Commentary

I'd Like A Prescription Against Prescription Meds TV Ads

Whether you lean right or left, everyone can probably agree that Oh-Oh-Oh-Ozempic is advertising too much. Our current Health and Human Services Secretary, Robert F. Kennedy Jr., has long criticized the practice of allowing pharmaceutical companies to advertise directly to consumers, which is legal only in the United States and New Zealand.

Despite RFK Jr's public position, imposing a total ban would face significant legal hurdles, including challenges related to corporate free speech. And there is a hefty lobby investment from the pharma industry.

According to the website Open Secrets, $16+ million was spent by Pharmaceuticals/Health Products PACs to candidates in the year 2023-2024, of which $7.1+ million went to Democrats and $8.8+ million to Republicans.

So any changes are likely to be complex and slow, if they happen at all, and we will have to continue to suffer from overkill in ad breaks for the foreseeable future.

How much overkill, you ask? Here is a stat from eMarketer:

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Approximately 1 million people in the United States have ulcerative colitis (UC), or around 1.0% of the population, though overall irritable bowel disease (IBD) estimates are higher, with some sources placing the total number of adults living with IBD (including UC and Crohn's disease) as high as 3.1 million. That is still a very small percentage. Yet ad spend for medicines for this category is ranked at number two, three and six on the above table.

In the U.S., around 31.6 million people (roughly 10% of the population) have some form of eczema. According to the National Psoriasis Foundation, approximately 8 million people, or roughly 3% of the population in the United States, have psoriasis.

Critics of pharma advertising often state that pharma ads routinely overemphasize benefits, only partially inform its audience, and create “pressure to prescribe” for doctors when there are cheaper, non-branded alternatives available. But given this is a marketing and advertising platform, let’s look at it from that angle.

I am going out on a limb here to say that if you are targeting less than 10% of the U.S. population, you have no reason to be spending money on broad-reaching media like network, cable or streaming TV. These are among the most expensive touchpoints you can buy as a marketer. Yes, it lends prestige and still delivers probably the most powerful connection with consumers, but the amount of waste these brands are willing to absorb seems out of proportion. Especially when there are much more cost-efficient alternatives available, even for video ads.

If conversion is your metric to apply, I am going to guess those numbers also look bad for TV/cable/streamer networks. But the most important metric -- “sheer, unfiltered hatred for the overkill frequency of these ads and the seemingly unlimited funds to advertise” -- is perhaps the most important one. If I was in charge of one of those brands, I would be a contrarian and schedule differently, both in choice of platform as well as frequency. But what do I know?

This post was previously published in an earlier edition of Marketing Insider.

2 comments about "I'd Like A Prescription Against Prescription Meds TV Ads".
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  1. Ed Papazian from Media Dynamics Inc, January 5, 2026 at 11:41 a.m.

    Maarten, several points.

    First and foremost, the purpose of prescription meds TV advertising is not only to target that very small number of people who at a particular moment in time have the disease in question, it's also to make many others who might at a later date have to confront the same situation aware of the product; also it's to encourage anyone who might care--say, because a friend or loved one has the disease----to ask their doctor about the medication. This can be a very helpful way to keep the MDs alert and aware.

    Re media cost efficiencies, cable remains the bargain basement media buy for virtually all advertisers and the same is true of daytime TV in general. Over and above that, there is the little matter of ad attentiveness. Use TV and you can be pretty sure that over time  your message will be seen; That's not a given with other media. 

  2. Frank Lampe from Lampe & Associates, January 5, 2026 at 1:12 p.m.

    Broad, expensive and incessant advertising. Yet another reason why Rx in the US is three to 10 times higher than in any other developed country. And someday, maybe, we'll get back to legislating that corporations are not citizens and have no right to supposed "free speech," including the industry's role in determining elections through lobbying and campaign financing.

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