For telehealth and pharmacy platforms in the compounded weight-loss and wellness telehealth category.
Emerge is a compounded weight-loss and wellness telehealth platform in the DTC compounded GLP-1 category. Operates with prescriber credentialing and 503A pharmacy fulfillment.
Compounded weight-loss telehealth is one of the three highest-risk verticals aggregators terminate on policy review in 2026 (alongside compounded HRT and peptide protocols). Direct acquirer placement is possible when the individualized-prescription framework is documented and LegitScript certification is in hand or in progress.
If you operate an Emerge-style compounded weight-loss telehealth, the placement path is a direct merchant account at a bank with active compounded-GLP-1 underwriting appetite. Documentation packet includes state medical licenses, prescriber credentialing, 503A pharmacy contracts, LegitScript status, and marketing copy for review.
MCC 8011 or 5912 depending on merchant of record. Aggregator misclassifications (MCC 5734 computer software, MCC 5967 direct marketing) are what trigger post-boarding flags.
LegitScript healthcare merchant certification standard at most acquirers underwriting compounded telehealth. Certification runs 4 to 8 weeks with a complete packet. Clay Pay coordinates the application in parallel with the merchant account application.
Typical reserves 8 to 15 percent rolling for compounded GLP-1. Stripe migration recovery 65 to 80 percent MRR within 30 days on Stripe migration, plus 5 to 10 percent additional in months 2 and 3 via smart retry logic.