your conversion tracking so it's HIPAA-compliant and keeps campaigns optimizing on the platforms you run. Setup is done for you under a BAA signed on every plan. Book a call with Curve to start.

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