Which Meta ads agencies should a health brand shortlist?
Start with the four highest scores on our rubric; tap a card for the full entry.
- #163/100Cardinal Digital MarketingBest for multi-location provider groups that want Meta run by a healthcare-only team that puts HIPAA in its pitchRead the entry →
- #259/100PilothouseBest for an online wellness or consumer brand that wants a creative-heavy Meta team with named, channel-specific resultsRead the entry →
- #356/100Disruptive AdvertisingBest for a growing brand that wants a large, independently reviewed paid media team on month-to-month termsRead the entry →
- #456/100PELORA MarketingThis is usBest for a licensed clinic or wellness brand that wants Meta run against the health rules, at a price it can read before the callRead the entry →
How do the thirteen Meta ads agencies compare?
Cardinal Digital Marketing leads with 63 of 100, and the table shows every grade, with PELORA’s row shaded.
| # | Agency and base | Scoreof 100 | Best for | Starting priceas published | Nicheweight 25, of 5 | Resultsweight 20, of 5 | Badgeweight 15, of 5 | Reviewsweight 15, of 5 | Priceweight 10, of 5 | Health rulesweight 15, of 5 | Read on |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Cardinal Digital MarketingChamblee, GA | 63 | Multi-location provider groups | Not on its site; Clutch minimum $5,000+ | 4 | 4 | 1 | 2 | 3 | 4 | Oct 10 / 11 |
| 2 | PilothouseVictoria, BC | 59 | Online wellness or consumer brands | No figures; retainers plus performance incentives | 4 | 5 | 3 | 1 | 2 | 1 | Oct 10 |
| 3 | Disruptive AdvertisingPleasant Grove, UT | 56 | Growing brands, month-to-month terms | Not on its site; Clutch minimum $5,000+ | 3 | 2 | 3 | 5 | 3 | 1 | Oct 10 / 11 |
| 4 | PELORA Marketing This is usNewport Beach, CA | 56 | Licensed clinics and wellness brands | Published on our pricing page | 4 | 2 | 1 | 1 | 5 | 4 | Oct 11 |
| 5 | WpromoteEl Segundo, CA | 55 | Fitness or wellness brands with an enterprise budget | Not on its site; Clutch minimum $250,000+ | 4 | 2 | 1 | 2 | 3 | 4 | Oct 10 / 11 |
| 6 | Power DigitalSan Diego, CA | 54 | Consumer wellness brands | Not on its site; Clutch minimum $5,000+ | 4 | 1 | 2 | 4 | 3 | 2 | Oct 10 / 11 |
| 7 | Common Thread CollectiveCosta Mesa, CA | 53 | Established wellness ecommerce brands | Not on its site; Clutch minimum $5,000+ | 4 | 3 | 1 | 3 | 3 | 1 | Oct 10 / 11 |
| 8 | TinuitiNew York, NY | 53 | Large consumer health brands | Not on its site; Clutch minimum $10,000+ | 3 | 5 | 1 | 2 | 3 | 1 | Oct 10 / 11 |
| 9 | Ignite VisibilitySan Diego, CA | 52 | Healthcare or consumer brands wanting full service | Not published; Clutch minimum $1,000+ | 3 | 1 | 3 | 5 | 3 | 1 | Oct 10 / 11 |
| 10 | KlientBoostCosta Mesa, CA | 51 | Brands wanting the largest review base | No figures shown; Clutch minimum $1,000+ | 2 | 2 | 3 | 5 | 3 | 1 | Oct 10 / 11 |
| 11 | Logical PositionLake Oswego, OR | 46 | Small online stores | Pricing pages not read; Clutch minimum $1,000+ | 2 | 3 | 3 | 2 | 3 | 1 | Oct 10 / 11 |
| 12 | Lunar Solar Group (MuteSix)New York, NY | 42 | Venture-backed supplement or wellness brands | Not on its site; Clutch minimum $5,000+ | 4 | 1 | 1 | 2 | 3 | 1 | Oct 10 / 11 |
| 13 | Hawke MediaSanta Monica, CA | 36 | Brands wanting a broad outsourced team | Not on its site; Clutch minimum $5,000+ | 2 | 2 | 2 | 1 | 3 | 1 | Oct 10 / 11 |
Scores are 1 to 5 per criterion (weights in the header). Read on: agency site 10 Oct, Clutch 11 Oct. The PELORA row is ours and is shaded; we scored it with the same rubric. Tap a column heading to sort; tap it again to reverse.
