Facebook ad rules for practices: every rule, quoted from the official text

By Erik Jia, founder of Oak Reel · Updated November 4, 2026

145 rules that decide what a practice’s Facebook and Instagram ads may say, from Meta, federal agencies, 7 states and the professional codes, each quoted from the official text with its link and the date it was read. The newest reading is from November 4, 2026. Search it below or download the CSV.

The rules by practice area and issuer

Practice areaRulesMetaFederalStateProfessional codeManufacturer
Personal injury law141·103·
Criminal defense152·103·
Immigration law176551·
Family law142·75·
Estate planning144253·
Botox and fillers193105·1
IV therapy15285··
Weight loss and GLP-11586··1
Agency fees, by profession22·5125·
All145283659202

What the count shows: state rules outnumber Meta’s, but Meta’s are the ones an ad meets first, at review. And the same federal claims rules from the FTC sit under every health and aesthetics area, which is why a line like “no side effects” fails whether the ad is for IV drips, fillers or a weight loss program.

Search the rules

145 of 145 rules

AreaWhereWhat it means for an adQuoted from
Personal injury lawABA model ruleReal results may be mentioned only if the ad does not lead viewers to expect the same outcome.“may be misleading if presented so as to lead a reasonable person to form an unjustified expectation”ABA Model Rule 7.1, comment [3], read 2026-11-03
Personal injury lawABA model ruleEvery ad names at least one lawyer or firm responsible for it, with contact details.“must include the name and contact information of at least one lawyer or law firm responsible for its content”ABA Model Rule 7.2(d), read 2026-11-03
Personal injury lawABA model ruleA Facebook ad shown to the public is advertising, not solicitation; messaging one injured person is a different matter.“not a solicitation if it is directed to the general public, such as through a billboard, an Internet banner advertisement”ABA Model Rule 7.3, comment [1], read 2026-11-03
Personal injury lawTexas“No fee unless we win” must say in the same ad whether the client pays case expenses.“must state whether the client will be obligated to pay for other expenses, such as the costs of litigation”Texas Disciplinary Rules of Professional Conduct 7.02(c), read 2026-11-03
Personal injury lawFloridaThe same claim in Florida needs the fees and expenses the client could still owe.“all fees and expenses for which the client might be liable”Rules Regulating The Florida Bar 4-7.14(a)(7), read 2026-11-03
Personal injury lawCaliforniaCalifornia treats “no fee without recovery” as misleading unless costs are addressed.“expressly discloses whether or not the client will be liable for costs”California Rule of Professional Conduct 7.1, comment [3], read 2026-11-03
Personal injury lawColoradoColorado requires the same costs warning on contingency fee claims.“disclose that the client may be liable for costs”Colorado Rule of Professional Conduct 7.1(d), read 2026-11-03
Personal injury lawFloridaA re-enacted crash or an actor in the ad needs an on-screen disclaimer.“clear and conspicuous disclaimer that it is a dramatization”Rules Regulating The Florida Bar 4-7.13(b)(5)-(7), read 2026-11-03
Personal injury lawTexasA verdict later reduced or settled for less must be shown with what the client actually received.“the amount of money that was ultimately received by the client”Texas Disciplinary Rules of Professional Conduct 7.01(g), read 2026-11-03
Personal injury lawTexasTexas’s barratry law reaches a direct message to an accident victim within 30 days of the accident; a public ad is not that, but answering a comment about a crash by private message can be.“a direct message on a social media platform”Texas Penal Code 38.12(d)(2)(A), read 2026-11-03
Personal injury lawFloridaPaid social video ads are filed with the Bar before they run, at $250 each when filed on time.“at least 20 days prior to the lawyer’s first dissemination”Rules Regulating The Florida Bar 4-7.19(a), read 2026-11-03
Personal injury lawTexasTexas wants the ad filed within ten days after it starts running, with a $100 application fee.“no later than ten (10) days after the date of dissemination”Texas Disciplinary Rules of Professional Conduct 7.04(a), read 2026-11-03
Personal injury lawNew YorkNew York replaced its own advertising rule with ABA-style text on June 1, 2026, so older guides cite requirements that are gone, such as the “Attorney Advertising” label.“Rule 7.1 of the Rules of Professional Conduct is deleted in its entirety and is replaced with a new Rule 7.1”Joint Order of the Appellate Division, May 27, 2026, read 2026-11-03
Personal injury lawMetaMeta bars ads that imply they know a viewer’s medical information. “Injured in a crash?” reads that way, so Oak Reel’s checker blocks it; name the firm and the case type instead.“Imply knowledge of Medical information of a user or user’s family”Meta Advertising Standards: personal attributes, read 2026-11-03
Criminal defenseMetaMeta lists a criminal record among the attributes no ad may imply; its own rejected example is “Are you a convicted felon?”, so “Arrested?” and “Charged with a DUI?” are out. Name the service and the county instead.“membership in a trade union, criminal record, or name”Meta Advertising Standards: personal attributes, read 2026-11-03
Criminal defenseMetaA defense firm cannot promote bail bonds in its ads; Meta lists them as a prohibited loan product.“Promote Bail Bonds, which are loans that allow criminal defendants to get conditional release from custody”Meta Advertising Standards: financial and insurance products, read 2026-11-03
Criminal defenseABA model ruleA criminal case cannot be taken on contingency, so “no fee unless we win” has no place in a defense ad. Texas and Florida have the same rule.“a contingent fee for representing a defendant in a criminal case”ABA Model Rule 1.5(d)(2), read 2026-11-03
Criminal defenseTexasAn advertised flat fee has to be honored while the ad is reasonably expected to be seen, up to a year.“for the period during which the advertisement is reasonably expected to be in circulation”Texas Disciplinary Rules of Professional Conduct 7.02(d), read 2026-11-03
Criminal defenseTexasA message sent to a specific person, such as someone on a county arrest list, must be labeled an advertisement; on social media that is the first word. A public feed ad is not this kind of message.“not plainly marked or clearly designated an ‘ADVERTISEMENT’”Texas Disciplinary Rules of Professional Conduct 7.03(d)(2), read 2026-11-03
Criminal defenseFloridaFlorida has no waiting period for writing to people charged with a crime, unlike injury cases, but the letter or email must be marked as an advertisement.“clearly and conspicuously marked ‘advertisement’”Rules Regulating The Florida Bar 4-7.18(b)(2)(B), read 2026-11-03
