Translated isn’t the same as understood.

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.

nestrava.com/es

Información clara para usted y su familia

A woman helps her elderly mother read health information on a phone, sitting together on a sofa at home.

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.

Toggle the markup to see each suggested change and why it matters.

We mark up your actual page, not a spreadsheet about it.

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.

Current translations satisfy regulatory standards, not the family trying to make sense of a diagnosis.

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.

Three generations of a family at a kitchen table while one of them reads a leaflet aloud to the others.
“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.

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.

Understood

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.

Compliant

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.

One number your team can act on.

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.

Comprehension ScoreIllustrative
61
Weak: material gapsSpanish patient page, [Brand / Indication]
  • Search alignment48
  • Patient language55
  • Coverage parity70
  • Terminology consistency72
  • Technical correctness80
Portfolio average68
After 13 changes84
  1. 30%

    Search alignment

    Does the Spanish copy contain the terms patients actually search?

  2. 25%

    Patient language

    Natural patient register, not literal or clinical translation.

  3. 20%

    Coverage parity

    What exists in English also exists in Spanish.

  4. 15%

    Terminology consistency

    The same concept, the same word, everywhere.

  5. 10%

    Technical correctness

    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

Recommendations your reviewers can approve.

Bound by the Label

Search insights and translations only turn into recommendations when they are strictly anchored to your approved indication. Nothing goes out of bounds.

Conservative edits

We stay close to approved source material. Targeted changes, not rewrites, so review cycles stay short.

Declared reasoning

Each change states its case: search, comprehension, compliance, consistency or parity. We provide the reasoning to support every change through the MLR review.

Risk-tiered

Every recommendation carries an MLR risk tier, so your team can ship the easy wins first.

Start with a baseline. Stay covered all year.

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.

Step one

Baseline review

Your Spanish patient page scored, annotated and benchmarked against your own portfolio.

  • Comprehension Score with all three numbers
  • Annotated review of the live page
  • Spanish search demand, filtered to your approved indication
Core service

Annual oversight

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.

  • Periodic re-scoring and alerts
  • Copy recommendations with MLR risk tiers
  • Parity checks when English content changes
Request pricing Annual, per brand and indication
As needed

On-demand medical Spanish

Patient-language translation and transcreation for new pages, patient materials and prescribing information, to get you ready for MLR.

  • Patient register, not literal translation
  • Terminology kept consistent with your portfolio
  • Delivered in annotated, review-ready form
  • Annotated review of mock-up pages before go-live

Latino patients deserve to understand their own care.

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.

A physician explains care to an older patient and his adult son in a bright consultation room.

Frequently asked questions

  • We already have an agency who manages our sites and SEO and does our translation services.

    Keep them. We don’t replace them; we work together to bridge the gaps for Latino and Latina patients in the U.S.

  • Is this SEO?

    Search is one of five things we measure. The others are comprehension, parity, consistency and correctness.

  • How does this fit with MLR?

    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.

See where your Spanish page stands.

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