
Paid MediaJuly 30, 2026 · 22 min read

What Google's healthcare and medicines policy requires of treatment centers and the telehealth, lab, and billing companies around them, with a link to each official page and a build plan for compliant campaigns.
Google won't serve an ad for drug or alcohol addiction treatment in the United States until the advertiser holds LegitScript certification and a second approval inside Google Ads. Most rehab owners meet that rule first, and it's one piece of a much longer rulebook.
The full text lives in Google's official healthcare and medicines policy, which decides who may advertise prescription drugs, telemedicine, addiction services, health insurance, and experimental treatments. Google now splits it into separate sub-pages, and the English version is the one it enforces.
Below, each sub-page a behavioral health advertiser is likely to need is linked and explained, followed by how we run treatment center campaigns inside those rules. Telehealth, psychiatry, lab, and billing companies get notes where the rules differ for them.
Each sub-page sets its own rules on who can advertise, in which countries, and with which certification. These are the ones that come up in behavioral health accounts, each linked to Google's official wording.
Two policies outside this page matter just as much to a treatment center. Google's health targeting rules limit which audiences a health ad can use, and its unreliable claims policy limits what a health ad can promise.
Most of the policy works through certification. When a certified advertiser targets an allowed location, Google labels the ads "Eligible (limited)," which means they can serve, but only where the policy allows that category.
In the United States, Google's policy says you must be certified as an addiction services provider through LegitScript's certification program, and you also need Google's own certification for your Ads account. LegitScript certification makes you eligible to apply to Google, but it doesn't guarantee that any single ad will be approved.
Google lists six countries where approved advertisers can run these ads: Australia, Canada, France, Ireland, New Zealand, and the United States. Australia and New Zealand allow them from government entities only. Services for behavioral addictions, impulse control disorders, and nicotine sit outside the policy.
Google also says that not every drug and alcohol service is eligible for LegitScript certification, and services that aren't eligible can't advertise. You apply through Google's healthcare certification form, with a separate application for each location or group of locations you plan to target.
Online pharmacies in the US qualify through LegitScript's Healthcare Merchant Certification or the National Association of Boards of Pharmacy (NABP). Telemedicine providers qualify through LegitScript's Healthcare Merchant Certification, and both then need Google certification before ads for prescription drug services can serve.
This is the rule that applies to a telehealth psychiatry practice that promotes online prescribing. Google asks for the application at the individual ad account level, not the manager account, so every account that will run those ads applies on its own.
Manufacturers must be certified by Google to promote prescription drugs, and they can do so only in Canada, New Zealand, and the United States. Google keeps a non-exhaustive list of prescription drugs and active ingredients, and keyword targeting of those terms requires certification.
In the United States, health and medical insurance ads require G2RS certification, and plans sold under the Affordable Care Act need an additional certificate. Government advertisers such as state exchanges and healthcare.gov are exempt, and dental, vision, and travel insurance fall outside the rule.
The policy has no certification category for a toxicology lab or a behavioral health billing firm. Their ads are judged by the same rules as any other advertiser's, so drug terms, outcome claims, and health targeting still matter whenever an ad touches a condition or a medication.
Drug rules reach treatment centers more often than owners expect, because detox and MAT pages name medications. What you can say depends on the country you target and the certification you hold.
The restricted drug terms sub-page allows promotional use of prescription drug terms in the United States, Canada, and New Zealand, in line with local law. Keyword targeting of those terms still needs certification there, and in other countries you can't use them in ads or on landing pages unless you're a certified pharmacy or telemedicine provider.
Advertisers without certification can't target prescription drug terms as keywords anywhere. Non-promotional mentions, such as regulatory warnings, legal notices, and public health campaigns, are allowed.
For a treatment center without pharmacy or telemedicine certification, the safe default is to keep brand and generic drug names out of ads and keywords. Describe the service instead, such as "medication-assisted treatment in Phoenix."
Google doesn't allow ads for prescription opioid painkillers, except those intended for medication-assisted treatment (MAT) of opioid use disorder. Certified addiction treatment providers in the United States are one of the named exceptions, along with public health campaigns from government agencies and established nonprofits.
Google classes violations of this sub-policy as egregious. That means it suspends the account when it finds the violation, without warning, and the advertiser can't return to Google Ads.
Google treats health as a sensitive interest category. Its Health category page defines that category as physical or mental health conditions and the products and services that treat them, and it names counseling for depression, anxiety, and addiction as examples.
