Telehealth & Online Pharmacy Merchant Accounts & Payment Processing

Expedio gives telehealth platforms and licensed online pharmacies one stable account for consultations, recurring Rx refills, and prescription orders, with no sudden freezes and no transaction caps. LegitScript-aware underwriting, secure card-on-file billing, and a dedicated account manager in English, Spanish, or Urdu. Powered by Netevia.

Approved in 24 hrs
LegitScript-aware
Recurring billing
No long-term contracts

Approval Hasil Karein in 24 Hours

Telehealth & online pharmacy Merchant Account · No contracts · EN · ES · UR

Approved in 24 hrsNo frozen fundsRecurring billing

Approval Hasil Karein in 24 Hours

Telehealth & online pharmacy Merchant Account · No contracts · EN · ES · UR

Approved in 24 hrsNo frozen fundsRecurring billing

Get Your Telehealth or Online Pharmacy Merchant Account
Approved in 24 Hours

24 ghanton tak approval mumkin · High-risk approved · No long-term contracts

Approved in 24 hrs
No frozen funds
Recurring billing
usi din funding
40,000+
Merchants on Netevia
$15B
Processing volume
10+
Banking relationships
3
EN · ES · UR
Powered byNetevia FDIC

The Expedio Advantage

Why telehealth platforms and online pharmacies across the USA choose Expedio over aggregators and generic high-risk processors.

Approved in 24 Hours

Fast approval decisions with a complete file and LegitScript in place, not weeks of back-and-forth.

10+ Banking Relationships

Multiple acquirers mean more approval paths, so one decision cannot end your business.

No Sudden Freezes

Underwriting that expects recurring Rx billing and card-not-present volume, so your funds never get held.

Recurring & Subscription Billing

Memberships and refill plans rebill cleanly on secure card-on-file, without being flagged.

Card on File for Refills

Tokenized cards let repeat patients reorder in seconds while their data stays protected.

No Long-Term Contracts

Month-to-month, transparent pricing, and a dedicated manager in EN, ES, or UR.

What Is a Telehealth & Online Pharmacy Merchant Account?

It is a high-risk payment account built for businesses that deliver care and dispense prescriptions online, so it processes consultations, recurring refills, and prescription orders without flagging your activity or freezing your funds.

Standard processors are built for simple retail. When they see card-not-present healthcare volume, recurring subscription billing, and refunds tied to prescriptions, their automated systems read it as "unusual" and freeze the account. That is why so many telehealth platforms and online pharmacies are approved quickly, then shut down weeks later, right when patient volume is climbing.

A telehealth or online pharmacy Merchant Account is placed with an acquiring bank that understands the model and expects LegitScript certification, reviewed by a real underwriter. Pricing runs higher than plain retail and a reserve may apply, because the bank is pricing genuine risk, but in return you get stability, the right limits, and a processor that will not panic at how a licensed online healthcare business actually operates. For the wider picture, see our high risk Merchant Accounts guide.

Telehealth & Pharmacy Businesses We Support

From a single telehealth clinic to national mail-order pharmacies, we place the licensed healthcare businesses that mainstream processors decline.

Telehealth & Telemedicine

Consultation fees, virtual visits, and provider platforms on one stable account.

Licensed Online Pharmacies

Prescription fulfilment and retail Rx sales with LegitScript-aware placement.

Direct-to-Consumer Rx

Men's health, women's health, dermatology, and wellness brands that ship prescriptions.

Compounding Pharmacies

Custom-formulation pharmacies that need clean processing for specialty orders.

Subscription & Refill Programs

Recurring memberships and automatic refill plans billed on secure card-on-file.

Mail-Order Pharmacy

National fulfilment operations shipping prescriptions across multiple states.

Why Telehealth & Pharmacy Accounts Get Frozen or Declined

It is rarely about whether your business is licensed. It is about a model that generic processors were never built to understand.

Card-not-present volume

Almost every payment is online, and standard processors treat high CNP volume as elevated fraud risk.

