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Klaviyo vs. Customer.io for Restricted Industries

If you sell telehealth, prescription products or gambling, your platform's acceptable use policy decides more than your feature list does. Here's what each one allows, from an agency that runs both.

The short answer

Short answer

Klaviyo's acceptable use policy (updated April 9, 2026) prohibits offering gambling, prescription medications, medical therapies and telehealth. Customer.io's policy (revised November 2024) doesn't ban gambling as a category, but it requires consent, age gating and proof of controls for gambling-related SMS and mobile messages. It prohibits U.S. offers for prescription medication and prohibits sending protected health information. Cosmetic products, including cosmetic peptide skincare, aren't named on Klaviyo's prohibited list; confirm your use case with the vendor.

Side-by-side, from the published policies

This summarizes each company's public policy as written in October 2026. Policies change, so check the current versions linked below and confirm your use case with the vendor before you migrate.

Klaviyo vs. Customer.io acceptable use for restricted categoriesSummary of each platform's published acceptable use policy as of October 2026. Klaviyo prohibits offering gambling, prescription medications and telehealth. Customer.io does not ban gambling but requires consent, age gating and proof of controls for gambling SMS and mobile messages, prohibits US offers for prescription medication, and prohibits protected health information in messages.PUBLISHED POLICIES, OCTOBER 2026Which platform can you actually use?KLAVIYOCUSTOMER.IOTelehealth / RxProhibitedRx offers prohibited (US)Gambling / RMGProhibitedNot banned; gating requiredCosmetic peptidesNot on prohibited listNot prohibited if lawfulHealth data (PHI)Not permittedNot permittedSources: Klaviyo Acceptable Use Policy (updated Apr 9, 2026);Customer.io Acceptable Use Policy (revised Nov 2024). Not legal advice.
Klaviyo vs. Customer.io acceptable use for restricted categoriesKlaviyo prohibits gambling, prescription medications and telehealth. Customer.io does not ban gambling but requires consent and age gating, and prohibits US Rx offers and PHI.PUBLISHED POLICIES, OCT 2026Which platform can youactually use?Telehealth / RxKlaviyoProhibitedCustomer.ioRx offers prohibited (US)Gambling / RMGKlaviyoProhibitedCustomer.ioNot banned; gating requiredCosmetic peptidesKlaviyoNot on prohibited listCustomer.ioNot prohibited if lawfulHealth data (PHI)KlaviyoNot permittedCustomer.ioNot permittedSources: Klaviyo AUP (updated Apr 9, 2026);Customer.io AUP (revised Nov 2024). Not legal advice.

What Klaviyo's policy says

WIN is a Klaviyo Master Platinum agency, and for most ecommerce brands we still recommend Klaviyo. Its policy is also clear about who it isn’t for. Its list of products and services you may not offer includes gambling (it names online poker, casino games, lotteries, and college and pro sports betting) and prescription medications, pharmaceutical products, medical therapies and telehealth. It also bars soliciting, storing or sending medical records or health information, including protected health information.

If your brand falls in those categories and runs on Klaviyo today, the risk isn’t theoretical. It’s a policy violation waiting to be noticed.

What Customer.io's policy says

Customer.io takes a rules-based approach rather than a category ban for gambling. In its SMS and mobile section, messages related to gambling, alcohol, tobacco and similar categories require recipient consent, age gating by the recipient’s location, content lawful where the recipient lives, and proof those controls exist. Customer.io also reserves the right to decline any account.

For telehealth that means promoting the care service and membership rather than the drug, and keeping clinical messages in a HIPAA-covered system. For gaming it means gating every send.

How to choose

Use this order of questions:

Feature comparisons come after those five. A great feature on a platform you’re not allowed to use is a liability.

Moving from Klaviyo to Customer.io

A safe migration protects the two things that are hardest to rebuild: consent records and sender reputation.

Frequently Asked Questions

Does Klaviyo allow telehealth companies?
Klaviyo's acceptable use policy, updated April 9, 2026, prohibits using the platform to offer products or services related to prescription medications, pharmaceutical products or services, medical therapies and telehealth.
Does Klaviyo allow gambling or sweepstakes casinos?
Klaviyo's acceptable use policy prohibits gambling services or products, including online poker, casino games, lotteries and sports betting. Sweepstakes casinos aren't named, but the list is explicitly not exhaustive.
Does Customer.io allow gambling?
Customer.io's acceptable use policy doesn't ban gambling as a category. For SMS and mobile messages about gambling, it requires recipient consent, age gating by the recipient's location, lawful content and proof of those controls. Customer.io can still decline any account.
Can telehealth brands use Customer.io?
Customer.io's policy doesn't list telehealth as a prohibited category, but it prohibits U.S. offers for prescription medication and prohibits sending PHI. Telehealth brands use it by promoting the care service and membership, and by keeping clinical messages in a HIPAA-covered system. Confirm your specific use case with Customer.io.
Is WIN biased toward one platform?
WIN is a Klaviyo Master Platinum agency and also builds in Customer.io and Braze. We recommend Klaviyo for most ecommerce brands; we recommend against it for categories its policy prohibits.
Is this legal advice?
No. It summarizes each vendor's published policy as of October 2026. Confirm your use case with the vendor and your counsel.

Sources

Reviewed by Damon Didier, Owner & CEO of WIN, with 18+ years in email and lifecycle marketing. Last reviewed October 23, 2026.

Policies and regulations change, so we review these pages at least quarterly. This page is general information, not legal advice.

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