SEXUAL HEALTH BRANDS

Launch a sexual health brand on Tessic Health

Tessic Health runs the clinic behind a sexual health brand. Licensed providers screen and prescribe in all 50 states, generic medications ship in plain packaging at the pharmacy's wholesale price, and patients buy through a storefront with your name on it. The category runs mostly on low-cost generics, so the brand's margin depends on medication passing through with no markup.

50

States with licensed providers

0%

Markup on generic fills

Plain

Packaging on every order

$25

Flat per completed consult

CLINICAL

What your sexual health patients get

Most sexual health patients are treated from a detailed intake without an appointment, with a video visit wherever state rules or the patient's history call for one.

  1. 01

    Intake with heart screening

    The intake covers heart history, blood pressure and current medications. Patients who take nitrates, or who have had a recent heart attack or stroke, are screened out of PDE5 inhibitors such as sildenafil and tadalafil.

  2. 02

    Visits without an appointment

    Most patients are reviewed from the intake by a provider. Providers switch to a video visit where state rules or the patient's health history call for one.

  3. 03

    ED and PE treatment

    Providers prescribe daily or as-needed options for erectile dysfunction and off-label options for premature ejaculation, adjusting the dose from patient feedback.

  4. 04

    Women's sexual health

    Premenopausal women with low sexual desire can be evaluated for FDA-approved options. Menopause-related symptoms run on the hormone therapy protocol.

  5. 05

    Herpes treatment and STI testing

    Providers can prescribe suppressive treatment for genital herpes and order STI panels through contracted labs.

  6. 06

    A yearly review

    Prescriptions renew after a yearly provider review, or sooner if the patient's health or medications change.

MEDICATIONS & PROTOCOLS

What your providers can prescribe

Sexual health programs on Tessic start from the medications below. Providers choose among them for each patient after an evaluation.

MedicationFormUsed forHow it is filled
SildenafilTablet, as neededErectile dysfunctionRetail or mail-order generic
TadalafilTablet, daily or as neededErectile dysfunction; daily dosing also treats enlarged-prostate symptomsRetail or mail-order generic
VardenafilTablet, as neededErectile dysfunctionRetail or mail-order generic
Sertraline or paroxetine, low doseDaily tabletPremature ejaculation, off-labelRetail or mail-order generic
Lidocaine-prilocaine creamTopicalPremature ejaculation, off-labelRetail or mail-order generic
Bremelanotide (Vyleesi)Injection, as neededLow sexual desire in premenopausal womenSpecialty pharmacy
Flibanserin (Addyi)Nightly tabletLow sexual desire in premenopausal womenRetail pharmacy
ValacyclovirDaily tabletSuppressing genital herpes outbreaksRetail or mail-order generic

Left off the list on purpose

Each of these would put the brand's ad accounts, payment accounts or medical licenses at risk.

  • Pharmacy-made copies of cheap generics

    Custom formats such as chewables or combination doses are compounded only when a provider documents a patient-specific reason. A copy of a pill that already exists as a generic is not a lawful reason on its own.

  • Testosterone as a libido product

    Testosterone is prescribed only for lab-confirmed deficiency, through the hormone therapy protocol.

  • "Natural" enhancement supplements

    FDA has repeatedly found hidden prescription drugs in sexual enhancement supplements. The brand ships only pharmacy-dispensed prescriptions.

Every prescription is the treating provider's decision after an individual evaluation, and a listing here does not mean every patient qualifies. Off-label means FDA has not approved the drug for that use; providers may still prescribe it when clinically appropriate.

PHARMACY

How the medicine gets to patients

Sexual health medications are among the cheapest in telehealth to fill, which makes the pharmacy margin the biggest lever in the category.

01

FDA-approved generics

Sildenafil, tadalafil and most medications in the category are low-cost generics filled by retail or mail-order pharmacies. With 0% markup, the brand pays the wholesale price per pill.

02

503A for custom formats

Dissolving tablets and combination doses are compounded by 503A pharmacies against a prescription for one patient, with the clinical reason recorded in the chart.

03

Plain packaging

Orders ship at room temperature in plain packaging with no product names on the outside.

04

Multi-month fills

Patients can fill 90-day supplies, which lowers the shipping cost per month.

0%

Markup on every fill, on every plan

The brand is billed the pharmacy's wholesale invoice. Tessic adds nothing to the medication and takes no share of what the brand charges patients.

COMPLIANCE & ADVERTISING

The rules for selling sexual health treatment

What regulators and ad platforms check before a sexual health brand can sell and advertise.

What regulators check

  1. 01

    Heart safety before every prescription

    PDE5 inhibitors taken with nitrates can drop blood pressure to dangerous levels. The intake has to catch nitrate use and heart history before a provider prescribes.