Recurring billing & refunds

Subscriptions and prescription refunds raise chargeback exposure that generic systems freeze against.

Heavy regulation

State boards, the DEA, and card-network rules require LegitScript, which mainstream processors avoid entirely.

A category reputation

Rogue pharmacies gave the whole category a name, so legitimate, licensed operators get judged by it.

Everything Your Telehealth or Pharmacy Needs to Accept Payments

Built on Netevia's infrastructure, Expedio delivers the stability and tools that mainstream processors refuse to offer online healthcare businesses.

No Sudden Freezes

Underwriting that expects telehealth activity, with limits set to your real volume and ticket size.

Recurring & Subscription Billing

Refill plans and membership programs rebill cleanly, without being flagged as unusual.

Secure Card on File

Tokenized card storage so repeat patients reorder fast while their data stays protected.

Consultation & Rx Payments

Visit fees and prescription orders processed on the same stable account.

High & Low Ticket Support

From a single co-pay to a large specialty order, your limits fit your real business.

Payment Links & Virtual Terminal

Send secure links for invoices and orders, or key in phone payments from your dashboard.

chargeback Protection

Ethoca and Verifi pre-dispute alerts plus representment support on recurring billing.

ACH / eCheck

Bank transfers on larger orders and B2B pharmacy invoices to minimise card fees.

Dedicated Account Manager

A real person who understands telehealth and pharmacy, in English, Spanish, and Urdu.

Compliance & Documentation, Handled

Online healthcare is regulated at the federal, state, and network level, and your processor should support that, not ignore it. We set you up so your payment trail is always ready.

LegitScript-aware onboarding

We work with banks that require LegitScript and help you get placed once certification is in hand.

Licensing-aware underwriting

Placement with acquirers that understand state pharmacy boards and telehealth licensing.

HIPAA-conscious payment flows

Payment data is tokenized and kept separate from protected health information.

Recurring & CNP fraud tools

CVV, AVS, 3-D Secure, and device checks sized for subscription and online orders.

Clear billing descriptors

A recognisable descriptor so patients know the charge and dispute less.

usi din funding

Open a Netevia banking account and receive qualifying sales the same day.

What You Need to Apply

A complete, consistent file is the single biggest factor in how fast you are approved. Have these ready before you start.

Government photo IDFor each business owner or principal on the application.
Business registration & healthcare licensesFormation documents plus your pharmacy or telehealth licenses.
LegitScript certificationCertified, or in progress, for online pharmacy and telehealth placement.
Voided check or bank letterTo verify the settlement account funds will deposit into.
3 to 6 months processing statementsIf you have processed before, showing volume, tickets, and disputes.
Compliant websiteA live site with terms, privacy, refund, and prescription policy pages.

How Approval Works

From first call to processing, most of the timeline is preparation. Get the file and certification right and the rest moves fast.

1

Quick consult

Tell us your volume, ticket range, licensing, and any history of shutdowns. We tell you honestly if we can place you.

2

Application & compliance docs

ID, business and healthcare licensing, LegitScript, a voided check, and any processing statements.

3

Underwriting & bank match

We match you to an acquiring bank with real appetite for telehealth and pharmacy, out of 10+ relationships.

4

Live & processing

Gateway and recurring billing configured, test payments run, and you are taking cards, commonly within 24 hours.

Pricing & Terms, Explained Honestly

High-risk pricing is higher than standard retail, and any processor who pretends otherwise is hiding something. Here is the full picture, all quoted in writing.

ElementWhat to expect
Processing rateHigh risk, based on your volume and ticket mix
Per-transaction feeDisclosed upfront, no surprises
Rolling reserveMay apply; percentage and release schedule stated in writing
Setup feeOften waived or negotiable
ContractMonth-to-month, no long-term lock-in
chargeback feePer dispute, disclosed before you sign

The only fair way to compare processors is your effective rate. Learn how to calculate it in our guide to credit card processing fees, and how holds work in rolling reserve explained.

