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 stays active. Fella Health's affiliate program, listed on the FlexOffers network, uses a one-time CPA publicly listed at $200 per sale. That single structural difference, recurring monthly versus paid once, is the heart of this comparison.
Both connect people to GLP-1 and telehealth weight loss care, and both let you earn by referring. But they pay in fundamentally different shapes. Below is a factual, side-by-side look so you can decide which fits how you plan to refer.
At a glance
| MedStands | Fella Health | |
|---|---|---|
| Payment model | Recurring fixed marketing fee, a flat dollar amount by medication category (not a commission or percentage) | One-time CPA, publicly listed at $200 per sale (existing-customer sales excluded) |
| When you are paid | Every month a referred customer stays active | Once, when a qualifying sale is attributed |
| How much per referral | $36 to $260 per active customer per month, by category | Publicly listed at $200 per sale |
| How long a referral counts | Tied to you for life, stored on the account at signup | 30-day cookie window |
| Cost to join | $0, free to join, no setup or monthly fee | Not publicly disclosed beyond FlexOffers network membership |
| Sign-up requirements | Self-serve, live the same day, admin review, no follower minimum | Join FlexOffers, apply, accept terms, await approval |
| Referral cap | No cap on referrals or earnings | Not publicly disclosed |
| Who handles the clinical side | Licensed providers prescribe, licensed pharmacies fulfill (LegitScript-certified) | Telehealth provider handles care |
The math: recurring monthly vs one-time
A one-time CPA pays you once. When a qualifying sale is attributed through Fella Health's program, the payout is publicly listed at $200 per sale, and that is the payment for that referral. Sales from existing customers are excluded, and the payout does not repeat if the same person keeps using the service.
A recurring monthly fee works differently. MedStands pays a fixed marketing fee, between $36 and $260 depending on the medication category, for each active referred customer, and it pays that fee again every month the customer stays active. So the same referral that pays once under a CPA is paid on repeatedly under a recurring model. Over a year, one active customer in a category that pays a mid-range monthly fee is paid on twelve times rather than once.
Two honest points matter here. First, the MedStands amount is a flat per-category dollar figure, not a commission, percentage, or share of sales. Second, this is not a promise of a guaranteed total. Your actual earnings depend on the medication category each referral falls into and on how many referred people qualify and stay active. Not everyone qualifies, since every request is reviewed by a licensed provider. The $36 to $260 figure is the per-customer monthly fee schedule, not a forecast of what any one referrer will earn. What is structural, and not a projection, is that a recurring fee keeps paying while a one-time CPA does not.
Attribution: tied to you for life vs a 30-day window
Attribution decides who gets credit for a referral, and the two programs handle it very differently.
Fella Health's FlexOffers listing shows a 30-day cookie window. In practical terms, a cookie-based window credits the referrer when a sale closes inside that period, and browser cookies can be cleared, blocked, or expire.
MedStands binds a referred customer or business to you for life. The link is stored on the account at signup, not in an expiring cookie, so it does not lapse after a set number of days and does not depend on a browser cookie surviving. Once someone signs up through your QR code or personal link, they are tied to you, and you keep earning the monthly fee for as long as they stay active. If you want the deeper mechanics, see How Telehealth Referral Attribution Works (Lifetime Tracking).
Cost, sign-up, and what you can refer
MedStands is free to join. There is no setup fee, no monthly fee, and nothing to buy or pay to participate. You get paid, you never pay. Sign-up is self-serve: your QR code and personal link are ready the day you sign up, an admin reviews the account, and there is no follower or audience-size minimum. Payouts go to your bank monthly through Stripe Connect, with a US$25 minimum payout; a balance below that rolls to the next month. There is no cap on referrals or earnings.
The programs also differ in what you can refer. On MedStands, an affiliate can both sell directly on their own link and refer businesses into the partner program, and a referred business still earns its own fee in full. Nobody earns less because you referred them. If you are weighing whether to refer as an individual or bring in businesses, Partner vs Affiliate: Which MedStands Program Fits You? breaks down both tracks.
Fella Health's program runs through FlexOffers, so joining means becoming a FlexOffers member, applying to the program, accepting terms, and awaiting approval. Network membership is required.
On the clinical side, 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. As a partner or affiliate you do no clinical work and hold no inventory.
Where Fella Health might be a fit
If you already publish through FlexOffers and prefer a familiar affiliate network with consolidated reporting across many advertisers, Fella Health slots into that existing workflow. A one-time CPA can also suit a one-off campaign or a single high-intent placement where you want a defined payout per sale rather than an ongoing relationship. And its men-focused telehealth weight loss angle may match an audience that skews that way.
Common questions
Is the MedStands fee a commission or a percentage of sales?
No. It is a fixed marketing fee: a flat dollar amount set by the medication category, from $36 to $260 per active customer per month. It is not a commission, a percentage, or a share of sales or revenue. For more on why that distinction matters, see Is a Telehealth Referral Fee a Commission?.
How long does a referral keep paying on MedStands?
For as long as that customer stays active. The referral is tied to you for life at signup, and you receive the fixed monthly fee for their category each month they remain active. Earnings are not guaranteed, since they depend on the category and on referrals qualifying and staying active.
What does Fella Health's affiliate program pay?
Its FlexOffers listing shows a one-time CPA publicly listed at $200 per sale, with sales from existing customers excluded, and a 30-day cookie window. Details beyond the network listing, such as any earnings cap, are not publicly disclosed.
Do I need a large following to join MedStands?
No. There is no follower or audience-size minimum. Sign-up is self-serve, your QR code and personal link are live the same day, and an admin reviews the account before you start earning.
Ready to earn a recurring monthly fee instead of a single payout? Learn how the MedStands affiliate program pays a fixed marketing fee for every active customer you refer, for as long as they stay active, and start with your link live the same day.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information. Programs change, so check their current terms.