  2. 02

    Copies of drugs already on the market

    Federal law bars pharmacies from regularly compounding copies of drugs that are commercially available. Custom formats need a documented, patient-specific difference, and marketing cannot imply otherwise.

  3. 03

    Name a drug, name its risks

    FDA has sent warning letters to telehealth companies over how they advertise drugs. The safe standard is the one drugmakers follow: an ad that names a drug and its benefit also states its major risks.

  4. 04

    Adults only

    Every patient must be an adult, and intake confirms age and identity before a provider reviews the visit.

What ad platforms check

  1. 01

    Health benefits, never pleasure

    Meta allows sexual health ads only when they target people 18 and older and focus on health rather than sexual pleasure. Suggestive images are rejected.

  2. 02

    Talk about the treatment, never the viewer

    "Having trouble in bed?" breaks Meta's personal-attributes rule. Ads describe the treatment.

  3. 03

    Landing pages get reviewed too

    Platforms review the page an ad points to, so storefront pages linked from ads follow the same rules as the ads.

Rules for every category

  • LegitScript certification

    Google, Meta and the major card processors check for LegitScript certification before a telehealth brand can advertise prescription treatment or take card payments. Tessic prepares and files the application as part of setup.

  • Subscription billing

    The Restore Online Shoppers' Confidence Act requires the recurring price and terms to be clear before checkout, the buyer's express consent to the charge, and a simple way to cancel.

  • Health data and ad pixels

    Tracking pixels that pass health information to ad platforms have drawn FTC and HHS enforcement. Conversion tracking on a clinic site has to keep intake answers and diagnoses out of what reaches Meta and Google.

  • Proof behind every claim

    The FTC expects competent and reliable scientific evidence behind health claims, and testimonials have to reflect what typical patients experience.

Rules checked September 2026. A planning summary, not legal advice. Rules change, LegitScript sets its own review schedule, and certification is never guaranteed. The brand's own counsel should review its marketing before launch.

LAUNCH TIMELINE

How fast your clinic opens

Sexual health is one of the fastest categories to open, because most medications are generics that ship at room temperature.

  1. Day 0

    Discovery call

    The brand picks its treatments, price points and launch states, including whether to offer women's and STI programs.

  2. Days 1-3

    Clinic build

    Providers are credentialed under the brand, the intake with heart screening is loaded, and the storefront goes up. Tessic prepares the LegitScript application.

  3. Days 3-5

    Pharmacy and test orders

    Generic pharmacy routes are connected, and test orders run from intake to a plain-packaged delivery.

  4. Days 5-7

    First patients

    The clinic opens to patients from the brand's own channels.

  5. After certification

    Paid ads

    Once LegitScript certification clears, campaigns can run within Meta and Google's sexual health rules.

Timelines assume the brand's name, domain and pricing are ready at the discovery call.

UNIT ECONOMICS

What one patient is worth

A sample model for one patient on a daily tadalafil subscription at $49 a month. The brand sets the price, medication passes through at wholesale, and Tessic's only per-patient fee is $25 per completed consult.

Program price, set by the brand
$49.00
Tadalafil 5 mg, 30 count, at wholesale
$8.40
Provider consults: 1 a year at $25, spread monthly
$2.08
Shipping (assumed)
$5.00
Card processing (3% of price, assumed)
$1.47
Contribution per patient, monthly65% of price, before marketing
$32.05

32

Patients to cover the Launch plan's $1,000 monthly fee

63

Patients to cover the Grow plan's $2,000 monthly fee

250

Patient-months to earn back the $8,000 Launch setup fee

$2.08

Tessic's monthly fee on this patient, against $7.42 on a 30% markup and 10% revenue-share model

Illustrative only, not a quote or a forecast. The brand sets its own prices; lines marked assumed are sample costs, and the real pharmacy invoice passes through at 0% markup. Contribution is before marketing, the monthly platform fee and taxes. The comparison model applies a 30% medication markup and a 10% revenue share, within the range commonly seen in white-label agreements.

COMMON QUESTIONS

Questions about launching a sexual health brand

  • Most do not. Providers review most patients from the intake and switch to video where state rules or the patient's health history call for it.

  • Only when a provider documents a patient-specific reason the commercial generic does not suit that patient. Federal law bars pharmacies from routinely compounding copies of drugs that are already on the market.

  • In plain packaging with no product names on the outside, shipped at room temperature from pharmacies licensed in the patient's state.

  • Yes. Premenopausal women with low sexual desire can be evaluated for FDA-approved options, and menopause treatment runs on the hormone therapy protocol under the same brand.

  • The plan's flat monthly fee, $25 per completed consult, and nothing on the medication. With generics this inexpensive, a markup would be one of the largest lines in the patient's cost; on Tessic it is zero.