Criminal defenseCaliforniaCalifornia requires the word “Advertisement” on any targeted message to someone known to need a lawyer for a particular matter.“known to be in need of legal services in a particular matter shall include the word ‘Advertisement’”California Rule of Professional Conduct 7.3(c), read 2026-11-03
Criminal defenseABA model rule“Certified” or “specialist” needs a real certification, and the ad names who granted it. ABA-accredited programs include criminal trial advocacy and DUI defense law.“the name of the certifying organization is clearly identified”ABA Model Rule 7.2(c), read 2026-11-03
Criminal defenseTexasTexas prescribes the exact wording for board certification. The Texas Board of Legal Specialization listed 764 lawyers certified in criminal law on 2026-11-03.“Board Certified, area of specialization -- Texas Board of Legal Specialization”Texas Disciplinary Rules of Professional Conduct 7.02(b)(1), read 2026-11-03
Criminal defenseFloridaA Florida ad may say “specialist” or “expert” only with a certification or a claim the lawyer can objectively verify.“the area of certification and the name of the certifying organization”Rules Regulating The Florida Bar 4-7.14(a)(4)-(5), read 2026-11-03
Criminal defenseFloridaResults must be checkable facts. The comment’s own acceptable example counts acquittals; it warns that “successful” can mean a plea to a lesser charge.“obtained acquittals in all charges in 4 criminal defense cases”Rules Regulating The Florida Bar 4-7.13(b)(2), comment, read 2026-11-03
Criminal defenseFloridaNaming a client’s dismissed charge needs that client’s informed consent, even though the case is public record.“in the public record does not obviate the need”Rules Regulating The Florida Bar 4-7.13, comment on client consent, read 2026-11-03
Criminal defenseABA model ruleWhat a firm learned in a former client’s case stays confidential in its marketing, unless the rules allow otherwise.“reveal information relating to the representation except as these Rules would permit”ABA Model Rule 1.9(c)(2), read 2026-11-03
Criminal defenseTexasA truthful result can still mislead if the ad suggests others will get the same outcome without explaining the facts.“without reference to the specific factual and legal circumstances”Texas Disciplinary Rules of Professional Conduct 7.01, comment 5, read 2026-11-03
Criminal defenseCaliforniaCalifornia bans any promise of success in a lawyer’s ad, video included.“A guarantee or warranty of success”California Business and Professions Code 6157.2(a), read 2026-11-03
Immigration lawMetaImmigration is one of Meta’s ten US social issues. An ad that discusses, debates or advocates on it needs Meta’s identity authorization and a “Paid for by” disclaimer; “We need immigration reform now!” is Meta’s own example.“Ads about immigration, with ad content that includes discussion, debate or advocacy for or against topics including but not limited to immigration and refugee status”Meta Business Help Center: How ads about social issues are reviewed, US examples that need authorization, read 2026-11-04
Immigration lawMetaA plain service ad from an immigration firm does not need authorization: Meta lists this line as an example that does not. Drop the word “expert” when you copy it; bar rules restrict it.“Contact our expert immigration lawyers. We can help with the hard cases. Call us for a consultation.”Meta Business Help Center: How ads about social issues are reviewed, US examples that do not, read 2026-11-04
Immigration lawMetaThe service-ad exception ends when the ad mentions a politician, a party, an election or a law. An ad about a new executive order or a named official goes through authorization even if it sells a consultation.“This doesn’t apply to products or services about or with mentions of politicians, political parties, elections or legislation.”Meta Business Help Center: Selling products or services, the exception for politics and legislation, read 2026-11-04
Immigration lawMetaTo count as a service ad, the video must show or name the service and end with a call to action such as “Book now” or “Contact us”. Meta says this review can take up to 72 hours.“For an ad to not be considered a social issue under our policy, the ad must also contain a call-to-action (CTA)”Meta Business Help Center: Selling products or services, the call to action, read 2026-11-04
Immigration lawMetaAn ad may not assert or imply the viewer’s race or ethnicity, so “Are you Latino?” is out. Immigration status is not on Meta’s list; Oak Reel still keeps “Undocumented?” out, because it addresses the viewer the same way and invites the social-issue review.“about a person’s race, ethnicity, religion, beliefs, age, sexual orientation or practices, gender identity”Meta Advertising Standards: personal attributes, read 2026-11-04
Immigration lawMetaNeither the ad nor its audience settings may discriminate by national origin. Running ads in the language your clients speak is fine; excluding or singling out people by country of origin is not.“race, ethnicity, color, national origin, religion, age, sex, sexual orientation”Meta Advertising Standards: discriminatory practices, read 2026-11-04
Immigration lawFederal (EOIR)Immigration courts and the Board of Immigration Appeals can discipline a lawyer for a misleading ad, in addition to the state bar. DHS applies the same grounds before USCIS (8 CFR 292.3(b)).“Knowingly or with reckless disregard makes a false or misleading communication about his or her qualifications or services.”8 CFR 1003.102(f), read 2026-11-04
Immigration lawFederal (EOIR)“Immigration specialist” needs a certification granted or approved by a state authority. Florida, Texas and California certify lawyers in immigration and nationality law.“shall not state or imply that the practitioner has been recognized or certified as a specialist in immigration or nationality law unless”8 CFR 1003.102(f)(2), read 2026-11-04
Immigration lawABA model ruleReal approvals may be mentioned only if the ad does not suggest the viewer’s case will go the same way. Approval rates and “cases won” need the facts behind them.“may be misleading if presented so as to lead a reasonable person to form an unjustified expectation”ABA Model Rule 7.1, comment [3], read 2026-11-04
Immigration lawUSCISUSCIS names a promise of a faster visa, green card or work permit as the mark of a scam, and says only USCIS decides on expediting. No ad should promise speed or connections.“They might also “guarantee” that you can get a visa, Green Card, or work permit faster if you pay a fee.”USCIS: Common scams, “Paying money for connections or jumping the line”, read 2026-11-04
Immigration lawUSCISUSCIS tells the public that only an attorney or a DOJ-accredited representative may give immigration legal advice. A firm’s ad can say the same thing, and explain how to check a lawyer with the state bar.“A notario público is not authorized to provide you with any legal services related to immigration.”USCIS: Common scams, “Notarios públicos”, read 2026-11-04
