$975 to apply, charged per website, and it is nonrefundable. $2,150 per website each year, starting from approval. For a single website, that comes to $3,125 in the first year.
LegitScript makes those figures public, yet nearly everyone who writes about certification leaves them out, even though it is the first thing anyone wants to know.
The complete price list
Application fee: $975 per website. This is nonrefundable and must be paid whether or not the application is approved.
Annual certification fee: $2,150 per website upon approval, and it is due again each year.
Expedited processing: $2,500 in addition to the application fee. It begins a review within two business days of submission rather than placing you in the queue.
Probationary certification: $3,995 per website per year, for merchants certified under closer and more frequent monitoring. This option is not yours to choose. It is what gets offered when the application clears, but with reservations.
The words doing the most work in that list are per website. Two brands means everything doubles. A portfolio of five websites costs $15,625 in year one.
How long it takes
Roughly half of applicants certify within two weeks, and 70 to 80 percent finish within four.
Those are LegitScript's own numbers, and they describe a fast process, which sits strangely next to the clinics you hear about that took three or four months.
Both statements hold true. The distribution has two peaks, and which peak you end up in is determined prior to your submission.
Why some take four months
It is not the review. It is the deficiency notices.
When an application is incomplete, a notice arrives requesting the missing items. You correct it, send it back in, wait, and frequently receive yet another one. Every cycle takes weeks, and that time does not count against LegitScript.
The same causes keep coming up. Provider licenses that fail to cover the states the website claims. A pharmacy relationship that is unvetted or unclear. A generic privacy policy that fails to describe the actual platform. Marketing copy that makes claims the reviewer will reject.
All of those were knowable prior to submission. None of them become cheaper down the line, and the $975 is not refunded.
This is precisely why ClinicBuilder files the LegitScript application during days one to seven of a build, alongside the entity work and the processor applications, instead of waiting until the site is done. The provider network spanning all fifty states, the pharmacy routing, and the HIPAA compliant portal are all built within that same window, so whatever the reviewer asks about already exists when the question comes.
Is the expedited fee worth paying
Generally no, and the math here deserves a closer look.
$2,500 pays for a review that begins within two business days. Paying for speed will not get you a quicker outcome if the application is deficient, because the deficiency loop runs at the same pace regardless.
Therefore, paying for expedited processing makes sense only when your paperwork is already finished and a two-week gain carries real commercial value. When the application is not ready, that money is simply wasted, and that is precisely the moment people tend to reach for it.
Doing the preparation correctly costs less than expediting, and it takes the same two weeks.
What you are actually buying
Access. Google's healthcare policy mandates LegitScript certification for US telemedicine advertising, and most payment processors that serve healthcare want it before they agree to underwrite you.
So the $3,125 is not a compliance expense. It is the price of being permitted to advertise and accept payments. Whether that is fair is a different debate. It is unavoidable if you plan to run paid acquisition, and in these categories, you do.
Treat it as a fixed annual cost of operating, per brand, and structure the application so you pay the $975 just once.
What ClinicBuilder does, specifically
ClinicBuilder builds a telehealth clinic within your own LLC and delivers it live in roughly 31 days, with the LegitScript application filed alongside the licensing, pharmacy and platform documentation already in place.
Days one to seven cover the legal entity, the LegitScript application, payment processor applications under your name and your brand direction. Days five to twenty cover the website, the branding, three medication funnels ready for sale, the HIPAA compliant portal, the provider network spanning all fifty states and pharmacy routing. Days fifteen to twenty six involve real end-to-end test transactions through every system. Days twenty four to thirty one cover go live, a signed launch checklist and your operating manual. Six workstreams running in parallel, a dedicated project manager and Friday updates on Slack.
The launch build costs $35,000, due at signing. LegitScript's fees are separate from that and remain fixed, since no one negotiates them. What ClinicBuilder is really selling against is how many times you pay the $975, and that is the only lever anyone has over this cost.
Ad spend is also separate, belonging to you from day one and paid directly to Meta and the other platforms. ClinicBuilder states it favors partners able to commit more than $10,000 a month to acquisition as they grow, and it accepts about 10 to 15 new builds each month.
The LegitScript account remains in your name, along with the entity, the brand, the domain, the site, the funnels, the ad account and pixel, the creative, the patient list, the portal data and the processor accounts. With thirty days notice, they transfer the patient and card data to you or to whichever platform you move to.
You never practice medicine. The provider group establishes its own protocols, hires and dismisses its own prescribers, and holds final say over every patient.
While ClinicBuilder handles your ongoing monthly management, it guarantees 25 paying patients each calendar month. Miss a month and that month's management fee is refunded in full, and the patients stay with you. Miss the first three months and the launch fee is returned as well, and you keep the clinic. In their own words, the page is a marketing summary rather than the contract, and it is not a guarantee of profit, recurring revenue or a sale price.
The short version
$3,125 in year one, per website, and it stays fixed.
The timeline does shift, and it shifts based on documentation rather than money. Prepare the file and it takes two weeks. Expedite an unprepared file and it costs $2,500 for the same four months.