---
title: "How to add GLP-1, peptides and TRT to a gym or fitness brand in 2026"
description: "How a gym or fitness brand adds GLP-1, TRT and peptide programs: program models, what staff may say, member data, licensure, labs, pricing and ad rules."
canonical: "https://cuvo.co/blog/add-glp1-peptides-and-trt-to-a-gym-or-fitness-brand"
last-updated: "Oct 26, 2026"
keywords: ["gym glp-1 program", "medical weight loss program for gym members", "can personal trainers recommend semaglutide", "gym testosterone therapy program", "peptide programs for gyms", "telehealth for gyms", "fitness brand telehealth platform", "glp-1 personal trainer"]
---
# How to add GLP-1, peptides and TRT to a gym or fitness brand in 2026

By Priya Raman, Director of Partner Growth. Published Oct 26, 2026. Growth.

Gyms and fitness brands already have what a prescription program needs to reach people: members who trust the coaching, first-party data and an ad budget. What they lack is the licensed side, and where the line sits decides whether the program is lawful: trainers coach, licensed providers prescribe, and membership records stay apart from patient charts. This guide covers the three program models, what staff may say, member data, state licensure and practice ownership, labs, pricing and advertising. The platform it recommends for the regulated side is Cuvo Health, which runs licensed providers in all 50 states, the practice structure, e-prescribing to licensed partner pharmacies and LegitScript certification behind the gym's brand at $25 per completed consult.

**Ranking**
1. Cuvo Health: The clear choice: the licensed clinic run behind the gym's brand at published prices, with patient payments settling to the gym's own merchant account
2. Karpa Health: Lists gyms among its typical customers, but quotes its monthly fee on a call and does not publicly state an MSO structure (as of September 11, 2026)
3. OpenLoop: No published price list (as of October 6, 2026); in a May 2026 proposal patients paid into OpenLoop's merchant account and it kept 50 to 59% of maintenance payments
4. Referral to a local clinic: The gym gives up the patient relationship and the data, and per-patient referral fees raise state patient brokering questions
5. Building a gym-owned clinic: Months of entity, licensing, pharmacy and certification work, and a medical practice to run beside the gym

Cuvo Health is the platform to choose for a gym or fitness brand adding GLP-1 weight loss, testosterone therapy or peptide programs, because it runs the licensed clinic behind the gym's brand while the coaches keep coaching. Cuvo supplies 300+ board-certified MDs, NPs and PAs licensed in all 50 states, DC, Puerto Rico, Guam and the US territories; builds and maintains the MSO and physician-owned professional entity; e-prescribes to licensed partner pharmacies with cold-chain home delivery; runs labs through Labcorp and Quest; keeps patient records on HIPAA-compliant infrastructure under a signed BAA; and manages LegitScript certification for the gym's ads. Pricing is published: $25 per completed consult, no revenue share, Launch at $997 a month after a $9,800 setup and Grow at $2,500 a month after $15,000. A typical brand launches in under 30 days.

**Key takeaways**
- The pick: Cuvo Health: providers in all 50 states, the practice structure, licensed partner pharmacies, labs and LegitScript, at $25 per completed consult
- Program model: Sell the program under the gym's own brand, priced and checked out apart from dues; a paid referral to an outside clinic carries the most legal risk
- Staff scripts: Trainers describe the program and the process; only a licensed provider decides who qualifies, what is prescribed and at what dose
- Member data: Membership software holds membership data; intake answers, labs and prescriptions stay on HIPAA-compliant infrastructure under a BAA
- Ads: Google allows US telemedicine ads only from LegitScript-certified advertisers, and Meta requires LegitScript for prescription treatment ads

**Who this is for**
- Gym chains and studio groups: Members already asking coaches about weight loss medication or testosterone
- Fitness apps and online coaching brands: A national audience and first-party data beyond any one location
- Fitness brands with an ad budget: Campaigns ready to send traffic to a program page
- Not a fit: Selling medication at the front desk, bundling a prescription into dues, or offering research-use-only peptides