Immigration lawCaliforniaCalifornia bars immigration consultants from translating “notary public” as “notario” in any advertisement. Lawyers are outside the consultant law (22440), but a firm’s non-lawyer staff must never be presented with these titles.“the literal translation of the phrase “notary public” into Spanish as “notario publico” or “notario,” is expressly prohibited”California Business and Professions Code 22442.3(a), read 2026-11-04
Immigration lawTexasIn Texas a notary who advertises as a “notario”, including on radio or television, commits a crime. A lawyer licensed in Texas and in good standing is excepted (406.017(c)).“uses the phrase "notario" or "notario publico" to advertise the services of a notary public”Texas Government Code 406.017(a)(4), read 2026-11-04
Immigration lawFloridaA Spanish ad carries its required statements in Spanish; an ad in two languages carries them in both. Florida’s filing also needs an English translation of the non-English parts (4-7.19(h)(4)).“Any words or statements required by this subchapter to appear in an advertisement must appear in the same language in which the advertisement appears.”Rules Regulating The Florida Bar 4-7.12(c), read 2026-11-04
Immigration lawTexasTexas requires disclaimers in each language the ad uses, but “Hablamos español” on an English ad does not trigger a Spanish disclaimer.“made in each language used in the communication. A statement that a language is spoken or understood does not require a statement or disclaimer in that language.”Texas Disciplinary Rules of Professional Conduct 7.01(d), read 2026-11-04
Immigration lawFederal (EOIR)A recorded message to someone known to need immigration help says “Advertising Material” at its start and end, and flyers may not be handed out at an immigration court building. Ads shown to the public in a feed fall outside this rule.“may not be distributed by any person in or around the premises of any building in which an immigration court is located”8 CFR 1003.102(d), read 2026-11-04
Immigration lawFloridaImmigration is federal, so a lawyer admitted in another state may practice it from Florida, but every Florida-targeted ad must say so, for example “Not a Member of The Florida Bar”.“must include in all advertisements that the lawyer is “Not a Member of The Florida Bar””Rules Regulating The Florida Bar 4-7.11, comment, read 2026-11-04
Family lawMetaMeta’s list of attributes an ad may not imply has no marital status on it, so the word “divorce” is not the problem. Mental health and money trouble are on it: “Struggling since the split?” and “Can’t afford a lawyer?” read as claims about the viewer.“physical or mental health (including medical conditions), vulnerable financial status, voting status”Meta Advertising Standards: personal attributes, health and financial status, read 2026-11-04
Family lawMetaMeta’s own rejected example for money is a question about bankruptcy. Questions about the viewer’s debts, support payments or savings fail the same way, so describe the service instead.“Are you bankrupt? Check out our services.”Meta Advertising Standards: personal attributes, rejected example for financial status, read 2026-11-04
Family lawABA model ruleA fee may not depend on getting the divorce, or on how much alimony, support or property the client receives, so a family law ad cannot offer to work for a share of the outcome.“contingent upon the securing of a divorce or upon the amount of alimony or support, or property settlement in lieu thereof”ABA Model Rule 1.5(d)(1), read 2026-11-04
Family lawABA model ruleThe one opening is collecting support or alimony a court has already ordered. That work may be taken on contingency, so an ad for collecting back child support can say so.“the recovery of post-judgment balances due under support, alimony or other financial orders”ABA Model Rule 1.5, comment [6], read 2026-11-04
Family lawFloridaFlorida treats a bonus tied to the result, such as an extra fee for winning custody, as a forbidden contingent fee, so an ad cannot offer one.“fees that include a bonus provision or additional fee to be determined at a later time and based on results obtained”Rules Regulating The Florida Bar 4-1.5, comment on prohibited contingent fees, read 2026-11-04
Family lawTexasThe Texas rule itself bans contingent fees only in criminal cases. Its comment says they are rarely justified in family cases, so a Texas firm should not build an ad around one.“contingent fee arrangements in domestic relations cases are rarely justified”Texas Disciplinary Rules of Professional Conduct 1.04, comment 9, read 2026-11-04
Family lawNew YorkIn New York divorce, custody and support cases, a retainer cannot be nonrefundable. A minimum fee is allowed, so an ad that mentions a retainer must not say the firm keeps it whatever happens.“An attorney shall not enter into an arrangement for, charge or collect a nonrefundable retainer fee from a client.”22 NYCRR 1400.4 (domestic relations matters), read 2026-11-04
Family lawABA model ruleReplying to an ad comment or a Messenger text is written contact the person can ignore. Phoning or video-calling someone who has not asked is the live solicitation the rules restrict.“does not include chat rooms, text messages or other written communications that recipients may easily disregard”ABA Model Rule 7.3, comment [2], read 2026-11-04
Family lawFloridaA Florida firm may not write to the person named in a petition for a protective injunction until that person has been served.“concerns a request for an injunction for protection against any form of physical violence and is addressed to the respondent”Rules Regulating The Florida Bar 4-7.18(b)(1)(G), read 2026-11-04
Family lawFloridaA letter or email sent because a divorce or custody case was filed must say how the firm learned of it.“must disclose how the lawyer obtained the information prompting the communication”Rules Regulating The Florida Bar 4-7.18(b)(2)(G), read 2026-11-04
Family lawABA model ruleOne lawyer cannot represent both spouses once one makes a claim against the other in court, so “one lawyer for both of you” does not belong in a divorce ad.“does not involve the assertion of a claim by one client against another client represented by the lawyer in the same litigation”ABA Model Rule 1.7(b)(3), read 2026-11-04
Family lawCaliforniaA California lawyer may say the practice is limited to family law without any certificate. “Certified family law specialist” needs the State Bar’s Board of Legal Specialization or an accredited body, named in the ad.“that his or her practice specializes in, is limited to, or is concentrated in a particular field of law”California Rule of Professional Conduct 7.4(b), read 2026-11-04
