A2P 10DLC for Med Spas and Clinics

What does A2P 10DLC actually cost a med spa?#

Budget $76-$106 one-time plus $10-$15 per campaign per month. The Campaign Registry raised prices August 1, 2025: brand registration $4.50, standard vetting $41.50, enhanced vetting $101.50. Campaign verification adds $15.

• Two items catch clinics off guard. Campaign registration carries a three-month minimum with automatic renewal, so abandoned campaigns keep billing. Carrier surcharges stack on top: at 20,000 promo texts a month, surcharges alone run $50-$80 before the platform's per-message rate.

Why do med spa 10DLC campaigns get rejected?#

Human reviewers read samples, and med spa samples are packed with exact language carrier spam models were trained to catch. Procedure names, weight loss drugs, discount plus deadline all read as spam to someone who doesn't know you're a licensed clinic. Healthcare rejection runs 60-70% against 40% for general business.

• The patterns that sink aesthetic brands: procedure names like Botox, weight loss drugs like semaglutide, discount language plus urgency, vague opt-in docs, missing privacy policies, and campaigns mixing reminders, promos, and portals.
• Timelines are the real cost. Brand vetting takes 2-3 business days. First campaign review takes 3-10. Every rejection adds another 3-10 on resubmission. A two-week project becomes six weeks.

• Sample messages naming specific procedures like Botox or fillers, which trigger healthcare-adjacent review
• Weight loss copy mentioning semaglutide, tirzepatide, or HCG, which pattern-matches the compounded GLP-1 scam texts carriers have been filtering since 2025
• Discount language plus urgency, the classic "20% off this week only" promo structure
• Vague opt-in documentation with no screenshot of a real booking form and unchecked consent box
• A missing or non-compliant privacy policy on the live clinic website
• One campaign trying to carry reminders, promos, and portal logins together instead of splitting them

What carrier filtering does to your booking pipeline#

Approval isn't delivery. T-Mobile caps daily volume at the brand level based on vetting score. Most independent clinics land in the bottom tiers: sole proprietor 1,000/day, score 1-24 2,000/day, 25-49 10,000/day, 50-74 40,000/day, 75-100 200,000/day.

• Content filtering runs separately. A campaign cleared for marketing still gets individual messages dropped when the body mentions weight loss medications or reads too promotional. Your platform shows accepted, the patient never sees it, your front desk blames the offer, and you rewrite an offer that was never the problem.

• Sole proprietor: 1,000 messages per day
• Vetting score 1 to 24: 2,000 per day
• Vetting score 25 to 49: 10,000 per day
• Vetting score 50 to 74: 40,000 per day
• Vetting score 75 to 100: 200,000 per day

The iMessage path: book consults without the registration queue#

Blue Reacher sends blue-bubble iMessages from your CRM across the funnel, driving 2-3x cold email reply rates with no A2P registration, brand vetting score, campaign review, or per-segment surcharge.

• You get a dedicated line set up white-glove, native to GoHighLevel, HubSpot, Close, Salesforce, Pipedrive, Follow Up Boss, with Zapier, Make, n8n and API/webhooks. Send media and voice memos. Read receipts and typing indicators show if a consult offer was seen. Availability checking screens numbers before sending. Scheduled sends time outreach around clinic hours. STOP auto-detection handles opt-outs. Non-iMessage numbers fall back to RCS and then SMS.
• $249/month or $1,949/year (about $162.50/month). iMessages are unlimited, so a heavy month costs the same as a quiet one. The $449 activation is waived on annual. The leads add-on ($0.03/contact) is billed monthly.