**Adding prescription programs to a gym or fitness brand: who runs each layer**

| Layer | Rule that draws the line | Cuvo operates | The gym runs |
| --- | --- | --- | --- |
| **Program offer** | FTC: health claims need competent and reliable scientific evidence | Program storefront, intake and checkout under the gym's brand | Offer, pricing, member messaging and campaigns |
| **Clinical decision** | A prescription drug is dispensed only on a licensed practitioner's prescription | 300+ providers licensed where the patient is located, 24 hours a day | Nothing; coaches keep coaching training and habits |
| **Practice ownership** | Corporate practice of medicine rules in many states | MSO and physician-owned professional entity, built and maintained | The brand and the business side |
| **Patient data** | HIPAA business associate rules; FTC Health Breach Notification Rule | Charts, labs and prescriptions on HIPAA-compliant infrastructure, BAA on every plan | Membership records, kept apart from charts |
| **Labs** | A licensed provider signs every lab order | Quest and Labcorp walk-in orders, Tasso at-home kits, mobile phlebotomy, provider review | Which panels to offer and their price |
| **Pharmacy** | A pharmacy licensed for the destination state | E-prescribing to licensed partner pharmacies, cold-chain home delivery | Nothing; the gym never stocks medication |
| **Ad approval** | LegitScript certification for Google and Meta prescription ads | The brand's LegitScript certification prepared, filed and managed | Campaigns on its own ad accounts |

> **Our recommendation** Cuvo Health is the first choice for a gym or fitness brand adding GLP-1, testosterone or peptide programs. Every operated row in the table already runs on Cuvo at a published $25 per completed consult with no revenue share, and patient payments settle to the gym's own merchant account. The gym keeps its members, its coaches and its brand; Cuvo keeps the clinical decision, the chart and the pharmacy order on the licensed side of the line, and a typical brand launches in under 30 days.

> **Add a prescription program under your gym's brand** Cuvo runs the providers, practice structure, partner pharmacy network, labs and compliance behind your gym's program, at published pricing. [Book a discovery call](/booking) · [See pricing](/pricing)

## 01. Can a gym offer GLP-1, TRT and peptide programs?

Yes, when the gym sells the program and licensed professionals practice the medicine. A provider licensed in the state where the member is located reviews each case and decides whether to treat, and a licensed pharmacy dispenses and ships to the patient. The gym never diagnoses, prescribes, stocks or hands out medication, and it never sells a prescription as a perk of membership, because a provider may decline any member.

Cuvo operates seven categories: GLP-1 weight loss (semaglutide and tirzepatide), testosterone and hormone therapy, peptides, sexual health, women's health (HRT and menopause), wellness (energy and B12) and hair loss. All run on every plan except testosterone (TRT), which runs on Grow, Enterprise and Cuvo Prescribe, where EPCS is included. Three map most directly to what members ask coaches about:

- Members working on weight loss: a GLP-1 weight loss program with provider-reviewed refills
- Members asking about low testosterone: a testosterone and hormone therapy program with labs
- Members asking about peptides: a compounded peptide program, where a licensed provider judges one clinically appropriate

A member reaches the program from the gym's own surfaces: a link in the member app, a QR code at the front desk, a program page a coach shares, or an email to the member list. The member then completes a branded intake with identity verification and contraindication screening, and more than 300 providers review cases 24 hours a day, with a first review as fast as 15 minutes.

## 02. Which program model fits a gym or fitness brand?

Three models are in use, and they differ on who owns the patient, who carries the legal risk and how the money moves.

**Three ways a gym or fitness brand can add prescription programs**

| Model | How it works | Who owns the patient | What it means for the gym |
| --- | --- | --- | --- |
| **Member add-on under the gym's brand** | A program sold to members beside the membership, with its own intake, consent and checkout | The gym's brand; payments settle to its merchant account | **Runs on Cuvo: members buy from a brand they already trust** |
| **Separate branded clinic** | A health brand the fitness company launches online, open to members and non-members across states | The brand | **Runs on Cuvo: the fit for fitness apps, online coaching and multi-location groups with an ad budget** |
| Referral to an outside clinic | Staff send members to a clinic the gym does not run | The outside clinic | Least work, but the gym gives up the patient and the data, and per-patient fees raise state law questions |

The referral model looks simplest and carries the most risk. Florida's patient brokering statute, section 817.505, makes it unlawful for any person to offer, pay, solicit or receive a commission, bonus, rebate, kickback or split-fee arrangement to induce the referral of patients to or from a health care provider, subject to the exceptions it lists. Florida is one example; rules differ by state, and a flat fee for each member sent to a clinic is the kind of arrangement such statutes address. Counsel should review any referral fee before it is paid.

