The short answer: most telehealth and GLP-1 affiliate programs pay you once, a one-time CPA or a percentage on a single sale, while a smaller group pays you every month for as long as your referral stays active. If you want ongoing income instead of a single bounty, the recurring programs are the ones to shortlist, and the MedStands affiliate program sits at the front of that group with a recurring fixed marketing fee of $36 to $260 per active referred customer per month, lifetime attribution, and $0 to join.
This roundup ranks the field by one question: does the program keep paying? We lead with the recurring options, then cover the one-time and hybrid programs, and we hedge every figure that a brand does not publish itself. Where a number comes from a directory or a network rather than the brand's own page, we say so.
At a glance
| What to compare | Typical one-time telehealth program | MedStands |
|---|---|---|
| Payment model | One-time CPA or a percentage per sale | Recurring fixed marketing fee by medication category (not a commission or percentage) |
| When you are paid | Once, at the qualifying sale | Every month the referred customer stays active |
| How much per referral | Varies by brand, often not disclosed | $36 to $260 per active customer per month |
| Attribution window | Cookie based, commonly 7 to 30 days where disclosed, or not disclosed | Lifetime, bound to your account at signup (no cookie) |
| Cost to join | Usually not stated | $0 to join |
| Sign-up requirements | Application or network approval, varies | Free sign-up, admin review, no audience minimum |
| Referral cap | Rarely stated | No cap |
| Who handles the clinical side | The brand or its partners | Independent licensed providers prescribe, licensed pharmacies fulfill and ship |
The recurring programs, ranked for ongoing income
1. MedStands (recurring, confirmed). MedStands pays a fixed marketing fee of $36 to $260 per active referred customer per month, set in advance by the medication category, for as long as that customer stays active. Attribution is lifetime and account level, not a cookie, so a referral stays tied to you. It is $0 to join with no cap on referrals. Because the fee is fixed by category, it is not a commission, a percentage, or a cut of sales. Independent licensed providers prescribe and licensed pharmacies fulfill, refill, and ship, the platform is LegitScript-certified, and every request is provider-reviewed, so not everyone qualifies. It runs as both the partner program for businesses and an affiliate program for individuals. Best fit: anyone who wants income that compounds with customer retention.
2. TeleWellnessMD (recurring, confirmed). Its own page states 10% of gross sales per new patient, paid on the first order and all future orders (refills and renewals) while the patient stays active, defined as using services at least once a quarter. This is a recurring percentage model. Best fit: audiences that buy repeat wellness services.
3. UrgentCare.com (recurring, confirmed). The brand's agent page states $15 per month per active member, up to $180 per year per referral, recurring while the member stays active. Best fit: broad primary and urgent care audiences rather than a single treatment category.
4. T2D.com (recurring, confirmed). The brand's agent page states the same structure, $15 per month per active member, up to $180 per year per referral. Best fit: diabetes-focused audiences.
5. Yara (hybrid, reported). Affiliate directories report roughly $100 to $200 per sale (one directory, TapRefer, lists $150), plus a 5% recurring commission on customer renewals, with a reported 60-day cookie, a $100 minimum payout, and monthly Net-7 terms. None of this is confirmed on the brand's own page, which was unreachable during research, so treat the figures as reported by third parties. Best fit: GLP-1 audiences comfortable with a bounty plus a small recurring tail.
One-time and hybrid programs
SoWell (one-time and percentage, confirmed). Its own page lays out a hybrid: 15% commission on one-time orders, plus a one-time flat payout on new subscriptions of $15 for one product, $20 for two, or $25 for three or more, with bundles counting as a single product. Clear and brand-confirmed, but the subscription payout is one-time. Best fit: product-basket sales.
Zealthy (one-time, reported). The Katalys affiliate network lists a $50 to $400 CPA per conversion. That is Katalys's own range, not a figure Zealthy publishes, and it is not officially confirmed by Zealthy. The cookie is not disclosed for Zealthy specifically (Katalys notes that most weight-loss programs use about a 30-day cookie, as a general statement). Best fit: broad telehealth traffic where a larger single payout suits the campaign.
LifeMD (one-time, reported). LifeMD does not publicly disclose its rate. An affiliate directory (Affplus) reported a roughly $115 one-time CPA on its medical weight program, but that listing is marked expired and dated 2024, so treat it as reported, not confirmed. A roughly 24-hour attribution window is reported by one aggregator (LinkMyDeals) and is not confirmed on any brand-owned page.
Mochi Health (one-time, mostly undisclosed). Mochi runs an affiliate and partner program (with brand ambassador tiers), but its own page advertises only "competitive payouts." An affiliate directory reported around $80 one-time CPA, but that listing is marked expired (created 2024-05-28), so treat it as stale and unconfirmed. A separate $40 for you and $40 off for a friend refer-a-friend credit exists, but that is a customer perk, distinct from the affiliate program. The cookie is not disclosed.
Nurx (model has shifted, reported). Nurx runs a genuine public affiliate program whose payment model has changed over time: originally CPA per sale, then cost-per-click, and later a tested cost-per-lead. An agency case study (Acceleration Partners) documents a CPC model at $0.50 to $1.00 per click based on partner level. Affiliate directories still list stale per-sale figures (around $20 per sale, or 20%, sometimes stated as 20% to 40%, or $6.40 to $60 by SKU), which are likely outdated given the documented switch. A roughly 30-day cookie is reported by most directories, some say 7-day, and none is confirmed on the brand's page. Best fit: high-traffic content sites, given the click-based structure.
