Peptides, IV therapy, compounded supplements, longevity protocols.
Functional medicine sits in an underwriting middle ground: state-licensed medical practices with therapy protocols aggregators frequently classify as high-risk (peptides, IV therapy, compounded supplements, HRT). Direct acquirer placement at banks that underwrite the vertical is the practical path.
State medical licenses, prescriber credentialing, fulfillment pharmacy contracts if compounded protocols are dispensed, clinical protocols, marketing review, membership terms if the practice operates on a recurring model.
Typical 5 to 10 percent rolling at boarding. Practices with primarily in-office IV therapy and hormone testing panels board at the lower end. Peptide-heavy and compounded-supplement-heavy practices board at the higher end.
Functional medicine membership subscriptions use network tokenization plus smart retry logic on soft declines. Verifi RDR and Ethoca pre-dispute alerts resolve friendly-fraud before chargeback.