What rules decide a health brand's Meta account?
Meta’s Health and Wellness standard and its Drugs and Pharmaceuticals policy decide what runs, and the FTC’s evidence rule sits behind both.
- AgeAds for dietary, health and weight loss products must target people 18 or older.Meta Health and Wellness standard, read 11 Oct 2026
- ClaimsNo claims to cure, heal or eliminate the listed diseases, such as diabetes, cancer or Alzheimer’s, even from health professionals.Meta Health and Wellness standard, read 11 Oct 2026
- ImagesNo statements of inferiority about appearance in weight loss or cosmetic ads, and no pinched-fat close-ups in weight loss ads; cosmetic before and after images are allowed when the ad targets people 18 and over.Meta Health and Wellness standard, read 11 Oct 2026
- TelehealthOnline pharmacies and telehealth providers must be certified with LegitScript, and prescription drug ads can’t target anyone under 18.Meta Drugs and Pharmaceuticals policy, read 11 Oct 2026
- EvidenceHealth claims need competent and reliable scientific evidence, whatever Meta approves.FTC Health Products Compliance Guidance (PDF dated December 2022), read 11 Oct 2026
Read the rules word for word, with the sources and read dates
Meta does not ban health and wellness advertising. It bans specific claims, images and targeting, and it changes the wording without notice. We read every rule quoted here on 11 October 2026; the change log on Meta’s Health and Wellness page showed its latest entry as 22 July 2026. An agency that cannot say these back to you is learning them on your ad account.
Age. Meta’s Health and Wellness standard: “Ads promoting or marketing dietary, health, or weight loss or weight gain products and services must be targeted to people at least 18 years or older.” The same applies to cosmetic products, procedures and surgeries.
Claims. Ads can’t carry “Claims (including those from health professionals or health organizations) to cure, heal, or eliminate” any disease on an exhaustive list: diabetes, herpes, thyroid, psoriasis, Ebola, cancer, autism, Alzheimer’s, Parkinson’s, ALS and HIV. Meta adds: “This does not apply to claims about treating or managing symptoms of these conditions.” It also bars clickbait such as “promises of specific outcomes within a set timeframe without disclaimers or qualifiers”.
Images and body language. Weight loss and cosmetic ads can’t contain “statements of inferiority about physical appearance”, and weight loss ads can’t show a “Close up on specific body area by pinching fat”. Before and after images of general cosmetic procedures are allowed when the ad targets people 18 or older.
Prescriptions and telehealth. Meta’s Drugs and Pharmaceuticals policy: “Meta requires online pharmacies and telehealth providers to be actively certified with LegitScript.” and “Meta doesn’t allow targeting for prescription drugs to people under the age of 18.” Prescription weight loss products are sent to this policy rather than the wellness one.
The FTC, behind all of it. The FTC staff’s Health Products Compliance Guidance (the PDF is dated December 2022): “claims about the health benefits or safety of foods, dietary supplements, drugs, and other health-related products require substantiation in the form of competent and reliable scientific evidence.” Meta approving an ad does not make the claim lawful. Our Health Ad Policy Tracker keeps the dated wording for both platforms, and our supplement ad claims guide covers the claim line in detail.
Do Meta ads agencies publish the health rules and their prices?
Of the thirteen agencies here, three publish a health compliance process: Cardinal (HIPAA language), Wpromote (a HIPAA, FDA and FTC alignment statement) and PELORA (a dated policy tracker and a compliance review). Power Digital points to its healthcare division; the other nine say nothing about health rules on the pages we read, including Lunar Solar Group, whose named clients are mostly supplement brands. One publishes a dollar price on its own site: PELORA. Eleven of the other twelve show a minimum project size on Clutch, from $1,000+ (Ignite, KlientBoost, Logical Position) to $250,000+ (Wpromote). No Meta partner badge here could be verified: five agencies show one (Pilothouse, Disruptive, Ignite, KlientBoost and Logical Position), and Meta’s directory is behind a login. The only badges we could verify on this page are Google’s, for Hawke Media and KlientBoost.
