At Mednow, I rebuilt Google Ads and Meta end-to-end to drive Rx-transfer leads and pharmacy-delivery sign-ups. On Google, I moved to an intent-based Search structure (exact/phrase clusters for “transfer prescription,” “pharmacy delivery,” chronic-med queries, brand/competitor), tightened geo-radius targeting around service areas, added dayparting to match fulfillment SLAs, and deployed RSAs with sitelinks/callouts.