In public clouds, you can use the NetScaler appliance as a second-tier load balancer when the native load balancer is used as a first tier. The native load balancer can be an application load balancer (ALB) or a network load balancer (NLB). Most of the public clouds do not support UDP health probes in their native load balancers. To monitor the health of the UDP application, public clouds recommend adding a TCP-based endpoint to your service. The endpoint reflects the health of the UDP application.
The NetScaler appliance supports external TCP-based health check for a UDP virtual server. This feature introduces a TCP listener on the VIP of the cache redirection virtual server and the configured port. The TCP listener reflects the status of the virtual server.