Three charts: swipe sideways to see each one.
Source: the scorecard above; agency sites read 10 Oct 2026, Clutch re-read 11 Oct 2026. PELORA in purple. Download this chart (PNG).
Source: the Health rules grades on this page; 5 means an explicit health-policy process on the agency’s own site. Pages read 10 Oct 2026. Download this chart (PNG).
Source: the Price grades on this page; Clutch figures re-read 11 Oct 2026, agency sites read 10 Oct 2026. Download this chart (PNG).
How did we choose and score these agencies?
We read each agency’s own site on 10 October 2026, re-read Clutch on 11 October, and scored all thirteen on six weighted criteria.
What each score means, and how ties are broken
Six criteria, each scored 1 to 5 and weighted; the total is the weighted sum divided by five, out of 100. The weights favor what a health or wellness brand actually needs from a Meta agency, and every score is backed by a line in the agency’s card.
| Criterion | Weight | 5 means | 1 means |
|---|---|---|---|
| Niche: Meta for health, wellness or consumer brands is the core business | 25 | It is the core business | No sign of it |
| Results: published and attributable | 20 | Named clients with numbers, channel stated | No numbers (agency-wide totals score 2) |
| Badge: platform recognition | 15 | Verified in the platform’s own directory | None shown (claimed and unverified scores 3; a badge for another platform only scores 2) |
| Reviews: Clutch | 15 | 100+ reviews at 4.7 or better | None, or under 3.5 (20 to 99 at 4.5+ scores 4; 5 to 19, or 4.0 to 4.4, scores 3; 1 to 4 reviews scores 2) |
| Price: transparency | 10 | Full public rate card | Nothing anywhere (a Clutch minimum or budget bands scores 3; terms only score 2) |
| Health rules: compliance know-how, published | 15 | An explicit HIPAA, FDA, FTC or platform health-policy process on its own site | Not mentioned |
Ties go to the agency with more independent reviews; if that ties too, PELORA sits below. We did not score results we cannot audit, and we did not use Google ratings for anyone, ourselves included.
How we built this list, in full, with the read log
We started from the agencies named on the four competing lists and the consumer and clinic Meta agencies that recur across them, then read each shortlisted agency’s own homepage and its most relevant service, pricing or case-study pages on 10 October 2026 (Pacific), with the text kept. On 11 October we re-read every Clutch profile, because ratings move daily, and opened Google’s Partners directory for every agency that links to its entry. Meta’s partner directory redirects to a Facebook login, so no Meta badge on this page is verified; each is marked “as claimed”. G2 was not checked. Agencies we did not shortlist were not read, and their absence is not a judgment.
Every result on this page is the agency’s own published claim, labeled “per agency”; most state no baseline or period. Where a homepage counter did not render in our capture, we say so and quote nothing. “Nothing on the pages we read” means exactly that: not on the pages we read, not that the agency does not know.
Read log: every page, every date
- 10 October 2026 (Pacific): each agency’s homepage plus the pages named in its card’s sources, read with a page-to-text reader.
- 11 October 2026: all twelve Clutch profiles re-read (Pilothouse has none); Google Partners entries for KlientBoost and Hawke Media opened in a headless browser; Meta’s Health and Wellness and Drugs and Pharmaceuticals pages read in a headless browser; the FTC guidance PDF read.
- Not read: Meta’s partner directory (login wall), G2, and Logical Position’s pricing pages.
What does each agency do well, and where may it not fit?
Each entry shows the rank, who it suits, the grades and a one-line verdict; open it for pricing, what we verified, where it may not fit and our sources.
1. Cardinal Digital Marketing · Chamblee, GA (Atlanta area)
Best for multi-location provider groups that want Meta run by a healthcare-only team that puts HIPAA in its pitch
Price Not on its site; Clutch minimum $5,000+Highest grade: niche focus 4/5, published results 4/5, published health rules 4/5. Lowest grade: partner badge 1/5.
