The bottom line: MedStands pays a recurring fixed marketing fee of $36 to $260 per active referred customer per month, set by the medication category, paid to your bank for as long as that customer keeps using the platform. Everlywell runs a traditional affiliate program that, on its FlexOffers network listing, pays a one-time CPA of $4 per online sale (excluding Everlywell 360). One model pays you again every month a referral stays active. The other pays once at the sale and then the relationship, from an earnings standpoint, is over.
That single difference, recurring versus one-time, shapes almost everything else below.
At a glance
| MedStands | Everlywell | |
|---|---|---|
| Payment model | A recurring fixed marketing fee by medication category (not a commission, percentage, or share of sales) | One-time CPA (flat per-sale), listed on FlexOffers |
| When you are paid | Every month a referred customer stays active | Once, at the qualifying sale |
| How much per referral | $36 to $260 per active customer per month, by category | Listed at $4 per online sale on FlexOffers (excludes Everlywell 360); aggregators separately report percentage rates, which conflict with the listing and are unverified |
| How long a referral counts | Tied to you for life (bound to the referrer at signup) | Cookie window listed at 30 days on FlexOffers (an aggregator "45 days" is unconfirmed) |
| Cost to join | $0. No setup fee, no monthly fee, nothing to buy | Not publicly disclosed beyond the FlexOffers listing |
| Sign-up requirements | Self-serve, live the same day, admin review, no follower minimum | Apply through the FlexOffers network |
| Referral cap | No cap on referrals or earnings | Not publicly disclosed |
| Who handles the clinical side | Licensed providers prescribe, licensed pharmacies fulfill; you do no clinical work and hold no inventory | At-home lab testing, plus a weight-care companion program |
A note on the numbers: Everlywell does not have a brand-owned affiliate page that publishes rates (everlywell.com/affiliate-program returns a 404), so the figures above lead with what is listed on FlexOffers. Aggregator sites separately report percentage rates such as 12 percent for new customers and 6 percent for returning customers, but those conflict with the flat per-sale listing and are not brand-confirmed, so treat them as third-party and unverified.
The math: recurring monthly vs one-time
Here is the structural contrast, using Everlywell's listed figure and the MedStands monthly range.
A one-time CPA pays you once. On the FlexOffers listing, a qualifying Everlywell online sale is listed at $4, paid a single time when the sale happens. Whether that customer stays for one month or two years, the affiliate earning tied to that referral is the same single payment.
A recurring monthly fee pays you again each month the referral stays active. With MedStands, the same referred customer generates a fixed marketing fee of $36 to $260 per month, set by their medication category, for every month they keep using the platform. Over a full year, that same referral is paid on repeatedly rather than once. The point is not the size of any single number, it is that one model stops after the first sale and the other keeps paying on the same customer month after month.
An honest caveat: your actual MedStands earnings depend on the medication category involved and on how many referred people qualify and stay active. Not everyone who requests care qualifies, since every request is reviewed by a licensed provider. So the $36 to $260 figure is the per-customer monthly fee schedule, not a promise of a guaranteed total. What it does describe accurately is the shape of the model: paid every month, for the life of each active customer, rather than once at signup.
If you want a deeper walk-through of why this compounds, see How to Earn Recurring Income Referring Businesses to Telehealth.
Lifetime binding vs a cookie window
Attribution is the other place these models diverge. Everlywell's listing shows a standard cookie window: 30 days on FlexOffers (an aggregator figure of 45 days is unconfirmed). Cookie-based attribution means the referral has to convert inside that window, and it can be lost if the cookie is cleared or expires.
MedStands does not use a cookie window. When someone signs up through your QR code or personal link, they are bound to you for life. The connection is stored on the account at signup, not in an expiring browser cookie, so it does not lapse after 30 days and it does not depend on the customer keeping a cookie. For more on how this works, see How Telehealth Referral Attribution Works (Lifetime Tracking).
Cost, requirements, and who does the clinical work
MedStands is free to join. There is no setup fee, no monthly fee, and nothing to buy. Sign-up is self-serve: your QR code and personal link are ready the day you sign up (live the same day), and an admin reviews the account. There is no follower or audience-size minimum, and there is no cap on referrals or earnings. You get paid, you never pay. Payouts go to your bank monthly via Stripe Connect, with a US$25 minimum payout; a balance below that rolls to the next month.
You also do no clinical work and hold no inventory. MedStands is not a medical practice and does not prescribe. Licensed providers do the prescribing, and licensed pharmacies handle fulfillment, refills, and shipping on a LegitScript-certified platform. Every request is reviewed by a licensed provider, and not everyone qualifies.
One more structural point on the MedStands side: affiliates can both sell directly on their own link and refer other businesses, and a referred business still earns its own fee in full. Nobody earns less because you referred them.
Where Everlywell might be a fit
Everlywell is primarily an at-home lab testing brand, and it runs its affiliate program through FlexOffers, a network many publishers already use. If your audience is oriented toward at-home diagnostics and lab kits, or you already manage most of your partnerships inside FlexOffers and want everything in one dashboard, Everlywell is lane-relevant. It also runs a weight-care companion program, so it is adjacent to the GLP-1 space even though testing is its core.
Common questions
Is the MedStands fee a commission or a percentage?
No. It is a fixed marketing fee set by medication category, a flat per-category dollar amount between $36 and $260 per active customer per month. It is not a commission, a percentage, or a share of sales or revenue.
How does the MedStands amount compare to Everlywell's $4?
They are different kinds of payment, so compare structure first. Everlywell's $4 is a one-time CPA listed on FlexOffers, paid once per qualifying online sale. The MedStands fee is recurring: $36 to $260 per active customer per month by category, paid every month the customer stays active. Actual MedStands totals depend on the category and on how many referrals qualify and stay active.
Do I need a big following to join MedStands?
No. There is no follower or audience-size minimum. Sign-up is self-serve, your QR code and link are live the same day, and an admin reviews the account. It is free to join, with no cap on referrals or earnings.
Does Everlywell pay recurring commissions?
Based on its FlexOffers listing, no. It is a one-time CPA per online sale. There is no brand-owned affiliate page publishing a recurring rate, and aggregator percentage figures are unverified, so no official recurring amount is disclosed.
Ready to compare on the model that keeps paying? Learn how the recurring telehealth referral program works, and if you are weighing the two MedStands tracks, read Partner vs Affiliate: Which MedStands Program Fits You?.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information. Programs change, so check their current terms.