Adam Pivko Reveals Direct Meds’ $850K/Day Telehealth Funnel: Offers, Affiliates & Meta Traffic 💊📈

$850K to $900K a day. 💰 That’s the revenue a telehealth brand is averaging, and its CMO says affiliates should start at the bottom of the funnel. 👇

In the latest episode of Inside A Hustler’s Brain, I caught up at Affiliate World Barcelona with Adam Pivko, Chief Marketing Officer at Direct Meds and co-founder of Autumn DNA, which Direct Meds acquired. 🎙️ Adam has spent around 18 years in internet marketing and now applies those skills to telehealth.

It’s a short episode, but it’s packed with numbers. 📊

📊 In this episode, we unpacked:

• 🇺🇸 Why the US is the only market for these offers
• 💊 Direct Meds’ offers ranked by daily orders
• 🧪 Why new offers are tested internally before affiliates get them
• 📱 Why Meta is the number one traffic source
• 🎯 Bottom-of-funnel, white hat strategy for affiliates
• 🔍 How Adam vets 870 affiliates
• 🤖 AI as a “no ego, endless energy intern”
• 🤝 Adam’s two love languages and giving back

🎥 Watch the full episode:

📊 Adam Pivko on Direct Meds by the Numbers

Here’s what Adam shared about the business:

• 👥 A team of 380 people
• 💰 Averaging $850K-$900K a day in revenue
• 🤝 870 affiliates, with about 160-170 active over a month and roughly 130 on any given day
• 🏆 Affiliates doing 200 sales a day at $400 CPAs, consistently, for years

Why only the US? Adam’s reasoning: it’s already the world’s biggest consumer of prescription medication, it has a large obese population, and it’s now comfortable with injectables. Put those together and it’s the US market. 🇺🇸

💊 The Offers: Beyond GLP-1

Direct Meds was previously very reliant on GLP-1. This year’s goal was to reduce that because the space has become very competitive. Adam’s ranking by scale:

• 🥇 GLP-1: still strongest, around 900-1,000 orders a day
• 🥈 NAD+ (anti-aging): around 700-800 orders a day
• 🥉 ED: around 500-600 orders a day
• 📈 HRT for perimenopausal and menopausal women: newer but picking up steam
• 💪 A muscle offer (sermorelin/tesamorelin) in internal testing only

He also mentioned that seven peptides were under FDA review for compounding. If they’re approved, Direct Meds plans to offer them from US manufacturers direct to consumers. 🧪

One principle stood out: “We don’t ask affiliates to solve our marketing problems.” New offers are tested and optimised on Direct Meds’ own paid media first, and only then rolled out to affiliates. ✅

📱 Why Meta Is the Number One Traffic Source

Adam’s answer was direct: Meta. It has the right demographics for these offers, and those users are used to seeing ads for these products and don’t need much education. 📲

He made a point non-US marketers might miss: in the US, a large share of TV commercials, bus stops and billboards are big pharma ads, but they have no call to action and no funnel. 📺 Big pharma already handles the top of the funnel.

You can do bottom-of-funnel, white hat, compliant marketing.

Adam Pivko

His advice for anyone starting with any telehealth brand: start bottom-of-funnel to warm up your pixel and get conversions, then expand into new angles and offers. 🎯 For more on scaling Meta campaigns, read Depesh Mandalia on making $25M with Facebook ads.

🔍 How Direct Meds Vets Affiliates

Adam likes face time, ideally in person or on video. 🤝 Beyond that, the data tells the story fast. Based on event metrics, he says they can usually tell within the first two or three sales whether your traffic is quality.

For another network’s view on affiliate quality, read Parul Bhargava on vCommission’s 100K+ affiliates. 📚

🤖 Treat AI Like an Intern

“If you’re not using AI, you’re going to get left in the dust,” Adam said. His framing is that AI is a “no ego, endless energy intern”. You need patience and feedback, and you can’t expect perfection on the first try. 🧑‍💻 He joked that their in-house “AI maestro” curses at AI all day.

Direct Meds has invested heavily in internal AI infrastructure and uses it for analytics, ideation, creation and research. 📈

For a contrasting story about what AI did to one affiliate’s income, read Anil Agarwal on how AI killed 80% of his affiliate income. ⚠️

💡 Adam’s Advice for Affiliates in 2026

Be patient. Affiliate marketing isn’t a get-rich-quick scheme anymore. It’s harder now, and you need a real understanding of data:

You got to be a data junkie or have AI be a data junkie for you.

Adam Pivko

Why does he keep going to conferences? After about 18 years in marketing, he says he now gets to apply those skills to products that really help people. In his view, too many marketers are doing well without selling products that genuinely help. 🙌 You sleep better at night, he said, when your marketing actually helps people.

🤝 Two Love Languages and Good Karma

Adam’s advice for making the world better came from his two “love languages”: giving people new experiences and making his friends money. 💸 He says he doesn’t do intros for commission. It’s about connecting good people with good people.

His number one advice: join communities, ask good questions, give value and give back. The more you give, the more you’ll get out of internet marketing. 🌱 For more on networking, read Olga Salmanova on making $10K a month through networking.

📝 Key Takeaways From the Adam Pivko Interview

• 🇺🇸 These prescription telehealth offers work in the US market
• 🧪 Strong brands test offers in-house before giving them to affiliates
• 📱 Meta is Adam’s number one traffic source
• 🎯 Start bottom-of-funnel to warm your pixel, then expand
• 🔍 Traffic quality shows within two or three sales
• 🤖 Treat AI as an intern: give feedback and be patient
• 🤝 Give value first. Communities pay you back

❓ FAQs About Adam Pivko

Who is Adam Pivko?

Adam Pivko is the Chief Marketing Officer of Direct Meds, a US telehealth platform, and co-founder of Autumn DNA, which Direct Meds acquired. He has about 18 years of experience in internet marketing.

How much revenue does Direct Meds make?

In this interview, Adam said Direct Meds averages around $850K-$900K a day in revenue, with a team of 380 people.

What are Direct Meds’ top offers?

Adam ranked GLP-1 first (around 900-1,000 orders a day), NAD+ second, ED third, followed by HRT and a muscle offer in internal testing.

What is the best traffic source for telehealth offers?

Adam said Meta is the number one traffic source. He recommends starting bottom-of-funnel because big pharma advertising already handles awareness.

What is Adam Pivko’s advice for new affiliates?

Be patient, because it’s not a get-rich-quick scheme, and become a data junkie or let AI analyse data for you.

🎙️ More Inside A Hustler’s Brain Interviews You’ll Love

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• How Darrel Wilson Makes 6-Figures With WordPress + Affiliate Marketing
• The Secret to SEO Agency Success in the LLM SEO / AI SEO World ft. Adam Chronister

If this conversation with Adam Pivko gave you even one idea, share it with a friend who needs it today. One conversation can change someone’s life. 💬

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