Health rules published: The homepage sells a “HIPAA-compliant” digital marketing strategy and help building a HIPAA-compliant tech stack. It does not set out Meta’s Health and Wellness rules on the pages we read, so it scores 4, not 5.
Pricing: Not published on its site. Clutch lists a $5,000+ minimum project and $100 to $149 an hour; both are bands the agency enters itself.
Services: Healthcare performance marketing: paid search, Meta ads, TikTok and display, for behavioral health, dental groups, health systems, primary care, dermatology and veterinary networks.
What we verified: Founded in 2009 (Clutch). Power Digital announced in January 2026 that it had acquired Cardinal as its healthcare division (Business Wire), so the two now sit in one group; Power Digital is ranked separately below. Results, per agency: ATI physical therapy, a 77% increase in conversion rate; a veterinary network of 400+ locations, 54% more leads year over year; a dental group, 116% more leads; and, in a Meta strategy article, a 73% lower acquisition cost. None of these states its baseline or period on the pages we read.
Platform badges: No Google or Meta partner badge on its homepage, so it scores the floor here.
Independent reviews: 5.0 from 4 reviews.
Where it may not fit: Built for groups with many locations. A single-location clinic or a consumer supplement brand is not its stated customer, and its Meta numbers sit beside search numbers, so ask which result came from Meta.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch, Business Wire, acquisition.
2. Pilothouse · Victoria, BC, Canada
Best for an online wellness or consumer brand that wants a creative-heavy Meta team with named, channel-specific results
Price No figures; retainers plus performance incentivesHighest grade: published results 5/5. Lowest grade: Clutch reviews 1/5, published health rules 1/5.
Health rules published: Nothing on Meta’s health rules, the FTC or claim review on the pages we read.
Pricing: No figures. The site describes retainers plus performance incentives, with onboarding in 5 to 10 business days.
Services: Meta, Google, YouTube, TikTok and Amazon ads; email and SMS; conversion rate work; an in-house creative studio.
What we verified: A Victoria, BC street address on its own site. Founding year and team size are not published on the pages we read (its about page returned a 404). Named clients, per agency: Benchmade, Chamberlain Coffee, General Mills, Unilever, Kellogg’s, L’Oreal Paris, Four Sigmatic, CorneaCare and BODY20. Results, per agency: Benchmade’s Meta revenue up over 200% with new-customer cost per acquisition down 25%; RUX’s return on ad spend from under 1.0 to 4.5; Hestan sales up 78%; CorneaCare “3595% revenue growth”. These are the most specific Meta results on this page.
Platform badges: A Meta Business Partner badge on its homepage, as claimed. Meta’s partner directory sits behind a Facebook login, so we could not check it.
Independent reviews: No Clutch profile found by name (10 October 2026), so it scores the floor on reviews.
Where it may not fit: Headquartered in Canada and built for consumer products. Nothing on its pages covers health claim rules, so a supplement brand or clinic making health claims should ask who reviews the copy against Meta’s standard.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch searched 10 October 2026. Sources: homepage.
3. Disruptive Advertising · Pleasant Grove, UT
Best for a growing brand that wants a large, independently reviewed paid media team on month-to-month terms
Price Not on its site; Clutch minimum $5,000+Highest grade: Clutch reviews 5/5. Lowest grade: published health rules 1/5.
Health rules published: Nothing on Meta’s health rules on the pages we read.
Pricing: No figures on its site; “No long-term contracts”, and a 90-day growth guarantee “For qualifying brands” whose terms are not stated. Clutch lists a $5,000+ minimum and $150 to $199 an hour.
Services: Paid media on Google and Meta, and conversion rate optimization.
What we verified: Founded in 2011 (Clutch; the site says “fourteen years”). “160+” employees, per agency. Named clients, per agency: Guitar Center, Litter Robot, Scotts Miracle-Gro and My Health Teams. The site gives both “$450M+” in annual ad spend managed and “$1B+” managed; the two figures do not agree, and neither is a client result.
Platform badges: Google Premier Partner and Meta Business Partner badges on its homepage and about page, as claimed. Meta’s directory needs a login, so the Meta badge stays unverified and scores 3.
Independent reviews: 4.8 from 371 reviews, the second-largest review base on this page.