On Cuvo the gym is the brand, not a referral source. The program runs under the gym's name, patient payments settle to the gym's own merchant account, and Cuvo charges its published platform fee and $25 per completed consult with no revenue share. A company running several fitness brands, such as a studio chain and an online coaching app, can run them all on one Enterprise account.

## 03. What may trainers and front desk staff say?

Staff may describe the program; they may not practice medicine or make claims the gym cannot substantiate. The FTC's Health Products Compliance Guidance requires competent and reliable scientific evidence for health benefit claims, counts social media and influencer marketing as advertising, and says testimonials reporting results more dramatic than users can generally expect are likely deceptive. A coach's post about the gym's GLP-1 program is advertising under that standard.

Coaches are also endorsers with a material connection. The FTC's Endorsement Guides say an employee promoting the employer's product should clearly and conspicuously disclose the relationship, and that advertisers should give endorsers guidance, monitor their compliance and correct problems (16 CFR 255.1(d) and 255.5). A gym that asks coaches to talk about the program needs a written script and someone checking their posts.

**A staff script for a gym prescription program**

| Topic | Staff may say | Staff must not say |
| --- | --- | --- |
| **Eligibility** | A licensed provider reviews every intake and decides whether treatment fits | "You qualify," "you need this," or any promise of a prescription |
| **Medication** | If a provider prescribes, medication ships from a licensed pharmacy | Which drug or dose a member should take, or that a compounded drug is FDA approved |
| **Results** | What the program includes: provider review, labs, follow-up and coaching | Pounds lost, hormone levels or before-and-after results the gym cannot substantiate |
| **Side effects** | Message the provider through the patient portal | Any advice on dosing, stopping or managing side effects |
| **The coach's role** | "I coach your training; the provider handles the medical side" | Anything implying the coach is part of the clinical team |

Personal trainers cannot recommend semaglutide or testosterone for a member. Federal law allows a prescription drug to be dispensed only on the prescription of a practitioner licensed by law to administer it (21 U.S.C. 353(b)(1)), and state medical practice acts reserve diagnosis and treatment to licensees. Texas, for example, defines practicing medicine to include diagnosing or offering to treat a disease or disorder for compensation, and bars anyone without a license from doing it.

On Cuvo, clinical questions go where they belong: patients message their provider from the portal under the gym's brand, and side-effect reports route from the patient inbox to licensed providers under a documented path. Trainers keep coaching training and habits for every member, on medication or not.

## 04. Do gyms need a medical license to offer prescriptions?

The gym does not, but somebody licensed has to own the medicine. The Federation of State Medical Boards' telemedicine policy says a physician must be licensed, or appropriately authorized, by the board of the state where the patient is located, because that is where the practice of medicine occurs. It also says prescribing based solely on a static online questionnaire is not acceptable, so the intake has to let the provider ask follow-up questions.

Ownership is the second rule. As of September 27, 2026, 33 of 51 jurisdictions restrict lay ownership of a medical practice or leave the question unsettled, per Cuvo's 2026 state-by-state report. California's Medical Board describes the arrangement a gym or spa can fall into: a business that hires a physician as its "medical director" when the physician does not own the practice, which the Board says puts the non-physicians in the unlicensed practice of medicine.

The conservative structure for a national program pairs a management services organization, which holds the brand, technology and operations, with a physician-owned professional entity that employs the providers and makes every clinical decision. Cuvo builds and maintains both for every brand, holds provider licensure across all 50 states, DC, Puerto Rico, Guam and the US territories before launch, and screens licenses, sanctions and exclusions monthly, so the gym's owners need no medical license.

