$1.81M in Performance Supplement Sales on Meta — $4.44 CPP, 26x ROAS, 18 Months
One campaign is a test. Eighteen months across three ad accounts in three countries is the system which generated $1.81M.
One campaign is a test. Eighteen months across three ad accounts in three countries is the system which generated $1.81M.
We’ve published two case studies on this client before — one at 9x ROAS, one at 54x. This isn’t the third chapter. It’s the full picture: $1.81M, 15,040 verified purchases, $4.44 average cost per purchase, and a 26x average ROAS across the UK, US, and Canada — in pharma/supplements, one of Meta’s most restricted verticals.
CLIENT CONTEXT
The client sells performance supplement products online, targeting consumers across the UK, US, and Canada. A product category that sits squarely in Meta’s restricted pharma vertical — where ad accounts get flagged, creative gets rejected, and most agencies won’t commit to anything longer than a short test. This client didn’t need a test. They needed a system that could run for years.
THE PROBLEM
Pharma and supplement advertising on Meta is a minefield. Automated review systems flag supplement-related language aggressively. Ad accounts in this vertical have short lifespans. Some get shut down entirely — on Meta and elsewhere. Most agencies run a campaign, hit a wall, and move on. Most brands do the same — cycling through agencies and approaches every few months, restarting from scratch each time, never building anything that compounds.
This client had already proven the product converts. The challenge wasn’t demand — it was keeping the ads running. How do you keep three ad accounts alive across three markets for 18 months in a category Meta actively restricts? How do you scale from UK-only to three countries without the system breaking? And how do you keep returns compounding instead of declining as spend increases?
These aren’t campaign problems. They’re systems problems. And they don’t get solved by a single optimization cycle — or a new agency every quarter.
ZP’S APPROACH
We treated this like a long-term road test, not a campaign.
Over 18 months, we managed three ad accounts across the UK, US, and Canada. The system was built to compound — every week of data made the next week more efficient. Ads were refreshed continuously, not in bursts. Audiences were shifted as markets matured. Platform changes were absorbed and adapted to in real time.
The expansion from UK-only to three markets wasn’t a bet — it was a controlled scale. UK performance proved the system worked and the cost per purchase held. US and Canada were added once the ads and compliance approach were confirmed to work across English-speaking markets.
Compliance was built into every ad from day one — and it held. Eighteen months, three accounts, zero account-level bans, no interruptions to sales. Every piece of copy and every visual was built to survive Meta’s review systems long-term — not just pass once.
When an ad account hit problems, we didn’t panic. We had the infrastructure to rotate, rebuild, and keep sales coming without interruption. That’s the difference between running a campaign and operating a system.
PERFORMANCE DASHBOARD
RESULTS
Revenue Generated: $1.81M
Purchases: 15,040
Cost Per Purchase: $4.44 Average
ROAS: 26x Average
Duration: 18 months continuous
$1.81M with 15,040 verified purchases at $4.44 each. 26x average ROAS. Three markets. Three ad accounts. Eighteen months of uninterrupted sales in one of Meta’s most restricted verticals. This isn’t a snapshot — it’s a track record.
THE TAKEAWAY
A single campaign can spike. A system compounds. This client didn’t get lucky once — they got consistent results across 18 months, three countries, and three ad accounts in a vertical where most advertisers can’t survive 18 days.
The two previous case studies — 9x ROAS and 54x ROAS — were individual windows into this system. This is the full view: $1.81M, 15,040 purchases, $4.44 CPP, 26x average ROAS, and a partnership that’s still running.
If you’re in pharma, supplements, or any restricted niche and you need more than a test — you need a system that scales and survives — this is what 18 months of it looks like.
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Disclaimer: These results reflect individual case studies, not guaranteed outcomes. Performance depends on multiple variables including strategy, spend, funnel quality, and niche dynamics.