Where it may not fit: A generalist with no health or wellness vertical and agency-wide numbers only. Ask for a wellness account it has run on Meta and what happened to it.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, about, Clutch.
4. PELORA Marketing · Newport Beach, CA This is us
Best for a licensed clinic or wellness brand that wants Meta run against the health rules, at a price it can read before the call
Price Published on our pricing pageHighest grade: price transparency 5/5. Lowest grade: partner badge 1/5, Clutch reviews 1/5.
This is us PELORA wrote this page and scored itself with the same rubric, using only facts we already publish on our own site (our about page and homepage). Where we publish nothing a reader could check, we gave ourselves the floor score.
Health rules published: Our Health Ad Policy Tracker quotes Meta’s and Google’s health rules with the date we last read each page, and every health client goes through an ad-compliance review before anything runs. We publish the rules and the fact of the review, not the review steps themselves, so we scored 4, not 5.
Pricing: Published, tier by tier, on our pricing page and our Meta ads page. We link to it rather than restating it here.
Services: Meta and Google ads, creative and video, AI search, websites and CRM, for licensed clinics, health and wellness brands and consumer brands.
What we verified: From our own site, and company-reported because it is us: Preston Durnford is the founder (homepage); headquartered in Newport Beach, California, working with clients nationwide, $5M+ in ad spend managed, a 5.0 Google rating and a core team that has worked together for 10 years (about page). The ad-spend figure is an agency-wide total, which this rubric scores 2, the same as Disruptive’s and Hawke’s. We name no client result on this page.
Platform badges: None. We publish no Meta or Google partner status, so we took the floor score of 1.
Independent reviews: We publish no Clutch rating, so we took the floor score of 1. Our 5.0 Google rating does not count here, as no one else’s Google rating does.
Where it may not fit: If you want hundreds of independent reviews or a Meta badge on the page, Disruptive, KlientBoost and Ignite have the reviews and we do not. On the medical side we work with licensed clinics only, and Meta will not run ads for research-use-only peptides or unapproved drugs, so those businesses get organic, AI search and creator work from us instead of Meta ads.
What we checked: Scored 11 October 2026 from what PELORA publishes on its homepage and about page, and the pages linked in this card.
5. Wpromote · El Segundo, CA
Best for a fitness or wellness brand with an enterprise budget that wants a dedicated health and wellness team
Price Not on its site; Clutch minimum $250,000+Highest grade: niche focus 4/5, published health rules 4/5. Lowest grade: partner badge 1/5.
Health rules published: Its health and wellness page says, in a FAQ, that it works with a client’s legal and regulatory teams to align campaigns with HIPAA, FDA and FTC requirements. That is a process statement, so it scores 4.
Pricing: Nothing on its site. Clutch lists a $250,000+ minimum project, the highest on this page.
Services: Media, creative and data, with a Health and Wellness vertical covering lifetime value, influencer and measurement.
What we verified: Founded in 2001 (Clutch). El Segundo, CA on Clutch; its site lists Los Angeles and New York. Named clients, per agency: Anytime Fitness (a health case study), Equinox, Orangetheory Fitness, Strava and Athletic Brewing. The case-study figures did not render in our capture, so we quote none.
Platform badges: None displayed.
Independent reviews: 4.7 from 3 reviews.
Where it may not fit: The $250,000+ Clutch minimum rules out almost every clinic and most early brands.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, health and wellness page, Clutch.
6. Power Digital · San Diego, CA
Best for a consumer wellness brand that wants paid social and measurement, with a healthcare division in the same group
Price Not on its site; Clutch minimum $5,000+Highest grade: niche focus 4/5, Clutch reviews 4/5. Lowest grade: published results 1/5.
Health rules published: The HIPAA language sits on the pages of its Cardinal healthcare division (ranked first here), not on Power Digital’s own pages.
Pricing: Nothing on its site. Clutch lists a $5,000+ minimum and $100 to $149 an hour.
Services: Paid social, paid media, Amazon, SEO, and measurement including media mix modeling.
What we verified: Founded in 2012 (Clutch). Named clients, per agency: Cymbiotika, Crocs, ASICS, Graza, Sambazon and Host Healthcare. The headline counters on its homepage did not render in our capture, so we quote no result.