> **Map your gym's programs and states on one call** Bring your locations, your audience and the programs your members ask about, and Cuvo maps the model, the states and the launch plan to them. [Book a discovery call](/booking) · [GLP-1 programs](/solutions/glp-1-weight-loss)

## 05. How do gyms keep member health data HIPAA compliant?

By keeping two systems apart. A gym's membership software holds names, plans, billing and check-ins; a prescription program creates intake answers, lab results, provider notes and prescriptions. HIPAA governs that second set when a covered entity holds it, which the regulation defines as a health plan, a clearinghouse or a health care provider that transmits health information electronically in standard transactions, along with the business associates that handle it for them under a written agreement. In the MSO model the physician-owned professional entity is the provider, and the platform is its business associate.

Three rules keep the line clean:

- Clinical data stays clinical: intake answers, labs, messages and prescriptions never enter the membership CRM, member notes or the gym app
- Status may cross: a consult completed, an order shipped, a payment cleared
- Ad pixels and session-recording scripts stay off intake and patient pages

The patient list has its own marketing rule. Under 45 CFR 164.508(a)(3), a covered entity needs a patient's authorization to use protected health information for marketing, apart from face-to-face communications and promotional gifts of nominal value, so the program's patient list is not a list for gym promotions by default.

The gym's own app can carry a separate duty. The FTC says a health app that collects information from consumers and can sync with a fitness tracker is probably a vendor of personal health records under its Health Breach Notification Rule, and that disclosing covered information without the person's authorization, such as to an ad network, triggers breach notification.

On Cuvo, intake, charts and prescriptions run on HIPAA-compliant infrastructure, encrypted in transit and at rest, with a signed BAA, SOC 2 Type II, SSO and an uptime SLA on every plan, and Cuvo keeps a documented FTC Health Breach Notification Rule process. The gym owns the patient relationship, its customer list, orders and revenue, and can export its patient data at any time.

## 06. What changes for testosterone and peptide programs?

GLP-1 weight loss is usually the first program, and testosterone and peptides each add a rule. On GLP-1, the FDA states that compounded drugs are not FDA approved, so the agency does not review them for safety, effectiveness or quality before they are marketed (FDA page current as of October 1, 2026). Program copy describes compounded medication as compounded, never as an approved brand.

Testosterone is a Schedule III controlled substance (21 CFR 1308.13). Through the end of December 31, 2026, 21 CFR 1307.41 lets a DEA-registered practitioner prescribe Schedule II to V drugs by telemedicine without an in-person evaluation when its conditions are met, and that authorization expires at the end of that day. On Cuvo, every prescriber's DEA registration is verified, testosterone patients get a live video visit, EPCS runs on Grow, Enterprise and Cuvo Prescribe, and controlled-substance prescribing runs wherever state and federal rules allow. A gym never stocks, sells or hands out testosterone.

Peptides are where gyms take the most risk. Research-use-only peptides, and peptides on FDA's Category 2 list of bulk substances that may present significant safety risks, are not something a gym program should sell, stock or recommend. On Cuvo the peptide program is limited to compounded, provider-prescribed options: a licensed provider decides whether a compounded peptide is clinically appropriate, orders route only to licensed pharmacies operating within current law, and Cuvo publishes no fixed peptide catalogue.

## 07. Where do labs fit in a gym or fitness program?

Labs give a gym a first step that is not a prescription. On Cuvo a licensed provider orders every panel, either from the chart when a protocol calls for it, such as a baseline total testosterone and hematocrit before hormone therapy or a metabolic panel on a GLP-1 program, or from a lab catalog under the gym's brand, where a member picks a panel and a provider signs the order. The member then chooses how the sample is collected:

- A walk-in order slip for any Quest Diagnostics or Labcorp patient service center
- A Tasso at-home collection kit, returned by FedEx pickup
- Mobile phlebotomy: a nurse draws the sample at the member's home or office

The result returns to the ordering provider, who reads every value against the patient's history and writes a note the patient reads in the portal under the gym's brand. A member who starts with a panel can move into a hormone, weight loss or peptide program with the baseline already in the chart. Lab panels are quoted with the program on the discovery call, and platform terms do not change.