Family lawABAOutside the state boards, the ABA-accredited family certification is the National Board of Trial Advocacy’s Family Law Trial Advocacy. Texas, Florida and California each certify family lawyers themselves.“Civil Practice Advocacy, Civil Trial Law, Criminal Trial Advocacy, Complex Litigation, Family Law Trial Advocacy”ABA Standing Committee on Specialization: accredited private programs, read 2026-11-04
Family lawFloridaA former divorce client may speak in an ad about how the firm treated them if it is their own experience, unpaid and not written by the firm, with a line that results differ.“that does not include the disclaimer that the prospective client may not obtain the same or similar results”Rules Regulating The Florida Bar 4-7.13(b)(9), read 2026-11-04
Estate planningMetaMeta lets an ad name its audience but not tell viewers their age. “Meet seniors” is an allowed example; “Meet other seniors” and “Are you 18 years old?” are rejected. “Estate planning for retirees” passes; “Over 65?” does not.“Meet other seniors”Meta Advertising Standards: personal attributes, rejected example for age, read 2026-11-04
Estate planningMetaMeta rejects ads that imply someone in the viewer’s family is ill, so “Has Mom been diagnosed?” or “Dad showing signs of dementia?” is out. Explain what a power of attorney does instead.“Don’t wait!! Get your spouse treated for cancer today with help from our medical experts.”Meta Advertising Standards: personal attributes, rejected example for health, read 2026-11-04
Estate planningMetaIf Meta files an ad under financial products and services, as it would an ad selling annuities or life insurance, age targeting is fixed at 18 to 65+ and ZIP codes are not allowed, so the ad can no longer be aimed at retirees.“Options are generally fixed to include ages 18 through 65+ for housing, employment, and financial products and services ads.”Meta Marketing API: special ad categories, read 2026-11-04
Estate planningMetaUS ads may not promote investments, even as education, unless the advertiser is a verified brokerage or licensed adviser. An estate planning video stays on documents, not on where to invest.“Promote any investment products or opportunities, including in the context of educational or informational content”Meta Advertising Standards: financial and insurance products, investment restriction, read 2026-11-04
Estate planningCaliforniaA California lawyer who also sells annuities, life or long-term care insurance to an older client must first give a separate signed disclosure of the commission, so a trust ad is no place to pitch an annuity.“The disclosure states that the lawyer shall receive a commission and sets forth the amount of the commission”California Business and Professions Code 6175.3(c), read 2026-11-04
Estate planningFTCThe FTC charged living trust sellers with claiming a trust avoids all probate costs, cannot be challenged and suits everyone. An ad says what a trust does in the firm’s state, not that it always beats probate.“misrepresented that a living trust avoids all probate and administrative costs”FTC prepared statement on living trust scams, July 11, 2000, read 2026-11-04
Estate planningFTCA sale signed at a restaurant or hotel seminar, from $130, falls under the three-day right to cancel, and sellers must tell buyers orally and in writing. The FTC’s 2000 statement on living trust sales applied the rule to estate planning; whether it reaches a law firm’s own engagement is not settled.“such as hotel or motel rooms, convention centers, fairgrounds and restaurants”16 CFR 429.0(a), FTC Cooling-Off Rule, read 2026-11-04
Estate planningFloridaSpeaking at a seminar does not make attendees prior professional contacts, so a Florida lawyer cannot phone them afterward to sign them up. They call the firm, or it writes to them marked as an advertisement.“a lawyer who speaks at a seminar does not develop a professional relationship”Rules Regulating The Florida Bar 4-7.18, comment on prior professional relationship, read 2026-11-04
Estate planningTexasIn Texas, preparing a will or trust is the practice of law, so only a lawyer may advertise to draft one. Form kits are legal only if they say plainly that they are no substitute for a lawyer.“such as preparing a will, contract, or other instrument, the legal effect of which under the facts and conclusions involved must be carefully determined”Texas Government Code 81.101(a), read 2026-11-04
Estate planningABA model ruleA married couple’s wills can put the two spouses’ interests at odds. A couples’ plan ad is fine, but the firm explains at the first meeting that it represents both of them together.“prepare wills for several family members, such as husband and wife, and, depending upon the circumstances, a conflict of interest may be present”ABA Model Rule 1.7, comment [27], read 2026-11-04
Estate planningABA model ruleAn ad may invite adult children to call about a parent’s plan, but the parent is the client. If a child pays, the parent must agree, and the lawyer’s judgment stays the parent’s.“shall not accept compensation for representing a client from one other than the client unless: (1) the client gives informed consent”ABA Model Rule 1.8(f), read 2026-11-04
Estate planningFloridaA Florida lawyer named executor in a will the lawyer drafted is paid for serving only after giving the statutory disclosures, acknowledged in writing by the client, before the will is signed.“is not entitled to compensation for serving as a personal representative if the attorney prepared or supervised the execution of the will”Florida Statutes 733.617(8), read 2026-11-04
Estate planningTexasIn Texas, membership in a group whose name implies special skill, such as an “academy” or “college” of estate lawyers, may be advertised only if the Texas Board of Legal Specialization has accredited that group.“a member of an organization the name of which implies that its members possess special competence”Texas Disciplinary Rules of Professional Conduct 7.02(b)(2), read 2026-11-04
Estate planningABAThe ABA-accredited private certifications for this work are Estate Planning Law (National Association of Estate Planners & Councils) and Elder Law (National Elder Law Foundation). Texas, Florida and California also certify estate lawyers themselves.“National Association of Estate Planners & Councils Specialty Program: Estate Planning Law”ABA Standing Committee on Specialization: accredited private programs, read 2026-11-04
Botox and fillersMetaMeta names injectables and dermal fillers among the cosmetic procedures it accepts in ads, so a US practice can advertise them; the UK ban does not apply. The audience must be set to 18 or older.“dermal fillers, skin rejuvenation treatments, injectable treatments, chemical peels, micro-needling”Meta Advertising Standards: Health and Wellness, cosmetic procedures, read 2026-11-04