Platform badges: A TikTok partner badge only, which scores 2 on a Meta list as a badge for another platform.
Independent reviews: 4.8 from 66 reviews.
Where it may not fit: No readable results on the pages we read, and health compliance lives in the Cardinal division rather than in this team.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
7. Common Thread Collective · Costa Mesa, CA
Best for an established wellness ecommerce brand that wants Meta buying tied to a profit forecast
Price Not on its site; Clutch minimum $5,000+Highest grade: niche focus 4/5. Lowest grade: partner badge 1/5, published health rules 1/5.
Health rules published: Nothing on Meta’s health rules on the pages we read.
Pricing: Not on its site. Clutch lists a $5,000+ minimum and $150 to $199 an hour.
Services: Ecommerce growth: Meta and Google ad buying, creative, incrementality testing and forecasting (its “Prophit Engine”).
What we verified: Founded in 2012 (Clutch). A Costa Mesa, CA address on its own site; Clutch lists Santa Ana, CA. A 2025 Orange County Business Journal profile calls it a “70-person” agency, now fully remote. Named clients, per agency: Theragun, Love Wellness, Native, Liquid Death, Girlfriend Collective, Nike Strength, ColourPop and Loft. Results, per agency, are portfolio-wide rather than for one client: +33% revenue year over year, +42% contribution margin, and “$3 billion” of profitable growth engineered.
Platform badges: None shown on its homepage.
Independent reviews: 4.1 from 17 reviews.
Where it may not fit: No single named-client result and nothing on health claim rules. It is built for ecommerce brands with real revenue, not for a clinic booking consults.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch, OC Business Journal.
8. Tinuiti · New York, NY
Best for a large consumer health brand that needs Meta, Amazon and TV planned by one media agency
Price Not on its site; Clutch minimum $10,000+Highest grade: published results 5/5. Lowest grade: partner badge 1/5, published health rules 1/5.
Health rules published: Nothing on Meta’s health rules on the pages we read.
Pricing: Not on its site. Clutch lists a $10,000+ minimum and $100 to $149 an hour.
Services: Paid social on Meta and TikTok, Amazon and retail media, search and streaming TV; a “Foundation” offer for smaller businesses; Bliss Point measurement.
What we verified: Founded in 2004 (Clutch); Clutch’s band is 1,000 to 9,999 staff. Named consumer clients, per agency: Olly, Honest, e.l.f. Beauty, Seventh Generation, Poppi, Ancestry and DSW. One Meta result with figures, per agency: for DSW, +16% revenue, +23% omnichannel purchases and a 29% lower incremental cost per acquisition.
Platform badges: None shown on its homepage.
Independent reviews: 5.0 from 1 review.
Where it may not fit: Enterprise scale with one Clutch review, no wellness vertical, and nothing on Meta’s health rules on the pages we read.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
9. Ignite Visibility · San Diego, CA
Best for a healthcare or consumer brand that wants Meta inside a full-service program with a large review base
Price Not published; Clutch minimum $1,000+Highest grade: Clutch reviews 5/5. Lowest grade: published results 1/5, published health rules 1/5.
Health rules published: Healthcare is listed as an industry; nothing on Meta’s health rules on the pages we read.
Pricing: Not published. Its homepage says “We don’t believe in tying our clients down with long-term contracts, hidden fees, or owning your assets.” Clutch lists a $1,000+ minimum and $100 to $149 an hour.
Services: SEO, paid search, paid social and content.
What we verified: Founded in 2013 (Clutch). “Over 340” staff on its own site against “600+” in its Clutch description; the two do not agree. Client logos, per agency: Experian, Dun & Bradstreet, Jazzercise and Batteries Plus. No results on its homepage.
Platform badges: The homepage says “top 1% Google Partner, Meta Premium Partner, and TikTok Premium Partner”, as claimed. Neither directory entry is linked from the homepage, and Meta’s directory needs a login.
Independent reviews: 4.8 from 175 reviews.
Where it may not fit: No health-specific Meta work or results on the pages we read; ask for one.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
10. KlientBoost · Costa Mesa, CA
Best for a brand that wants a paid media team with the largest review base on this page
Price No figures shown; Clutch minimum $1,000+Highest grade: Clutch reviews 5/5. Lowest grade: published health rules 1/5.
