Longevity clinics
How a longevity clinic can run a peptide program
Who owns a longevity clinic, and who makes its medical decisions, is set by state law. In California, corporations have no professional rights and certain clinical and business decisions must stay with a physician; in New York, a professional medical corporation's shares may be issued only to licensed professionals. Management companies may provide administrative services, but not practice medicine. Within that structure, the claims a clinic makes are held to the FTC's evidence standard, and FDA has flagged safety problems with some IV and injectable wellness products.
The structure
Who does what in a peptide program
Three separate parties, so that every medical decision is made by someone licensed to make it. Whether a given program is lawful also depends on state rules, which is why each structure goes through healthcare counsel before launch.
Your business
Brings the audience, refers clients to the medical practice, and handles everything that is not medical. How your business is paid, and whether the program can carry your brand, are set by healthcare counsel for each state; in California, for example, a non-physician business may not offer or advertise medical services.
A licensed medical practice
A clinician licensed in, or registered with, each patient's state evaluates every patient and decides whether to prescribe. Every medical question goes to the clinician.
A licensed pharmacy
Fills each prescription for the individual patient and ships it to them. Your business never buys, holds or resells medication.
Your part
What you do
- Confirm with counsel who may own the clinic in your states
- Keep clinical decisions with licensed clinicians
- State exactly what a program price includes
- Use sterile-grade ingredients and licensed pharmacies for anything injected
Not your part
What you never do
- Let a non-physician owner or manager direct clinical decisions
- Make health claims you cannot back with competent scientific evidence
- Advertise a price that leaves out the drug, labs or visits
- Use food-grade ingredients in IV or injectable products
The rules
The rules that matter for longevity clinics
State law varies. These are sourced examples, not a survey of every state.
The corporate practice of medicine
California law says corporations have no professional rights, and the Medical Board lists clinical and key business decisions that must stay with a physician, including medical records and choices of equipment and supplies. Since January 1, 2026, California also bars private equity groups and hedge funds from interfering with physicians' professional judgment. In New York, shares of a professional medical corporation may be issued only to licensed professionals. Management companies may provide administrative services, but in California they may not arrange, advertise or provide medical services.
IV and injectable wellness products
FDA has received adverse event reports after NAD+ injections and warned that food-grade NAD+ is not suitable for sterile compounding without appropriate processing. FDA has also urged state boards to address the risks of compounded IV hydration used in clinics and med spas.
Every business type
Rules that apply to every peptide program
The prescriber must be licensed where the patient is
A clinician who treats a patient by telehealth generally must be licensed in the patient's state. Some states, such as Florida, let out-of-state clinicians register instead. Texas treats an out-of-state clinician's care of a Texas patient as practicing medicine in Texas, and California requires documented patient consent before care by telehealth.
Claims need evidence, and prices must be complete
The FTC requires competent and reliable scientific evidence for health claims. It has acted against a physician-run clinic over unsupported disease claims, and in 2025 against a telehealth weight-loss company whose advertised prices left out the drug, the labs and the provider visits.
Never borrow a brand name or call a pharmacy "FDA approved"
FDA has warned a med spa for listing a compounded drug under an approved brand name, and an IV clinic for describing its source as an "FDA-approved pharmacy." Compounded drugs are not FDA approved, and pharmacies are licensed by states, not approved by FDA.
How compounding pharmacies work, and what they can make, is on what a 503A compounding pharmacy is. The full launch structure is in the guide to starting a peptide program, and medical direction is covered on do you need a medical director.
Planning a peptide program for your longevity clinic?
Tell us what you do on site and where your clients live. We answer in one business day, and every structure goes through healthcare counsel before launch.
Frequently asked
Longevity clinics: questions
Who can own a longevity clinic?
It depends on the state. California law says corporations have no professional rights and keeps certain decisions with physicians, and New York allows a professional medical corporation's shares only to licensed professionals. Where state law allows, a management company may provide administrative services to a physician-owned practice. Have counsel confirm the structure in each state you serve.
What claims can a longevity clinic make?
Only claims backed by competent and reliable scientific evidence, under the FTC's standard. The FTC has acted against a physician-run clinic over unsupported claims and, in 2025, against a telehealth weight-loss company whose advertised prices left out the drug, labs and visits.
Is IV NAD+ safe?
FDA has received adverse event reports after NAD+ injections, including severe chills, shaking and vomiting, and has warned compounders that food-grade NAD+ is not suitable for sterile compounding without appropriate processing.
Nothing on this page is legal advice. State law varies and changes; this page was last checked against its sources on 18 October 2026. ConduitMD provides software and management services to an independent medical practice and its partners; it does not prescribe, compound or dispense.