Ads in the Health category can't use advertiser-curated audiences, which rules out remarketing lists, Customer Match, your data segments, audience expansion, and lookalike segments. Google-curated audiences stay available, including in-market and affinity segments, demographics, life events, location targeting, and custom segments with limitations.
The same policy bars ad copy that implies the viewer has a condition. A headline that asks whether the reader is addicted to opioids breaks that rule, even when the keyword behind it is allowed.
Collecting health details creates a second risk. Google's customer data policies list health or medical information as a sensitive category, and conversions tied to sensitive categories can't be used in enhanced conversions or store sales uploads.
Keep diagnoses, substances, and insurance details out of ad tags, URLs, and conversion names. If your intake form asks those questions, run it on a platform that will sign a business associate agreement (BAA), the contract HIPAA requires before a vendor handles protected health information for you. Our guide to HIPAA-conscious marketing covers the setup.
Google's unreliable claims policy bans claims that present an improbable result as the likely outcome, and it names unproven cures for incurable conditions as one example. Testimonials that claim specific results must carry a visible disclaimer saying results vary and aren't guaranteed.
The claims we remove most often from treatment center accounts are promised outcomes, such as guaranteed sobriety or a success rate nobody can source, and the word cure next to addiction, depression, or anxiety. "Best" and "only" claims that nothing on the site supports come out too.
Watch the services themselves as well. The experimental treatment sub-page bans stem cell, PRP, and similar therapies, with a narrow US exception for FDA-licensed cell and gene therapies, and a landing page shouldn't advertise any service your LegitScript certification doesn't cover. Patient stories that describe a result need the disclaimer Google requires.
Describe what the program does, who delivers it, and how admission works, because those are facts you can prove. "Licensed detox with nurses on site overnight" passes review where "Get sober in 7 days" would not, and it tells a family more about what happens after they call.
Google enforces its policies on two tracks. An egregious violation, which Google defines as one that is unlawful or poses significant harm to users, leads to immediate suspension without prior warning, and unauthorized pharmacies and prescription opioid painkillers are both on that track.
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Most other violations, including unreliable claims, start with a warning sent at least 7 days before any suspension, according to Google's account suspensions overview.
You can appeal a suspension, but Google says accounts are only reinstated in compelling circumstances, such as a mistake. A useful appeal shows the problem is already fixed, with the certification, the corrected page, and the date of the change.
A suspension stops every campaign in the account at once, including brand campaigns that had nothing to do with the violation, which is why we treat compliance as part of the admissions budget.
The table summarizes US requirements for the categories behavioral health advertisers meet most, and the linked sub-pages carry the rules for other countries.
| Category | US certification | Where ads can run | What else applies |
|---|---|---|---|
| Addiction services | LegitScript addiction treatment certification, then Google | 6 countries; government entities only in Australia and New Zealand | Health targeting limits, so no remarketing |
| Telemedicine and online pharmacies | LegitScript Healthcare Merchant (pharmacies may use NABP), then Google | 32 locations, each with its own rules | Restricted drug terms rules |
| Pharmaceutical manufacturers | Google certification | Canada, New Zealand, and the United States | No prescription opioid painkillers |
| Prescription opioid painkillers | Allowed for MAT and certified US addiction providers | United States for the addiction exception | Egregious, so suspension comes without warning |
| Health insurance | G2RS, plus a separate certificate for ACA plans | United States rules shown | Government advertisers exempt |
| Experimental and cell or gene therapy | Not allowed, except FDA-licensed therapies from the license holder | Educational ads allowed | Covers stem cell and PRP |
| Non-prescribing mental health services | No separate certification | Standard review | Health targeting limits |
| Billing firms and labs | No healthcare certification category | Standard review | Drug terms and claims rules |
The policy tells you what's allowed, and a campaign that produces admissions inside it needs a build order. This is the one our rehab PPC agency team follows on every treatment center account.
Apply to LegitScript first, then submit Google's addiction services application from the exact Ads account that will run the campaigns, because approval doesn't carry over to a different account. Build keywords, ads, and landing pages while you wait, and keep them paused until Google approves.
Our drug rehab PPC guide covers what to build during that wait and how to run the first month after approval.
Build separate campaigns for detox, residential, PHP, IOP, and mental health, and split them further by substance when search volume supports it. Each campaign gets its own budget, ads, and landing page, so you can fund the program with open beds instead of the one with the most searches.
Our Rize OC case study shows that structure at scale, with campaigns rebuilt around service line, substance, and level of care and in-state searches split from out-of-state ones. At Rize OC, CPA dropped to $115 from $350 while monthly spend grew to $300K.