Botox and fillersMetaAge is a personal attribute too. Meta allows “fight wrinkles” when it describes the product, and rejects a line that speaks to the viewer’s own age or skin.“Ready to upgrade your skin to look younger?”Meta Advertising Standards: personal attributes, age examples, read 2026-11-04
Botox and fillersMetaMeta’s certification duty for prescription drugs names online pharmacies, telehealth companies and manufacturers. The text does not say how it treats a clinic ad that names a toxin brand, so an ad about the treatment and the injector is the safer shape.“Online pharmacies, telehealth providers, and pharmaceutical manufacturers must provide evidence that they are appropriately licensed”Meta Advertising Standards: Drugs and Pharmaceuticals, prescription drugs, read 2026-11-04
Botox and fillersFDABOTOX Cosmetic is approved in adults for four areas: frown lines between the brows, crow’s feet, forehead lines and, since October 2024, neck (platysma) bands. An ad should not present another area, such as a lip flip or jawline, as FDA approved.“Moderate to severe platysma bands associated with platysma muscle activity”BOTOX Cosmetic Prescribing Information, indications (revised 10/2024), read 2026-11-04
Botox and fillersFDAFDA approvals for fillers start at age 22, four years above Meta’s minimum, so filler ads can set their youngest age at 22.“The FDA has approved dermal fillers for use in adults 22 years of age or older”FDA: Dermal Fillers (Soft Tissue Fillers), approved uses, read 2026-11-04
Botox and fillersFDAThe FDA advises against filler for the buttocks or breasts, and lists the nose, forehead and area between the brows as unapproved, so a “non-surgical BBL” or “liquid nose job” ad promotes an unapproved use.“The FDA recommends against using dermal fillers or any injectable filler for body contouring and enhancement”FDA: Dermal Fillers (Soft Tissue Fillers), unapproved uses, read 2026-11-04
Botox and fillersFDAEvery botulinum toxin, not only Botox, carries a boxed warning that its effect can spread beyond the injection site. “Zero risk” or “completely safe” cannot be true of any brand.“The effects of BOTOX Cosmetic and all botulinum toxin products may spread from the area of injection”BOTOX Cosmetic Prescribing Information, boxed warning, read 2026-11-04
Botox and fillersFTCIf the ad calls a treatment safe, in words or by implication, the FTC expects it to give the significant risks as well. Describing the appointment avoids making the claim at all.“advertising that makes either an express or implied safety representation should include information about any significant safety risks”FTC Health Products Compliance Guidance (December 2022), disclosures, read 2026-11-04
Botox and fillersFederal lawThe federal duty to print a drug’s risks in every ad falls on its manufacturer, packer or distributor. A practice that buys and injects is not named, though the FTC and the state board still judge its ads.“the manufacturer, packer, or distributor thereof includes in all advertisements and other descriptive printed matter”Federal Food, Drug, and Cosmetic Act, 21 U.S.C. 352(n), read 2026-11-04
Botox and fillersFDACounterfeit Botox reached patients in several states in 2024, and the FDA tells patients to ask where the product came from. An ad can answer that before anyone asks.“Confirm with your health care professional that you are receiving a product from an authorized source.”FDA drug alert: Counterfeit Version of Botox Found in Multiple States (2024-04-16), read 2026-11-04
Botox and fillersCaliforniaIn California a physician injects, or a registered nurse or physician assistant under a physician’s supervision. An ad that films a medical assistant or esthetician injecting shows unlicensed practice.“No unlicensed persons, such as medical assistants, may inject Botox.”Medical Board of California, Cosmetic Treatments FAQ, read 2026-11-04
Botox and fillersTexasA Texas med spa where nurses inject under standing orders away from the physician’s main office must disclose the physician’s directorship or supervision in its advertising.“failing to disclose medical directorship, supervision of, or delegation to non-physicians at a location that is not the physician's primary practice location”Texas Medical Board, 22 Tex. Admin. Code 164.3(b)(8), read 2026-11-04
Botox and fillersFloridaA Florida ad that names the injector must give the license with it: “Maria Lopez, RN”, “Dr. Chen, MD”. A first name alone is not enough.“Any advertisement for health care services naming the practitioner must identify the type of license the practitioner holds.”Florida Statutes 456.072(1)(t), read 2026-11-04
Botox and fillersCaliforniaCalifornia accepts a price like “$12 a unit” only if it is exact and includes the injection itself. “From $10 a unit” and “as low as” are out.“Any price advertisement shall be exact, without the use of phrases, including, but not limited to, “as low as,” “and up,” “lowest prices,””California Business and Professions Code 651(c), read 2026-11-04
Botox and fillersFloridaA Florida ad for a discounted or free treatment, physician or nurse alike, must carry this full statement in capital letters, set apart from the other text.“THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED”Florida Statutes 456.062, read 2026-11-04
Botox and fillersFDAA unit of one toxin brand is not a unit of another, so a per-unit price set beside a competitor’s, or across brands, compares figures that do not measure the same thing.“Potency Units of BOTOX Cosmetic cannot be compared to or converted into Units of any other preparations of botulinum toxin products”BOTOX Cosmetic Prescribing Information, warnings and precautions 5.1, read 2026-11-04
Botox and fillersAllergan AestheticsBOTOX is Allergan’s trademark. Say “Botox” only for Botox: its maker calls a Botox special filled with another toxin battery, and a practice that uses Dysport or Xeomin names that brand.“Advertising discounted prices on BOTOX® Cosmetic (onabotulinumtoxinA) and instead administering a different neurotoxin or counterfeit product without consent is considered battery”Allergan Aesthetics, “Unauthorized Product: The Risks Are Real” (2025), read 2026-11-04
Botox and fillersFTCA client’s dramatic result in an ad has to come with what clients usually see; a small “results not typical” line does not fix it.“attempts to disclaim dramatic results with statements like “Results not typical” don’t cure the deception”FTC Health Products Compliance Guidance (December 2022), testimonials, read 2026-11-04
Botox and fillersFTC“$50 off your next visit for a 5-star review” is banned. Asking every client for an honest review, with or without a thank-you, is not.“conditioned expressly or by implication on, the writing or creation of consumer reviews expressing a particular sentiment”FTC Rule on Consumer Reviews and Testimonials, 16 CFR 465.4, read 2026-11-04
