An online health brand is two businesses wearing one logo. One of them is marketing, brand and customer experience, and you should own it. The other is the practice of medicine in every state your customers live in, and it has to be owned by licensed clinicians inside a structure that survives review.
What you cannot outsource to a checkout flow
- A real clinical decision. Someone licensed where the patient is must review the intake and decide. An algorithm that approves everyone is not a provider.
- State-by-state licensure. Coverage is per state, and it is the constraint on where you can actually sell.
- Drug class rules. Controlled substances cannot be approved asynchronously under the ordinary rules, and the federal exception has an expiry date.
- Sourcing. The shortage-era compounding model has ended, which changed what a lot of brands are actually able to ship.
What MDside runs for you
- A nationwide network of licensed providers, expanded state by state as you grow.
- Good faith exams on a platform we built and operate: structured intake, provider review, approve, decline or request more information — each one a documented clinical decision.
- E-prescribing into 503A and 503B pharmacy relationships.
- Lab ordering and result review where your protocol needs it.
- The professional entity and management agreement per state, with fixed fees.
- HIPAA-aligned infrastructure with Business Associate Agreements in place.
What we will not do
Approve on volume. Every request is reviewed by a licensed provider who can decline it, and a meaningful percentage are declined. If your model depends on an approval rate, we are the wrong partner — and any partner who agrees to one is a liability you are paying for.
Frequently asked questions
Can we operate nationwide from one state?
No. The practice of medicine happens where the patient is, so you need providers licensed in each state you sell into. Coverage, not marketing, is what limits your footprint.
Is an asynchronous questionnaire enough?
For some drug classes, yes — if a licensed provider actually reviews it and documents a clinical decision. For controlled substances the ordinary federal rules require more, and the current exception expires at the end of 2026.
What is your approval rate?
We do not publish one and we would not commit to one. A guaranteed approval rate is a guarantee that no real review is happening, which is the liability you were trying to buy your way out of.
Who is the prescriber of record?
The licensed provider who reviewed the request and issued the order. They exercise independent clinical judgment, and your brand does not direct that decision — which is the point of the structure.
General information, not legal or medical advice. Requirements differ by state and change often. Confirm your obligations with counsel licensed where you operate.