For telehealth and pharmacy platforms in the large-scale FDA-approved telehealth category.
Ro (Roman, Rory, Zero, Plenity) is a large-scale telehealth platform offering FDA-approved weight-loss, sexual health, HRT, primary care, and mental health services. Public branding emphasizes FDA-approved medications and physician networks in every operating state.
Large-scale FDA-approved telehealth boards on the FDA-approved end of the risk spectrum: MCC 8011 or 5912 depending on merchant of record, LegitScript telemedicine certification at boarding, dispute defense calibrated for prescription telehealth patterns. VAMP 0.9 percent monitoring applies. Aggregators cannot underwrite volume at this scale in the telehealth vertical structurally.
If you operate a telehealth platform at scale similar to Ro, the placement path is a direct merchant account at a bank with active FDA-approved-only telehealth underwriting appetite. Multi-MID structure often makes sense when the platform sells across multiple sub-verticals (weight loss, HRT, mental health) so a compliance event in one vertical does not affect others.
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 at boarding, 2,150 dollars annual plus 975 dollars initial telemedicine review. Certification runs 4 to 8 weeks with a complete packet. Clay Pay coordinates the application in parallel with the merchant account application.
Typical reserves 3 to 8 percent rolling for FDA-approved-only. Stripe migration recovery 75 to 90 percent MRR within 30 days on Stripe migration, plus 5 to 10 percent additional in months 2 and 3 via smart retry logic.