For telehealth and pharmacy platforms in the compounded pharmacy telehealth infrastructure category.
Orderly Meds operates in the compounded pharmacy telehealth infrastructure category, connecting compounded pharmacies with telehealth prescribers and DTC fulfillment. Pharmacy-side operations sit under state pharmacy board oversight plus LegitScript internet pharmacy certification.
Compounded pharmacy telehealth infrastructure has processor requirements at every layer. The pharmacy needs MCC 5912 boarding with LegitScript internet pharmacy certification. The telehealth platform needs MCC 8011 or 8099 with LegitScript telemedicine certification. Any B2B outsourcing arm needs MCC 5122. Aggregators cannot underwrite this multi-layer structure.
If you operate an Orderly Meds-style compounded pharmacy telehealth infrastructure, the placement path structures MIDs per business function: pharmacy dispensing MID under 5912, telehealth platform MID under 8011 or 8099, B2B wholesale arm under 5122 if applicable. Each MID with its own LegitScript posture and dispute defense configuration.
Multi-MID structure: 5912 (pharmacy) + 8011 or 8099 (telehealth) + 5122 (B2B wholesale). Aggregator misclassifications (MCC 5734 computer software, MCC 5967 direct marketing) are what trigger post-boarding flags.
LegitScript internet pharmacy certification plus healthcare merchant certification for the telehealth platform partner. Certification runs 4 to 8 weeks with a complete packet. Clay Pay coordinates the application in parallel with the merchant account application.
Typical reserves 4 to 12 percent depending on MID product mix. Stripe migration recovery 70 to 85 percent MRR within 30 days per MID on Stripe migration, plus 5 to 10 percent additional in months 2 and 3 via smart retry logic.