Health rules published: Nothing on health rules on the pages we read.
Pricing: A pricing page exists but showed no figures when we read it. Clutch lists a $1,000+ minimum and $100 to $149 an hour.
Services: Paid search and paid social on Google, Meta and LinkedIn; conversion rate work; landing pages; SEO.
What we verified: Founded in 2015 (Clutch). One result, per agency: “We hit 83% of client goals in Q2, 2026”. The dollar figures in its “Growth Grid” are illustrative, not client results.
Platform badges: Its Meta Partner badge links to a Meta directory entry (id 330195381216432) that needs a login, so it stays as claimed. Google’s Partners directory, read 11 October 2026, lists KlientBoost as a Google Partner: verified, but not counted on a Meta list.
Independent reviews: 4.9 from 405 reviews, the most on this page.
Where it may not fit: A generalist with a B2B lean and no health work shown.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Google Partners directory read 11 October 2026. Sources: homepage, pricing page, Clutch, Google Partners entry.
11. Logical Position · Lake Oswego, OR
Best for a small online store that wants Meta and Google from one team at a low entry point
Price Pricing pages not read; Clutch minimum $1,000+Highest grade: published results 3/5, partner badge 3/5, price transparency 3/5. Lowest grade: published health rules 1/5.
Health rules published: Nothing on health rules on the pages we read.
Pricing: Its site links “Product Pricing” and “Bundle Pricing” pages, which we did not read for this edition. Clutch lists a $1,000+ minimum and $100 to $149 an hour.
Services: Paid search, paid social, SEO, Amazon, email and SMS, and websites.
What we verified: Founded in 2010 (Clutch). “Managed over $2.15 billion”, per agency. One named result, per agency: Sheffield Pottery, 62% revenue growth.
Platform badges: Google Premier Partner, Meta Business Partner and Microsoft badges on its site, as claimed.
Independent reviews: 4.5 from 2 reviews.
Where it may not fit: No health or wellness focus on the pages we read.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
12. Lunar Solar Group (MuteSix) · New York, NY
Best for a venture-backed supplement or wellness product brand that wants paid social and creators from the MuteSix team
Price Not on its site; Clutch minimum $5,000+Highest grade: niche focus 4/5. Lowest grade: published results 1/5, partner badge 1/5, published health rules 1/5.
Health rules published: Nothing on Meta’s health rules or supplement claim law on the pages we read, although many of its named clients sell supplements.
Pricing: Nothing on its site. Clutch lists a $5,000+ minimum and $150 to $199 an hour.
Services: A group of agencies: MuteSix (paid social including Meta, influencer, TikTok), Enkore (lifecycle) and No Sleep Studio (Shopify and conversion).
What we verified: Founded in 2018 (its own about page). New York on its site; Clutch lists Park City, UT. Named wellness clients, per agency: Intake Breathing, ARMRA, ZBiotics, Ryze, Farmacy and Obvi, plus Olipop and Liquid Death; “500+ engagements”. The result counters did not render in our capture.
Platform badges: None shown.
Independent reviews: 4.5 from 1 review.
Where it may not fit: Supplement-heavy client list with nothing published on supplement claim rules, which is the risk that ends supplement accounts on Meta.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, about page, Clutch.
13. Hawke Media · Santa Monica, CA
Best for a brand that wants a broad outsourced marketing team with a verified Google Premier listing
Price Not on its site; Clutch minimum $5,000+Highest grade: price transparency 3/5. Lowest grade: Clutch reviews 1/5, published health rules 1/5.
Health rules published: Nothing on health rules, and no wellness focus stated, on the pages we read.
Pricing: Nothing on its site. Clutch lists a $5,000+ minimum and $150 to $199 an hour.
Services: Full service, including paid social, paid search and connected TV.
What we verified: Founded in 2014 (Clutch); its site lists Los Angeles, New York and Chicago. “Over 6,000 brands” grown, per agency, an agency-wide total, which this rubric scores 2. Named clients, per agency: K-Swiss, Crocs, Barstool Sports and Lorna Jane. Its result counters did not render in our capture.