## 08. How should a gym price a member program?

As a program with its own price, not as a line in membership dues. A provider may decline any member, so dues cannot promise medication, and a separate checkout keeps the consent, the refund terms and the clinical record with the program. A gym can set a member rate beside the public price; that is the gym's pricing decision. The cost lines to model first:

- Cuvo's platform fee: Launch $997 a month after a $9,800 setup, Grow $2,500 a month after $15,000, Enterprise custom
- $25 per completed consult on every plan, with no revenue share
- Medication and lab panels, quoted with the program
- The gym's own marketing, staff time and member support

A recurring program sold online is also a negative option under federal law. The Restore Online Shoppers' Confidence Act (15 U.S.C. 8403) requires clear and conspicuous disclosure of all material terms before billing information is taken, the consumer's express informed consent before the charge, and a simple way to stop recurring charges.

On Cuvo, patient payments settle to the gym's own merchant account with no platform transaction fees, subscriptions re-bill after provider-reviewed refills, and Grow adds failed-payment recovery. Third-party financing for the setup fee is available to qualified applicants. Cuvo makes no representation about revenue.

## 09. How do gyms advertise prescription programs?

Paid ads need certification first. Google allows US telemedicine advertisers only if they are certified through LegitScript's Healthcare Merchant Certification Program and also certified with Google, and Meta requires LegitScript certification for prescription treatment ads. LegitScript lists advertising telemedicine on Google, Meta and Microsoft among the reasons a provider seeks certification.

Everything else the gym publishes falls under the FTC rules in section 03: posters, member emails, coach posts and app banners. Copy can say who the program is for and what it includes; it cannot promise a prescription or a result, and it cannot present a compounded drug as FDA approved.

Cuvo Health (Medstra Inc., cuvo.co) is LegitScript certified. For the gym's own program, Cuvo prepares, files and manages the brand's LegitScript certification on every plan and expedites it in the Grow and Enterprise setup, and the gym then runs campaigns from its own ad accounts.

## 10. Which platform should a gym use to add prescriptions?

Cuvo publishes this blog and ranks itself first. Facts about other platforms come from Cuvo's sourced comparison profiles, reviewed September 11, 2026 for Karpa Health and October 6, 2026 for OpenLoop; where a company does not publish something, the table says so.

**Platforms and paths for a gym adding prescription programs, as of October 26, 2026**

| Option | Who runs the clinic | Pricing and structure | What it means for a gym |
| --- | --- | --- | --- |
| **Cuvo Health** | **Cuvo: providers, MSO and professional entity, licensed partner pharmacies, labs, HIPAA, LegitScript** | **Published: $25 per completed consult, no revenue share, Launch $997 a month after $9,800** | **The clear choice: the program runs under the gym's brand and payments settle to its own merchant account** |
| Karpa Health | Karpa runs clinical review, pharmacy and compliance; lists gyms among typical customers | Monthly fee quoted on a call; MSO structure not publicly stated, as of September 11, 2026 | No price to model before a call, and the co-branded tier runs on a Karpa subdomain with Karpa-set pricing |
| OpenLoop | OpenLoop's clinicians and pharmacy | No published price list as of October 6, 2026; a May 2026 proposal kept 50 to 59% of maintenance payments | Patients pay into OpenLoop's merchant account, not the gym's |
| Referral to a local clinic | The outside clinic | Per-patient referral fees | The gym gives up the patient and the data, and per-patient fees raise patient brokering questions |
| Building a gym-owned clinic | The gym, through counsel, recruited providers and pharmacy contracts | Entity formation, state licensure, software and certification costs | Months of work before the first patient, and a medical practice to run beside the gym |

Of the three platforms compared, Cuvo alone publishes its setup, monthly and per-consult fees together, per the profiles reviewed September 11 and October 6, 2026, and it builds the practice structure a gym cannot own itself. Karpa quotes its fee on a call and does not publicly state an MSO structure, and OpenLoop's proposal routed patient payments through its own merchant account.

