Client: Allegiant Health
Industry: Over-the-Counter Pharmaceuticals
Category: Nasal Relief, Laxatives, and More
Platform: Amazon
Partner: Teikametrics + Agency Services
Challenge: Traffic Without Conversions
When Allegiant Health first partnered with Teikametrics, they were facing a critical issue: high traffic with minimal returns. Despite investing in ad impressions and clicks, their ROAS was low and ACoS unsustainably high. Efficiency was poor, and sales volume wasn’t scaling.
Their Amazon ad strategy lacked precision. Bid controls were manual and outdated, and targeting failed to engage high-intent shoppers. As a result, their marketing dollars were underperforming — and fast.
Solution: Automated Bidding, Smarter Targeting, Full Account Restructure
To rebuild performance, the team executed a full-scale account transformation:
- Keyword Targeting Overhaul: Rebuilt campaign structures to emphasize high-performing, relevant terms.
- Teikametrics Bid Automation: Leveraged AI-powered bidding to dynamically adjust for performance and efficiency.
- Dayparting Implementation: Used Teikametrics’ updated dayparting feature to align spend with peak conversion windows.
- Ongoing Optimization: Continuously refined campaign structure and targeting based on live performance data.
This wasn’t a one-time fix. It was a disciplined, iterative approach backed by automation and strategic insights.
Results: A Performance Engine That Keeps Improving
Over the course of a year, Allegiant Health transformed its Amazon presence. The impact was felt across every major metric:
ACoS Cut by More Than Half
- Dropped from 52% to 25% in just 4 months
- Adjusted to ~33% per client request for more aggressive bidding
Impressions & Clicks Doubled
- Monthly Impressions: 5M → 11M+
- Clicks: 38K → 70K+
Ad Sales Doubled
- $110K/month → $220K+/month
Improved Efficiency
- CPC: $1.36 → <$1.15
- Conversion Rate: 20%+ consistently
Total Sales: $160K → $295K+/month
Visual Breakdown: Allegiant Health’s Growth Across Key Metrics

Each chart tells a part of the story:
- Top Left: Ad Spend vs. Ad Sales & ACoS — Efficiency gains are clear as sales rise while ACoS falls.
- Top Right: Clicks & CPC — More efficient CPCs drive increasing click volume.
- Bottom Left: Orders, Conversion Rate (CVR), and Average Order Value (AOV) — CVR stays strong above 20%, while orders grow steadily.
- Bottom Right: Impressions & CTR — Impressions nearly triple, showing broader visibility even as CTR stabilizes.
What the Client Had to Say
“We are glad that you successfully helped us to reduce our ACoS while maintaining our total sales.<br>Overall, we’re glad to see the account starting to recover and improve in efficiency — great progress!”
Final Takeaway: Proof Over Promises
This case study proves the value of automation, especially when paired with expert oversight. Allegiant Health didn’t just buy better ad tech — they partnered with a team that knew how to deploy it, optimize it, and evolve it based on business goals. The results? Consistent gains across every core metric, with flexible strategy built to scale.