This paper presents an ultra-low power wireless transceiver specialized for but not limited to medical implantable applications. It operates at the 402-405-MHz medical implant communication service band, and also supports the 420-450-MHz industrial, scientific, and medical band. Being IEEE 802.15.6 standard compliant with additional proprietary modes, this highly configurable transceiver achieves date rates from 11 kb/s to 4.5 Mb/s, which covers the requirements of conventional implantable applications. The phase-locked loop-based transmitter architecture is adopted to support various modulation schemes with limited power budget. The zero-IF receiver has programmable gain and bandwidth to accommodate different operation modes. Fabricated in 40-nm CMOS technology with 1-V supply, this transceiver only consumes 1.78 mW for transmission and 1.49 mW for reception. The ultra-low power consumption together with the 15.6-compliant performance in term of modulation accuracy, sensitivity, and interference robustness make this transceiver competent for various implantable applications.