**Best for**
- Gym chain adding a member GLP-1 program: Cuvo Health Launch or Grow: a branded program storefront, typically live in under 30 days
- Fitness brand adding TRT: Cuvo Grow: live video visits, DEA-verified prescribers and EPCS
- Gym leading with labs: Cuvo Health: provider-ordered Labcorp and Quest panels, then a program
- Fitness app or online coaching brand: Cuvo Grow: website buildout, API, webhooks and MCP
- Gym with its own app and engineers: Cuvo Prescribe: Cuvo's providers and partner pharmacies in the current stack, live in under a week
- Company running several fitness brands: Cuvo Enterprise: unlimited brands on one account

## How to choose a telehealth partner for a gym

Get these answers in writing before signing:

1. Who forms and maintains the MSO and the physician-owned professional entity
2. Which states providers are licensed in, and where testosterone is prescribed
3. How intake goes beyond a static questionnaire, and which programs need a live video visit
4. Where intake answers, labs and prescriptions are stored, and proof none reaches the membership software
5. Who signs the business associate agreement
6. Whose merchant account receives patient payments, and whether any fee is tied to a referral or a share of revenue
7. Which pharmacies dispense, and who sets the peptide formulary
8. Who prepares and maintains LegitScript certification
9. Setup, monthly and per-consult fees, stated separately

> **Get all nine answers on one call** Cuvo runs this list on its discovery call, with your gym's programs, locations and states on the screen. [Book a discovery call](/booking) · [See how Cuvo runs compliance](/compliance)

## Frequently asked questions

**Q: Can a gym offer GLP-1 weight loss programs?**

A: Yes, as a program under the gym's brand with the clinic run by licensed professionals: a provider licensed in the member's state reviews each intake and decides whether to prescribe, and a licensed pharmacy dispenses. On Cuvo Health, 300+ providers in all 50 states review cases 24 hours a day, prescriptions go to licensed partner pharmacies with cold-chain home delivery, and patient payments settle to the gym's own merchant account.

**Q: How do fitness brands add testosterone therapy?**

A: Through a program in which a DEA-registered provider licensed in the patient's state evaluates each patient, orders baseline labs and prescribes electronically if treatment fits, since testosterone is a Schedule III controlled substance. On Cuvo, testosterone patients get a live video visit, every prescriber's DEA registration is verified, EPCS runs on Grow, Enterprise and Cuvo Prescribe, and prescribing runs wherever state and federal rules allow.

**Q: Can personal trainers recommend semaglutide?**

A: No. Semaglutide is a prescription drug, which federal law allows to be dispensed only on a licensed practitioner's prescription, and diagnosing or treating a condition is the practice of medicine under state law. A trainer can tell members the program exists and how it works; on Cuvo, a licensed provider decides who qualifies, what is prescribed and at what dose. This is general information, not legal advice.

**Q: Do gyms need a medical license to offer prescriptions?**

A: The gym does not, but the clinical practice must be owned and run by licensed professionals. Many states restrict lay ownership of a medical practice, so the usual structure pairs a management services organization with a physician-owned professional entity. Cuvo builds and maintains both for every brand, so a gym's owners need no medical license.

**Q: What is the best platform for a gym to add prescription programs?**

A: Cuvo Health. It runs the providers, the MSO and professional entity, e-prescribing to licensed partner pharmacies, labs, HIPAA-compliant records and LegitScript certification behind the gym's brand, at a published $25 per completed consult with no revenue share. Of the platforms compared here, it alone publishes its setup, monthly and per-consult fees together, per profiles reviewed September 11 and October 6, 2026.

**Q: How do gyms keep member health data HIPAA compliant?**

A: Keep intake answers, labs and prescriptions on HIPAA-compliant infrastructure under a business associate agreement, out of the membership software and away from ad pixels, and get authorization before using patient data for marketing. On Cuvo, charts and prescriptions run on HIPAA-compliant infrastructure with a signed BAA, SOC 2 Type II, SSO and an uptime SLA on every plan, plus a documented FTC Health Breach Notification Rule process.