Platform badges: Google’s Partners directory, read 11 October 2026, lists Hawke Media as a 2026 Premier Partner: verified. No Meta badge shown, so it scores 2 on this Meta list.
Independent reviews: 3.0 from 2 reviews, thin for an agency of its size; this is what the profile showed on 11 October 2026.
Where it may not fit: No Meta health or wellness work on the pages we read, and a thin independent review base.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Google Partners directory read 11 October 2026. Sources: homepage, Clutch, Google Partners entry.
How should a health brand choose a Meta ads agency?
Ignore the rankings, including this one, and run four checks on the first call.
Ask them to state the rule.
Meta’s cure, heal or eliminate list, the 18+ targeting rule, and what it does with before and after images. Three of these thirteen publish a compliance process; the rest should be able to say it out loud. “We have never had an ad rejected” is not an answer.
Ask who reviews the claim.
The FTC wants competent and reliable scientific evidence behind a health claim, and Meta approving the ad does not change that. Ask who signs off on copy before it runs, and what file sits behind each claim.
Ask for the number first.
One agency here publishes a price on its own site; the rest publish a Clutch minimum or nothing. Ask in the first email, and ask whether ad spend is separate and whether it is ever marked up.
Ask for a result in revenue or bookings, with the period.
Pilothouse and Tinuiti publish Meta results for named clients; most publish portfolio totals. Ask for one account like yours, the starting point, the end point and the months in between. Then ask who owns the ad account if you leave; our account ownership guide shows how to check.
Questions health and wellness brands ask
How much does a Meta ads agency for a health or wellness brand cost? Few say on their own sites.
Of the thirteen agencies here, only PELORA publishes a dollar price on its own site (see our Meta ads page). Eleven others list a minimum project size on Clutch, which the agency enters itself: $1,000+ for Ignite Visibility, KlientBoost and Logical Position; $5,000+ for Cardinal, Common Thread Collective, Disruptive Advertising, Power Digital, Lunar Solar Group and Hawke Media; $10,000+ for Tinuiti; and $250,000+ for Wpromote. Pilothouse publishes no figure and has no Clutch profile. Ad spend is paid to Meta on top of any fee.
Can a supplement or wellness brand advertise on Meta? Yes, with limits.
Meta’s Health and Wellness standard, read 11 October 2026, requires dietary, health and weight loss ads to be targeted to people at least 18 years or older, bans claims to cure, heal or eliminate a named list of diseases (diabetes, cancer, Alzheimer’s and others), bans statements of inferiority about physical appearance in weight loss and cosmetic ads, and bans close-ups of pinched fat in weight loss ads. Prescription products and telehealth providers fall under the Drugs and Pharmaceuticals policy, which requires LegitScript certification.
Can a clinic run before and after photos on Meta? For general cosmetic products, procedures and surgeries, Meta’s standard allows ads depicting before and after transformation when the ad targets people 18 or older.
Weight loss ads still can’t show a close-up of pinched fat or make statements of inferiority about someone’s appearance.
Why is PELORA on its own list? Because we run Meta ads for clinics and health brands, and leaving ourselves off would hide that.
We scored PELORA with the same rubric as everyone else, using only facts we already publish on our own site, and set one rule in advance: never first. The note at the top of this page says where that put us.
Do I need a Meta Business Partner? Not necessarily.
A partner badge says something about spend and certification, not about health rules, and on 11 October 2026 Meta’s partner directory sat behind a login, so a badge shown on an agency site could not be checked by a reader. Ask the agency for its directory link and open it yourself.
What should I ask a Meta agency before signing? Four things: state Meta’s health rules for your category; say who reviews each claim and what evidence sits behind it; give the price, the ad spend and whether spend is marked up; and show one account like yours with a start point, an end point and the period.
Then confirm that the ad account, pixel and creative are in your name.
How do I know if these rankings are trustworthy? Check them.
Every agency fact on this page links to the page it came from, with the date we read it, and every result is labeled per agency. The scoring rubric and its weights are published above, and each score has a reason in the card. We ranked ourselves, which is a conflict of interest, and we have said so at the top and on our own card.