IV therapyMetaA hook cannot suggest the viewer feels ill or rundown; Meta’s own rejected example is “Do you have diabetes?”. Name the drip and the clinic instead of the viewer’s symptoms.“In addition, ads must not contain content that asserts or implies personal attributes.”Meta Advertising Standards: personal attributes, read 2026-11-04
IV therapyMetaMeta rejects any ad claiming to cure cancer, diabetes or the other incurable diseases it lists, even when a physician says it on camera.“(including those from health professionals or health organizations) to cure, heal, or eliminate any of the following incurable diseases”Meta Advertising Standards: Health and Wellness, incurable diseases, read 2026-11-04
IV therapyFTCThe FTC’s first IV therapy case, in 2018, charged a Texas IV bar for claiming its drips treated cancer, heart failure, multiple sclerosis, diabetes and fibromyalgia.“are an effective treatment for cancer”FTC complaint, In the Matter of A & O Enterprises (iV Bars), Count I ¶12, read 2026-11-04
IV therapyFTC“Immunity” drip names drew an FTC cease-and-desist letter in 2021, copied to Facebook and Instagram, because the clinic tied them to preventing COVID-19.“We have determined that you are unlawfully advertising that IV Vitamin Therapy treats or prevents Coronavirus Disease 2019 (COVID-19).”FTC cease-and-desist letter to IVita Drip Therapy, 2021-08-19, read 2026-11-04
IV therapyFTCSpeed is a claim too. Next to copy promising to “detoxify” cells for “often instant results”, the FTC charged the promise of fast, lasting results.“This allows us to detoxify, nourish and rehydrate our cells from the inside out for dramatic, long-lasting and often instant results.”FTC complaint, iV Bars, ¶6.D (the website copy the FTC quoted), read 2026-11-04
IV therapyFTC“Hangover cure” appears in the FTC’s description of what the IV bar sold. It was not one of the charged claims, but a cure claim still needs evidence; describe the fluids and the visit instead.“Respondents also touted their iV Cocktails as hangover cures and a way to replenish fluids and essential vitamins and minerals.”FTC complaint, iV Bars, ¶3, read 2026-11-04
IV therapyFTCAny claim that an IV prevents, treats or cures a disease is unlawful without competent and reliable scientific evidence in hand when the ad runs.“to advertise that a product or service can prevent, treat, or cure human disease unless you possess competent and reliable scientific evidence”FTC cease-and-desist letter to IVita Drip Therapy, page 3, read 2026-11-04
IV therapyFTCFor a health benefit, the FTC expects human clinical trials, not lab studies of one vitamin or a nurse’s experience.“substantiation of health-related benefits will need to be in the form of randomized, controlled human clinical testing”FTC Health Products Compliance Guidance, read 2026-11-04
IV therapyFTCPatient stories and studies of single ingredients at other doses did not count as support for the IV bar’s claims.“consists of anecdotal stories of iV therapy patients and studies and articles regarding individual active ingredients”FTC complaint, iV Bars, ¶10, read 2026-11-04
IV therapyArkansasOne state nursing board’s own publication says wellness IV drips lack an evidence base, so benefit claims will be read sceptically. This is board guidance in its newsletter, not a rule.“Currently, the practice of IV spa hydration is not evidence based.”Arkansas State Board of Nursing, ASBN Update, “IV Spa Hydration, Should I Be Doing This?”, read 2026-11-04
IV therapyFTC“Safe for everyone” and “no side effects” were both charged. The complaint lists infection, allergic reactions and drug interactions among the risks, so an ad names the screening instead.“The safety risks and potential complications from Respondents’ iV treatments include infection, hypersensitivity and other allergic reactions, drug interactions”FTC complaint, iV Bars, ¶11 (and Count I ¶12.H-I), read 2026-11-04
IV therapyTexasSince 2025-09-01, Texas law treats a wellness drip as temporary relief or temporary wellness, and it may be given by a physician, or by a PA, APRN or RN under a physician’s delegation. Wording that promises more than temporary relief goes past the law’s own description.“sought by the patient to alleviate symptoms of temporary discomfort or improve temporary wellness”Texas Occupations Code 172.001(2) (HB 3749, “Jenifer’s Law”), read 2026-11-04
IV therapyTexasThe person a Texas ad shows placing the line has to be one of the licensed roles the law names, never an LVN, EMT, paramedic or assistant.“LVNs, EMTs, paramedics and unlicensed persons may not be delegated these services.”Texas Board of Nursing Position Statement 15.3 (2026), read 2026-11-04
IV therapyOhioOhio’s three boards say a drip menu chosen by protocol or standing order is not authorized, so an Ohio ad should not show a pick-your-bag menu.“The use of protocols (sometimes referred to as standing orders) for the recommendation, compounding, and administration of IV medications is not authorized under Ohio law.”Ohio joint regulatory statement on retail IV therapy clinics (2025-05-15), protocols, read 2026-11-04
IV therapyOhioIn Ohio a nurse or paramedic may not recommend the drip; a physician, PA or APRN decides. An ad showing the nurse picking the bag shows something the boards call unlawful.“Only a physician, PA, or APRN has the statutory authority to diagnose a patient’s condition and to make the decision to provide medication”Ohio joint regulatory statement on retail IV therapy clinics (2025-05-15), diagnosis and recommendation, read 2026-11-04
Weight loss and GLP-1MetaAn ad that promotes semaglutide or tirzepatide needs LegitScript certification and Meta’s written permission first; telehealth programs and online pharmacies both need it.“Meta requires online pharmacies and telehealth providers to be actively certified with LegitScript.”Meta Advertising Standards: Drugs and Pharmaceuticals, certification, read 2026-11-04
Weight loss and GLP-1MetaA certified advertiser’s drug ad must also tell viewers to see a licensed professional or get a prescription, and may run only in the US, Canada or New Zealand, to adults.“include a disclaimer to consult a licensed health professional or obtain a valid prescription”Meta Advertising Standards: Drugs and Pharmaceuticals, disclaimer, read 2026-11-04
Weight loss and GLP-1MetaEducation about prescription medicines needs no written permission. A physician explaining how this class of medicine works, without selling it, is the uncertified route; Meta decides what counts as selling.“Educate, advocate or give public service announcements related to prescription drugs”Meta Advertising Standards: Drugs and Pharmaceuticals, ads that need no written authorization, read 2026-11-04
Weight loss and GLP-1MetaA prescription weight-loss program answers to two Meta policies at once: the weight-loss rules below and the prescription drug rules above.“For weight loss products that require prescription, please refer to Drugs and Pharmaceuticals ads policy”Meta Advertising Standards: Health and Wellness, prescription weight loss, read 2026-11-04
