Found
Patients search in their own words. They type pie caído and say arrastrar los pies. A clinically correct page that uses neither is invisible in search and unclear on arrival.
42Universe helps U.S. pharma brand teams make sure their Spanish patient pages are found, understood and compliant, ensuring you meet the everyday needs of your Latino and Latina patients and their caregivers in the U.S.
Información clara para usted y su familia
Lo que puede notar
Puede notar debilidad en las piernas o caída del pie (pie caído o arrastrar los pies).
Hable con su médico sobre todos sus síntomas y medicamentos.
Información importante de seguridad
Los efectos secundarios que pueden graves pueden ser graves incluyen reacciones alérgicas.
Every change appears on your live Spanish page, tagged with the reason behind it and its MLR risk tier. One click hides the markup. The same format works for prescribing information and patient materials.
Today, you get Word documents and spreadsheets. We send you your page, with every change on it, whether it’s live or still pre-go-live. We work with you or your agencies to ensure that your translations are exactly what your patients need and will see. Printable to meet the needs of your MLR process.
A translation can be correct and still fail the patient. Limited English proficiency is linked to lower screening rates, more readmissions and treatment drop-off,1 and the Spanish page is often where a patient or caregiver first meets your brand.

“Traducido no es lo mismo que entendido.”
Health decisions in Latino families are often shared. The Spanish page has to work for the patient and for the daughter, son or spouse reading it with them.
Patients search in their own words. They type pie caído and say arrastrar los pies. A clinically correct page that uses neither is invisible in search and unclear on arrival.
Literal translation keeps the clinical register of the English source. Patients and the family members who often manage their care need the same facts in the language they actually use.
Localization without strict compliance oversight invites regulatory exposure. Keeping copy on-label and preserving fair balance is non-negotiable. That is why every recommendation must pass a rigorous compliance gate first.
The Comprehension Score is a 0 to 100 rating of any existing Spanish asset, built from counted, auditable evidence. Every point traces back to something we counted, so your MLR team can verify it.
We always report three numbers together: this page’s score, your portfolio average, and the projected score once our recommended changes are made.
Does the Spanish copy contain the terms patients actually search?
Natural patient register, not literal or clinical translation.
What exists in English also exists in Spanish.
The same concept, the same word, everywhere.
Grammar, accents, agreement and punctuation.
42Universe is an all Latino- and Latina-founded company with 20 years of pharmaceutical experience across U.S. patient marketing, U.S. patient market research and access marketing. We bring that experience to every score and every recommendation, which is why we are the right experts to help solve your translation problem.
1 in 3U.S. Hispanic and Latino adults has limited English proficiency.2
16 millionHispanic and Latino people in the U.S. with limited English proficiency.3
About halfof pharma campaigns are estimated to do little or no Hispanic-targeted marketing.4
$4.4 trillionin U.S. Latino GDP in 2024. Measured as a standalone country, U.S. Latino economic output would rank as the world’s fourth-largest economy.5
Search insights and translations only turn into recommendations when they are strictly anchored to your approved indication. Nothing goes out of bounds.
We stay close to approved source material. Targeted changes, not rewrites, so review cycles stay short.
Each change states its case: search, comprehension, compliance, consistency or parity. We provide the reasoning to support every change through the MLR review.
Every recommendation carries an MLR risk tier, so your team can ship the easy wins first.
For brand teams, patient marketers, agencies of record, resource groups and the MLR reviewers who approve their work. Start with one page, then scale to your full portfolio as your patients’ needs grow.
Your Spanish patient page scored, annotated and benchmarked against your own portfolio.
Your companion, supporting not just the translation but how your patients, caregivers and family members get to the right information most effectively. Ongoing monitoring of each brand and indication keeps your Spanish pages in step with the English site and with how patients search.
Patient-language translation and transcreation for new pages, patient materials and prescribing information, to get you ready for MLR.
For years, we searched everywhere for the right solution. We worked side-by-side with agencies, resource groups, non-profits, and advocacy groups, hoping someone would fix a system that leaves our community behind. But when nothing met the standard our families deserve, we realized we had to build it ourselves.
Because la familia is everything, and too many of our people remain misinformed and ill-equipped to navigate their health.
Drawing on deep expertise spanning patient and HCP marketing across brands, indications, market research, and access marketing, 42Universe was created to catch our community up, because a rising tide lifts all boats. We built this so that a Latino patient can finally own their journey with clarity, and so pharmaceutical brands and agencies can leverage the tools to speak to patients, caregivers, and families the way they deserve to be spoken to.
Our name is a quiet nod to a small fish in a well-loved book, one that let anyone understand anyone. We take the idea seriously.

Keep them. We don’t replace them; we work together to bridge the gaps for Latino and Latina patients in the U.S.
Search is one of five things we measure. The others are comprehension, parity, consistency and correctness.
Every recommendation arrives with its reason and risk tier, so your reviewers can approve the easy ones in minutes. It also equips you to manage the more challenging translations that make the difference for a patient to understand and not be left behind.
Send us one brand and indication. You’ll get its Comprehension Score, your portfolio comparison, and what it would take to move it.
hello@42universe.com