Truemeds had a product people genuinely needed, but converting iOS user interest into consistent, profitable revenue through Apple Search Ads wasn't happening on its own. They needed a structured performance engine on ASA, one that could scale without letting acquisition costs spiral. What followed is one of the more compelling successful business stories in India's healthcare-tech space.
The goal was straightforward: grow monthly orders and revenue through the iOS App Store, push ROAS higher as spend scaled, and close the gap between app installs and actual completed purchases. Downloads without orders aren't growth, that install-to-order ratio was the metric that mattered most.
Scaling Apple Search Ads in a competitive e-pharmacy market means managing bid inflation, keyword overlap, and margin pressure all at once. Truemeds came in with a high baseline CAC and a weak install-to-order conversion rate. The challenge was fixing the cost side and the quality side simultaneously, without compromising either.
+15X
9X
-65%
+350%
Execution Framework
1. Keyword Segmentation by Intent and Source: Brand, competitor, and generic pharmacy keywords were split into separate campaigns with their own bidding logic. Discovery campaigns surfaced high-converting medicine delivery search terms. Every rupee of bid spend had a clear job to do.
2. Bid and Budget Optimisation Around Conversion Windows: Cost-per-tap bids were refined to concentrate spend when high-intent users were most likely to convert. Budget shifted continuously toward match types and keywords driving actual orders, not just taps.
3. Aligning Ad Groups to the Install-to-Order Journey: Ad group themes and landing choices were rebuilt to match the intent behind each search query. A user looking for generic medicine delivery landed in an experience designed to get them to their first order fast, which is what drove the 350% jump in install-to-order rate.
4. Continuous Keyword Harvesting: Search term reports were reviewed regularly to fold new high-converting queries into the campaign structure. Find, test, scale, this compounding approach is what separates the best performance marketing agency in India from those who set campaigns and forget them.
Nine months. 15x revenue growth. 9x ROAS. 65% lower CAC. Truemeds turned Apple Search Ads into its most efficient acquisition channel, and kept improving it month over month. A genuine india success story built on structure, smart bidding, and a funnel that actually converted.
"Hi Team, I want to take a moment to sincerely thank you all for your continued dedication and hard work towards MONRI. Your consistent efforts have played a key role in making MONRI stronger, more visible, and increasingly impactful each day. A special mention to Ishita and Atul—your outstanding contributions have significantly enhanced MONRI’s reach and presence. Your proactive approach, attention to detail, and commitment to excellence have truly set a high standard for all of us. Kudos to the entire team—your work is genuinely appreciated! "
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“Great team that works tirelessly to deliver results for clients. We have been working with Prohed for over a year and the results have scaled well with growth for the business in line with set expectations. Wish Prohed team the best in all future endeavors.”
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"Pulkit's team did an outstanding job of understanding our requirements, chalking out an execution plan and giving us great ROIs for our digital ads at Akiva. What I liked the most about this team was their dedication and honest, simplified approach towards campaign execution. All the best team ProHed!"
"Prohed has felt like a true extension of our Marketing team over the last 6 months. They are responsive, collaborative and committed. I could not recommend them more highly."
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"Working with Prohed has been a game-changer. Their profound expertise in D2C performance marketing and media buying, coupled with their ability to deliver swift, innovative solutions, makes them invaluable. Working with them feels like an extension of our own team; they are always aligned with our priorities and seamlessly integrated into our strategy. Truly a top-tier partner in our marketing efforts."
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