Weight loss and GLP-1MetaEvery weight-loss ad, with or without medication, is shown only to adults.“must be targeted to people at least 18 years or older”Meta Advertising Standards: Health and Wellness, age, read 2026-11-04
Weight loss and GLP-1MetaNo hook may question or criticise the viewer’s body, so “Struggling with your weight?” and “Hate your stomach?” are out. Talk about the program, not the person watching.“terms, descriptions, or questions that are negative and attack an individual's appearance, specific body parts, or hygiene”Meta Advertising Standards: Health and Wellness, statements of inferiority, read 2026-11-04
Weight loss and GLP-1Meta“Lose 20 pounds in 8 weeks” is the shape Meta bans unless qualified; a number of pounds tied to a number of weeks needs a qualifier, and sensational wording is out entirely.“promises of specific outcomes within a set timeframe without disclaimers or qualifiers”Meta Advertising Standards: Health and Wellness, clickbait, read 2026-11-04
Weight loss and GLP-1FDACalling a compounded medicine “generic Ozempic”, or the same as an approved drug, is a claim the FDA lists as false or misleading.“describing a compounded drug as a generic version of an FDA-approved drug or the same as a drug approved by FDA”FDA: what telehealth companies should know when promoting compounded drugs, read 2026-11-04
Weight loss and GLP-1FDACompounded semaglutide or tirzepatide is never “FDA-approved”, and an ad may not suggest the FDA has checked it.“the agency does not review compounded drugs for safety, effectiveness or quality before they are marketed”FDA: concerns with unapproved GLP-1 drugs used for weight loss, read 2026-11-04
Weight loss and GLP-1FDAPutting a brand name such as Mounjaro or Ozempic beside a compounded product implies sameness; the FDA cited exactly that in a 2025 warning letter.“Your claims imply that your products are the same as an FDA-approved product when they are not.”FDA warning letter to GLP-1 Solution, 2025-09-09, read 2026-11-04
Weight loss and GLP-1Novo NordiskThe brand names belong to the drugmakers, who have sued med spas and clinics over them. Name what the clinic offers in its own words.“by enforcing our patents and trademarks and other laws whenever it is effective in mitigating illicit compounding.”Novo Nordisk: our position on illicit compounding of semaglutide, read 2026-11-04
Weight loss and GLP-1MetaMeta does not ban showing results for adults; its allowed example shows a product’s impact and the time it took. The FTC rules below decide whether those results are honest.“The ad can illustrate people using the product or the service, and its impact of using it”Meta Advertising Standards: Health and Wellness, allowed weight-loss examples, read 2026-11-04
Weight loss and GLP-1FTCAn average-loss figure needs records behind it. The FTC’s 2025 order against a GLP-1 telehealth firm followed claims of 53 pounds on average and photos of people who were never clients.“requires competent and reliable evidence to support claims about the average or typical results users will achieve”FTC press release on NextMed, 2025-07-14, read 2026-11-04
Weight loss and GLP-1FTCA real patient’s story still implies a typical result, so the ad must say what patients generally lose.“should clearly and conspicuously disclose the generally expected performance in the depicted circumstances”FTC Endorsement Guides, 16 CFR 255.2(b), read 2026-11-04
Weight loss and GLP-1FTCA monthly price that leaves out the medicine, labs or the visit is deceptive; the same FTC case charged it.“without adequately disclosing that the price did not include the cost of the actual GLP-1 drug”FTC press release on NextMed, 2025-07-14, pricing, read 2026-11-04
Agency fees, by professionABA model ruleA lawyer may not pay anyone for recommending the lawyer, but may pay the reasonable cost of advertising. A fixed fee for making and running ads is that cost.“pay the reasonable costs of advertisements or communications permitted by this Rule”ABA Model Rule 7.2(b)(1), read 2026-11-04
Agency fees, by professionABA model rulePaying per lead is allowed under the model rule only if the seller does not recommend the lawyer, and the payment must also respect the fee-sharing rule (5.4).“A lawyer may pay others for generating client leads, such as Internet-based client leads, as long as the lead generator does not recommend the lawyer”ABA Model Rule 7.2, Comment [5], read 2026-11-04
Agency fees, by professionABA model ruleA marketer paid a percentage of the firm’s fees or a cut of each settlement is sharing legal fees; none of the rule’s exceptions covers a marketing company. Some states have changed their version of this rule.“A lawyer or law firm shall not share legal fees with a nonlawyer”ABA Model Rule 5.4(a), read 2026-11-04
Agency fees, by professionNew York (state bar ethics opinion)New York’s state bar ethics committee accepted a per-lead fee because it stays the same whether or not the person hires the lawyer. A fee per retained client fails that test. Opinions advise; they do not bind.“the fee does not vary depending on whether the lead results in retention of the lawyer”NYSBA Committee on Professional Ethics, Opinion 1131 (2017), ¶2, read 2026-11-04
Agency fees, by professionTexasTexas bars paying a nonlawyer for soliciting or referring clients (7.03(e)), but allows reasonable fees for advertising. Paying someone to solicit employment is also the crime of barratry (Penal Code 38.12(a)(4)).“This Rule does not prohibit a lawyer from paying reasonable fees for advertising and public relations services”Texas Disciplinary Rules of Professional Conduct 7.03(e)(1), read 2026-11-04
Agency fees, by professionFloridaIn Florida a company paid for leads is a “qualifying provider”. A lawyer may use one only if, among other conditions, it takes no fee that is a division or sharing of fees (4-7.22(d)(2)).“providing tips or leads for prospective clients to lawyers or law firms”Rules Regulating The Florida Bar 4-7.22(b)(4), read 2026-11-04
Agency fees, by professionFederalPaying anything to induce referrals of patients whose care Medicare, Medicaid or another federal program may pay for is a federal felony. Fees that rise with patients delivered are where the question starts.“offers or pays any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind to any person to induce such person”Anti-Kickback Statute, 42 U.S.C. 1320a-7b(b)(2), read 2026-11-04
Agency fees, by professionFederal (OIG advisory opinion)The HHS Inspector General has said a marketer paid a percentage of a practice’s revenue may be receiving prohibited pay. An advisory opinion binds only the party that asked.“Percentage compensation arrangements for marketing services may implicate the anti-kickback statute.”HHS OIG Advisory Opinion 98-4 (1998), read 2026-11-04