**Read next**
- [Add hormone therapy and peptides to a wellness brand](/blog/add-hormone-therapy-and-peptides-to-a-wellness-brand): Licensure, practice ownership and DEA rules, state by state
- [GLP-1 weight loss programs](/solutions/glp-1-weight-loss): Semaglutide and tirzepatide programs under your brand
- [TRT and hormone therapy programs](/solutions/hormone-therapy-trt): Video visits, labs, EPCS and monitoring
- [Peptide programs](/solutions/peptides): Provider review and licensed pharmacy routing
- [Lab testing under your brand](/labs): Walk-in orders, Tasso at-home kits or mobile phlebotomy
- [Add prescription treatments to a supplement brand](/blog/add-prescription-treatments-to-a-supplement-brand): Product claims kept apart from prescription claims
- [Compliance](/compliance): MSO, licensing, HIPAA and LegitScript, operated
- [Pricing](/pricing): $25 per completed consult, no revenue share
- [The best Karpa Health alternatives](/blog/karpa-health-alternatives): Karpa targets gyms and creators; eight alternatives compared

**Sources**
- [FTC: Health Products Compliance Guidance](https://www.ftc.gov/business-guidance/resources/health-products-compliance-guidance): Substantiation, social media and influencer marketing, testimonials
- [16 CFR Part 255: Guides concerning endorsements and testimonials](https://www.ecfr.gov/current/title-16/chapter-I/subchapter-B/part-255): Advertiser guidance and monitoring (255.1(d)); employee disclosure (255.5)
- [21 U.S.C. 353: Exemptions and consideration for certain drugs](https://www.law.cornell.edu/uscode/text/21/353): Prescription drugs dispensed only on a licensed practitioner's prescription, (b)(1)
- [Texas Occupations Code chapter 151](https://statutes.capitol.texas.gov/Docs/OC/htm/OC.151.htm): Definition of practicing medicine, 151.002(a)(13)
- [Texas Occupations Code chapter 155](https://statutes.capitol.texas.gov/Docs/OC/htm/OC.155.htm): License required to practice medicine, 155.001
- [FSMB: The Appropriate Use of Telemedicine Technologies in the Practice of Medicine](https://www.fsmb.org/siteassets/advocacy/policies/fsmb-workgroup-on-telemedicineapril-2022-final.pdf): Licensure where the patient is located; static questionnaires, April 2022
- [Medical Board of California: Practice information](https://www.mbc.ca.gov/Licensing/Physicians-and-Surgeons/Practice-Information/): Corporate practice of medicine and the "medical director" example
- [45 CFR 160.103: HIPAA definitions](https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-160/subpart-A/section-160.103): Covered entity, health care provider, business associate
- [45 CFR 164.508: Uses and disclosures requiring authorization](https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.508): Authorization required for marketing, (a)(3)
- [FTC: Complying with the Health Breach Notification Rule](https://www.ftc.gov/business-guidance/resources/complying-ftcs-health-breach-notification-rule-0): Health apps that sync with fitness trackers; unauthorized disclosure
- [Florida Statutes 817.505: Patient brokering prohibited](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0800-0899/0817/Sections/0817.505.html): 2026 Florida Statutes
- [15 U.S.C. 8403: Negative option marketing on the Internet](https://www.law.cornell.edu/uscode/text/15/8403): Restore Online Shoppers' Confidence Act
- [21 CFR 1307.41: Temporary telemedicine flexibilities](https://www.ecfr.gov/current/title-21/section-1307.41): In effect through December 31, 2026
- [21 CFR 1308.13: Schedule III](https://www.ecfr.gov/current/title-21/section-1308.13): Testosterone among the anabolic steroids in paragraph (f)
- [FDA: Concerns with unapproved GLP-1 drugs used for weight loss](https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss): Compounded drugs are not FDA approved; content current as of October 1, 2026
- [Google Ads healthcare and medicines policy](https://support.google.com/adspolicy/answer/176031): US telemedicine requires LegitScript and Google certification
- [LegitScript healthcare certification](https://www.legitscript.com/certification/healthcare-certification/): Telemedicine providers advertising on Google, Meta and Microsoft

*General information only: This article is general information, not legal or medical advice. Every clinical decision, including candidacy, prescribing, dosing and refills, rests solely with the treating licensed provider. Federal and state rules, FTC guidance and Google, Meta and LegitScript policies are described as read on October 26, 2026 and may change; the DEA telemedicine rule described here runs through December 31, 2026, and patient brokering and fee-splitting rules differ by state, so confirm any program structure with counsel. Competitor facts reflect Cuvo's comparison profiles reviewed September 11 and October 6, 2026. LegitScript certification for a brand is not guaranteed. Cuvo makes no representation about revenue, and each gym remains responsible for its own marketing claims and staff conduct.*

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