Accept Every Card and Payment Method Your Patients Use

Expedio supports all major card networks plus bank-debit and remote payment tools, with no additional setup fees.

Card Payments
Recurring & Card on File
ACH / eCheck
Visa
Mastercard
Amex
Discover
Apple Pay
Google Pay
Card on File
ACH / eCheck
Payment Links
Virtual Terminal
Recurring Billing

Gateways, Integrations & Tools We Support

Online checkout, recurring billing, and dashboards. We provision the right tools for how your telehealth or pharmacy actually sells.

Online / Web Checkout
Recurring / Subscriptions
Card on File / Tokenization
Payment Links
Virtual Terminal
Pharmacy / EHR Integration
Hosted Payment Pages
ACH / eCheck
API & Developer Tools

Gateway included with qualifying Merchant Accounts. Integration assigned based on business type and volume.

Expedio vs Competitors: Telehealth & Pharmacy Merchant Services

Most processors were not built for online healthcare. See why telehealth platforms and pharmacies across the USA switch to Expedio.

FeatureExpedio PaymentsPayPalStripeGeneric High-Risk
Telehealth & pharmacy accountYes, category-awareRestrictedRestrictedSometimes
No sudden freezesYes, stable underwritingNoNoVaries
Recurring & subscription billingYes, built inLimitedYesVaries
LegitScript-aware placementYesNoNoRarely
High-ticket supportYes, disclosed limitsLimitedLimitedVaries
usi din fundingYes, via NeteviaNoNoNo
Dedicated account managerYes, named contactNoNoRarely
Spanish & Urdu supportNative speakersNoNoNo

Powered by Netevia: 40,000+ Merchants Trust the Network

Expedio is an authorised Netevia partner. You get enterprise payments infrastructure with personal, concierge-level service.

Netevia
Authorised Partner
$15B
Annual volume
40K+
Active merchants
160+
Employees
FDIC
Insured $250K

Banking services provided by Sutton Bank, Member FDIC. Deposits FDIC-insured up to $250,000.

Telehealth & Payments Terms, Explained

The language underwriters and processors use, in plain English, so you can navigate approval with confidence.

Telehealth
Delivering medical consultations and care remotely by video, phone, or secure messaging.
Online pharmacy
A licensed pharmacy that dispenses prescription medication ordered and paid for over the internet.
LegitScript certification
A merchant certification the card networks require for many pharmacy and telehealth accounts before a bank will approve them.
Recurring billing
Automatic repeat charges for subscriptions, memberships, or scheduled prescription refills.
Card on file / tokenization
Storing a patient's card securely as a token so refills rebill without re-entering card details.
Card-not-present (CNP)
A transaction where the card is not physically swiped, as with all online payments.
Rolling reserve
A percentage of sales held temporarily to cover future chargebacks, then released on a schedule. It is your money, not a fee.
chargeback ratio
Disputes divided by transactions in a month. Staying under roughly 0.9% keeps you clear of network monitoring.

We Speak Your Language

Expedio provides dedicated telehealth and pharmacy account managers in English, Spanish, and Urdu, so you can grow in the language you are most comfortable in.

English
Primary language

All telehealth and pharmacy Merchant Services, applications, onboarding, and support available in English, with a USA-based account manager.

  • English-speaking account manager
  • English application & approval
  • 24-hour response on tickets
  • USA-based team
Call (786) 206-8198
Español
Soporte en español

Procesamiento de pagos para telesalud y farmacias en línea con soporte completo en español y gerentes de cuenta nativos.

  • Gerente de cuenta nativo
  • Solicitud y aprobación en español
  • Soporte continuo
  • Comunidad latina en EE.UU.
Llamar: (321) 558-7420
اردو
Urdu Support

South Asian telehealth and pharmacy business owners can work with Expedio entirely in Urdu. Pakistani and South Asian entrepreneurs are a community we serve.