GoodRx (one-time, reported). GoodRx pays a one-time CPA per valid or filled prescription, run through third-party networks rather than in-house. Directories report roughly $10 per valid prescription, which GoodRx does not state on its own page and which is inconsistent across aggregators (some list the commission as unknown). The minimum payout is reported at $50, paid monthly. The cookie is not disclosed for the main program (one network listing showed a 7-day window for a specific offer, which is not authoritative). Best fit: high-volume prescription-discount audiences.
Teladoc (undisclosed). Teladoc has an affiliate page (structure reported as one-time CPA or CPL per referral), but it states only "competitive commissions" with no figures, and aggregator or AI-summary numbers conflict (variously up to 15% per sale, about $25 per sale, or CPL/CPA), none corroborated by the brand, so no number should be trusted. A separate refer-a-friend credit gives a $20 Amazon gift card per valid referral, up to $500 per year, per Teladoc's own terms, which is a customer credit and not the affiliate program. Teladoc is broad telehealth, not GLP-1 specific.
MangoRx (percentage, reported). Mangoceuticals runs an approval-based partner and affiliate program paying a percentage per sale, and directories report roughly 20% per sale as directional. Worth reading carefully: the "20%" that appears in the company's own press release is not a commission rate paid to affiliates, it is the CEO's stated expectation that the program could drive more than about 20% of overall gross revenue. Treat 20% per sale as reported by third parties, not brand-confirmed. The cookie is not officially disclosed (one directory shows 30 days, others show none).
The math: recurring monthly vs one-time
It is tempting to sort a roundup like this by the biggest single number. But a one-time CPA rewards the moment of signup and then the payout relationship ends, while a recurring fee rewards retention, month after month. With MedStands, a customer on a semaglutide or tirzepatide category who stays active keeps earning you that category's fixed fee every month, so a referral that stays active for many months returns the monthly fee many times rather than once. That is the practical meaning of recurring, and it is why the recurring group above suits anyone building income over time.
An honest caveat belongs here. A recurring model only wins if referrals qualify and stay active. Every MedStands request is provider-reviewed, not everyone qualifies, and your actual earnings depend on the medication category (which sets the fee) and on how many referred people qualify and remain active. The $36 to $260 range is the per-customer monthly fee schedule, not a promise of any total. For how the numbers can add up, see how much you can earn referring businesses to telehealth.
Attribution: lifetime binding vs a cookie
Most programs here track a referral with a cookie that expires: 7 to 30 days where it is disclosed, 24 hours in one reported case (LifeMD), and simply not disclosed for several others. If the customer clears cookies, switches devices, or takes longer than the window to convert, the credit can be lost. MedStands does not use an expiring cookie. The referred customer or business is bound to your account at signup and stays tied to you, which matters most when the payoff is monthly rather than one-time. The mechanics are covered in telehealth referral attribution and lifetime tracking.
Where one-time programs may be a fit
None of these programs is a bad choice in the abstract, they are just built for different goals. If you want a single, larger lump sum per conversion or you are running a one-off campaign, a one-time CPA like Zealthy's reported range or LifeMD's reported figure can suit. Percentage models such as TeleWellnessMD's recurring 10% or SoWell's 15% can fit audiences that buy repeatedly or in baskets. A click-based structure like Nurx's documented CPC can fit a high-traffic content site that sends volume rather than qualified buyers. The right pick depends on your traffic and how you want to be paid.
Common questions
Which telehealth affiliate programs actually pay recurring?
From the confirmed group: MedStands (a recurring fixed marketing fee, paid monthly), TeleWellnessMD (10% recurring while the patient stays active), and UrgentCare.com and T2D.com ($15 per month per active member, up to $180 per year). Yara adds a small 5% recurring piece on renewals on top of a reported per-sale bounty. Most of the rest pay one-time.
Is the MedStands fee a commission or a percentage of sales?
No. It is a fixed marketing fee set in advance by the medication category, a flat per-category dollar amount. It is not a commission, a percentage, or a cut of sales, and it does not move up or down with the price of the sale.
What does it cost to join, and is there a cap?
It is $0 to join with no cap on referrals. Independent licensed providers prescribe and licensed pharmacies fulfill, refill, and ship, the platform is LegitScript-certified, MedStands is not a medical practice and does not prescribe, and every request is provider-reviewed, so not everyone qualifies.
Partner or affiliate, which one fits me?
Businesses that want to offer telehealth to their audience join the partner program, while individuals promoting a personal link join the affiliate program. See partner vs affiliate: which program fits, and browse partner programs by industry to see who it suits.
Start earning recurring income
If your goal is a single bounty per sale, several programs above will do that. If your goal is income that keeps paying as long as your referrals stay active, shortlist the recurring group and start with MedStands: a fixed marketing fee of $36 to $260 per active customer per month, lifetime attribution, $0 to join, and no cap. Get started with the MedStands affiliate program, set up the partner program for your business, or browse partner programs by industry to see where it fits.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information, or from third-party directories and networks where noted. Programs change, so check their current terms.