Payment processing for telemedicine, compounding pharmacies, GLP-1 clinics, and biotech. Under 1% fees, same-day payouts, no reserves. LegitScript partner.
Telehealth platforms, GLP-1 and weight-loss clinics, compounding pharmacies, and biotech companies face a payments paradox: demand is exploding, but mainstream processors treat the entire category as untouchable. Prescription fulfillment, recurring treatment plans, and high average tickets trip every automated risk filter. Onyx Processing underwrites telemedicine and pharma merchants in-house — as a LegitScript partner, we understand the certification landscape and approve compliant operators that aggregators reject on sight.
Onyx supports the billing models telehealth actually uses: recurring membership plans for ongoing care, per-consult charges, subscription pricing for GLP-1 programs like semaglutide and tirzepatide, and card-not-present payments with fraud screening tuned for healthcare. Under 1% effective rates are available, with same-day payouts and no rolling reserves for qualified merchants.
Getting approved in telemedicine comes down to demonstrable compliance: valid medical licensure in the states you serve, physician oversight of prescribing, pharmacy partners in good standing, and LegitScript certification where applicable. Onyx's underwriting team works through these requirements with you rather than issuing a form-letter decline — and because we monitor compliance continuously, approved accounts stay approved.
| Onyx Processing | Typical High-Risk Processor | |
|---|---|---|
| Telemedicine & pharma accepted | Yes — LegitScript partner | Category prohibited or offshore only |
| Recurring treatment billing | Native subscription support | Limited or flagged as risky |
| Effective rates | Under 1% available | 3.5–6% high-risk pricing |
| Reserves | None for qualified merchants | 10% rolling reserve common |
| Payouts | Same-day | Weekly, often delayed |
Automated underwriting at aggregators flags telehealth for prescription products, recurring billing, high tickets, and card-not-present risk — then declines the whole category. Processors that underwrite in-house, like Onyx, evaluate your licensure, prescribing oversight, and pharmacy relationships individually, which is how compliant telehealth operators get approved.
Yes. GLP-1 programs offering semaglutide or tirzepatide through licensed prescribers and legitimate pharmacies can absolutely process cards — they just need a processor willing to underwrite the model. Onyx supports one-time consults, monthly treatment subscriptions, and package billing for medical weight-loss programs.
LegitScript certifies that healthcare and pharmacy merchants operate legally and transparently — verifying licensure, prescribing practices, and product claims. Visa and Mastercard require it for certain telehealth and pharmacy models. As a LegitScript partner, Onyx can guide you through whether your model needs certification and how to obtain it.
Yes. Monthly memberships, treatment subscriptions, and multi-month care packages are natively supported, with smart retries and dunning to reduce involuntary churn. Clear disclosure and easy cancellation keep your program compliant with card-network rules — we review this with you during onboarding.
With complete documentation — medical licenses, pharmacy agreements, LegitScript status if applicable, and processing history — most telemedicine merchants are approved within a few business days. In-house underwriting means no third-party bank committee slowing things down.
Qualified telemedicine merchants can reach effective rates under 1% through compliant pricing programs, versus the 3.5–6% typical of high-risk specialists. Pricing depends on volume, ticket size, and dispute history, with no hidden fees or monthly minimums.