  • Urdu-speaking account manager
  • Application & setup in Urdu
  • South Asian community focus
  • Available across the USA
Call (321) 400-9454

Guides for High-Risk, Telehealth & Pharmacy Merchants

Practical, honest resources on getting approved, controlling costs, and keeping your account open.

Guide

High Risk Merchant Accounts

What the label means, what you pay, and how to Approval Hasil Karein when mainstream processors say no.

Read the guide →
Pricing

Credit Card Processing Fees

Interchange, markup, and every fee on your statement, plus how to spot overpaying.

Read the guide →
Approval

Why Applications Get Declined

The real reasons merchant applications are declined and the steps to Approval Hasil Karein.

Read the guide →
Reserves

Rolling Reserve Explained

What a reserve is, when the money comes back, and how to shrink or remove it.

Read the guide →
Disputes

Why chargebacks Happen

Understand why disputes occur and how to prevent them before they hit your ratio.

Read the guide →
Insights

The Merchant Industry

How innovation, security, and customer confidence are shaping payments.

Read the guide →

Get Your Telehealth or Pharmacy Merchant Account Approved

Most accounts are approved within 24 hours once licensing and LegitScript are in place. Complete the form and your dedicated account manager will call you back within one business day, in English, Spanish, or Urdu.

Approval in as little as 24 hours
No frozen funds or transaction caps
Consultations, refills & Rx orders on one account
usi din funding available via Netevia
Dedicated account manager assigned immediately

Apply in Under 2 Minutes

Fill the form at the top of this page. Your account manager calls within one business day.

24 ghanton tak approval mumkin
No frozen funds or caps
usi din funding available
Fill Application Form Above Or call (786) 206-8198

Aam Sawalat: Telehealth & Online Pharmacy Payments

Telehealth founders and pharmacy owners ask us these every day. Here are honest answers.

They are almost entirely card-not-present, run recurring subscription billing, sit under heavy regulation from state boards, the DEA, and card-network rules, and carry a reputation shaped by rogue pharmacies. That mix leads mainstream processors to decline or shut them down even when the business is fully licensed.
Yes. With a high risk telehealth or online pharmacy Merchant Account you can accept credit and debit cards, ACH, and mobile payments for consultations, prescription orders, and recurring refills, without the freezes and caps standard processors impose on healthcare billing.
For most online pharmacy and telehealth merchants the card networks require LegitScript certification before an acquiring bank will approve you. Expedio works with you through certification and places you with banks that expect it, so approval moves smoothly once your file is complete.
Yes. Recurring refills, membership plans, and subscription programs are native to this account type. We set up secure card-on-file tokenization so refills rebill cleanly instead of being flagged as unusual activity.
High risk pricing is higher than standard retail and a rolling reserve may apply. Expedio quotes transparent interchange-plus pricing in writing, and rates typically improve as your account builds a clean history.
With a complete application, the required licenses, and LegitScript certification in place, approval commonly comes in as little as 24 hours. We work with 10 or more acquiring banks to find one with appetite for telehealth and pharmacy.
Often yes. Telehealth and pharmacy merchants are frequently terminated for the category alone. Expedio specialises in placing licensed, compliant merchants that were previously declined with banks that want the business.
Only for fully licensed, compliant operations. Placement depends on your licensing, LegitScript certification, and the acquiring bank's appetite. Expedio does not work with operations that dispense prescription drugs without a valid prescription or the required licenses.

This page is general information, not legal, medical, or financial advice. Telehealth and online pharmacies are regulated at the federal, state, and card-network level, and underwriting terms, rates, reserve requirements, and certification rules vary by provider, licensing, and location. Approval is subject to underwriting. Confirm current terms with Expedio and your acquiring bank.

Get Your Telehealth or Online Pharmacy Merchant Account Approved in 24 Hours

No long-term contracts. One account for consultations, recurring refills, and prescription orders, from a team that understands online healthcare.

Start My Application Call (786) 206-8198

English · Español · اردو

Get your telehealth or pharmacy Merchant Account approved in 24 hoursNo long-term contracts · EN · ES · UR
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