Agency fees, by professionTexasTexas makes paying for securing patients a crime for every state health licensee, whoever pays for the care. Advertising itself is not barred unless false or misleading (102.004), and federal safe harbors carry over (102.003).“any remuneration in cash or in kind or any benefit or commission to or from another for securing or soliciting a patient or patronage”Texas Occupations Code 102.001(a) (Patient Solicitation Act), read 2026-11-04
Agency fees, by professionFloridaFlorida’s Patient Brokering Act covers every payer, not only Medicare, and has no general exception for advertising. A per-patient or split-fee deal with a marketer is the shape it targets.“or engage in any split-fee arrangement, in any form whatsoever, to induce the referral of a patient or patronage to or from a health care provider”Florida Statutes 817.505(1)(a), read 2026-11-04
Agency fees, by professionCaliforniaCalifornia bars paying for referrals (650(a)), but internet advertising and appointment booking are not referrals if the service does not recommend or endorse a specific provider.“shall not constitute a referral of a patient if the internet-based service provider does not recommend or endorse a specific licensee to a prospective patient”California Business and Professions Code 650(h), read 2026-11-04
Agency fees, by professionCaliforniaCalifornia allows percentage pricing for services other than referral, but only when the amount matches the value of the work. A violation of section 650 is a crime.“based on a percentage of gross revenue or similar type of contractual arrangement shall not be unlawful if the consideration is commensurate with the value of the services furnished”California Business and Professions Code 650(b), read 2026-11-04
Agency fees, by professionNew YorkFor New York physicians, letting a marketer share in fees is professional misconduct, and so is paying a third party for referring a patient (6530(18)).“Permitting any person to share in the fees for professional services, other than: a partner, employee, associate in a professional firm or corporation”New York Education Law 6530(19), read 2026-11-04
Agency fees, by professionADA codeThe ADA treats paying a marketer a share of patient fees as fee splitting, coupon deals included. It warns that state law may add more.“sharing a specified portion of the professional fees collected from prospective or actual patients with the vendor providing the advertising or marketing services is engaged in fee splitting”ADA Principles of Ethics and Code of Professional Conduct, Advisory Opinion 4.E.1, read 2026-11-04
Agency fees, by professionTexasTexas dentists may pay for advertising and marketing if the fee is set in advance, at fair market value and not based on patient referrals. A fee that rises with each patient fails the last test.“provided the remuneration is set in advance, is consistent with the fair market value of the services, and is not based on the volume or value of any patient referrals”22 Texas Administrative Code 108.58(c) (mirror: Cornell LII), read 2026-11-04
Agency fees, by professionColoradoColorado is the exception: its dental practice act lets a dentist pay an independent marketing agent per patient. Federal kickback law still applies to federally paid care.“including compensation that is based on the results or performance of the services on a per-patient basis”Colorado Revised Statutes 12-220-201(1)(v)(I) (mirror: colorado.public.law), read 2026-11-04
Agency fees, by professionTexasTexas barratry law names chiropractors and every health licensee, so paying someone to solicit patients for them is a crime. Its definition of soliciting excludes advertising through public media (38.01(11)).““Professional” means an attorney, chiropractor, physician, surgeon, private investigator, or any other person licensed, certified, or registered by a state agency that regulates a health care profession.”Texas Penal Code 38.01(12), applied by 38.12(a)(4), read 2026-11-04
Agency fees, by professionACA codeCounselors bound by the ACA code may not split fees or pay or take commissions for client referrals. A fee per client or a share of session fees to a marketer is the risky shape; plain advertising is not addressed.“Counselors do not participate in fee splitting, nor do they give or receive commissions, rebates, or any other form of remuneration when referring clients for professional services.”ACA Code of Ethics (2014), A.10.b, read 2026-11-04
Agency fees, by professionFederalRESPA bars paying or taking a fee for referring settlement business on a federally related mortgage loan, and Regulation X counts an agent’s services as settlement services (12 CFR 1024.2). A referral fee per closing is the risky shape.“No person shall give and no person shall accept any fee, kickback, or thing of value pursuant to any agreement or understanding, oral or otherwise”RESPA Section 8(a), 12 U.S.C. 2607(a), read 2026-11-04
Agency fees, by professionFederal (CFPB guidance)The CFPB separates marketing from referrals: ads aimed at a wide audience are a paid service, while payments based on the number of referrals are not.“a marketing service is not directed to a person; rather, it is generally targeted at a wide audience.”CFPB RESPA FAQs, Section 8: Marketing Services Agreements, read 2026-11-04
Agency fees, by professionTexasIn Texas only license holders may be paid a commission for broker work, so an unlicensed marketing company cannot take a share of commissions for it. A fee for advertising is a separate question.“A licensed broker may not pay a commission to or otherwise compensate a person directly or indirectly for performing an act of a broker unless the person is”Texas Occupations Code 1101.651(a), read 2026-11-04
Agency fees, by professionFederalFor practices with federally paid patients, the safe harbor for agency pay needs a signed written agreement of at least one year and pay set in advance at fair market value, not based on referrals. A fixed monthly fee fits; per patient and percentage do not.“is not determined in a manner that takes into account the volume or value of any referrals or business otherwise generated between the parties”42 CFR 1001.952(d)(1)(iv), read 2026-11-04

Using and citing the data

The CSV has one row per rule: area, issuer, where, topic, the rule in plain words, the quote, its source and link, the date read, and the Oak Reel page that explains it. The quotes belong to their publishers; the summaries and the compilation are Oak Reel’s. Quote them freely with a link to this page. To cite: Oak Reel, “Facebook ad rules for practices”, www.oakreel.com/ad-rules, accessed on the day you read it.

Each practice area has its own page that applies the rules to ads, with lead costs and ad ideas; Oak Reel’s ad checker tests copy against the rules that can be checked automatically. Found a rule that changed? Erik corrects it and dates the change.