Keywords should name the program, the substance, or the place, and your negative list should block job seekers, students, and people searching for free services you don't offer. Keep prescription drug names out of keywords unless you hold the certification that allows them.
Ad copy can name the level of care, the city, accepted insurance, and how admission works. It can't imply the reader has a condition, promise a result, or name a prescription drug you aren't certified to promote.
| Risky phrase | Compliant rewrite | Why it changes |
|---|---|---|
| "Addicted to opioids?" | "Opioid detox in Orange County. Talk with admissions." | Implies the viewer has a condition |
| "Guaranteed sobriety in 30 days" | "Licensed residential treatment with a 30-day program" | Promises an outcome |
| "Cure your anxiety" | "Outpatient anxiety treatment with evening groups" | Unproven cure claim |
| "Best rehab in California" | "Licensed treatment center in California" | Superlative you can't source |
| "Suboxone clinic near you" | "Medication-assisted treatment near Phoenix" | Prescription drug term |
Google remarketing isn't available for healthcare services in the Health category, and that includes addiction treatment and mental health programs. You can't build a list of past site visitors, upload a patient or alumni list for Customer Match, or ask Google to find lookalikes of your admits.
What you can still use is Google's own audience data: in-market and affinity segments, demographics, life events, and location targeting. YouTube and Display campaigns can reach people in your service area this way, and that is how we replace the reach a remarketing list would have given.
Adjacent companies should read one change closely. In May 2025, Google clarified that content directed at healthcare professionals in their professional capacity falls outside the Health category, which can apply to a billing firm or lab whose ads speak to clinic owners and clinicians. An ad aimed at patients stays inside the category.
Google expects ads and their destinations to follow the policy, so the landing page has to match what LegitScript certified: the same facility name, address, license, and levels of care. A page that advertises a service your certification doesn't cover, or names a drug you can't promote, can get a clean ad disapproved.
Send each campaign to its own page that repeats the ad's program and city, shows your license and accreditation, and puts the admissions phone number at the top. Our guide to landing pages for rehab ads walks through the layout, and our overview of addiction treatment advertising covers the same rules on Meta and Microsoft.
Most treatment center conversions happen on the phone, so give each campaign its own tracking number and count answered admissions calls as the main conversion. Name conversion stages plainly, such as qualified call or verification of benefits (VOB), and keep diagnoses, substances, and insurance carriers out of anything sent to Google. Our rehab call tracking guide covers the setup.
Approval is the start of compliance, and these four habits keep an approved account running.
Google publishes the official Healthcare and medicines policy in its Advertising Policies Help Center. Each topic, including addiction services and health insurance, has its own sub-page linked from there.
Treat it as a platform that should never receive protected health information. Google's HIPAA page for Analytics says it doesn't offer business associate agreements for that service, and its customer data policies treat health information as sensitive, so keep diagnoses and insurance details out of tags, forms, and uploads.
Not under the addiction services rule, which covers drug and alcohol services only. A mental health program's ads still fall in the Health targeting category, so remarketing and Customer Match are off, and a telehealth practice that promotes online prescribing needs the prescription drug services certification. If you also treat substance use, plan on LegitScript.
The current healthcare and medicines page has no separate medical devices section or certification. Device ads still fall under the Health targeting category, which lists devices such as CPAP machines, and under the unreliable claims rules on what a product can promise.
No, but it is restricted. On Google, manufacturers can promote prescription drugs only in Canada, New Zealand, and the United States, and online pharmacies and telemedicine providers need third-party accreditation plus Google certification.
Both apply for Google's prescription drug services certification, but the US accreditation behind it differs. Telemedicine providers need LegitScript's Healthcare Merchant Certification, while online pharmacies can use either LegitScript or NABP.
Google's policy pages don't state a timeline, and for addiction services LegitScript has to approve you before Google's application can succeed. Our LegitScript certification guide covers fees, timing, and the preparation that keeps review moving.
We recommend at least $5,000 a month in Google Ads media spend, because smaller budgets rarely produce enough calls to show which campaigns work. The right number depends on your market, your levels of care, and how many open beds you need to fill.
If you want a second opinion on your own account, our rehab PPC agency team will check your certification status, ads, and landing pages against these rules and send a written audit within 5 business days. Book a strategy call to start.
About the author

Ethan founded Sweet Media to give behavioral health facilities an agency that speaks the language of treatment — and measures success in admissions, not impressions.
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