MedStands pays a recurring fixed marketing fee of $36 to $260 per active referred customer per month, set by the medication category, for as long as that customer keeps using the platform. Marek Health runs a one-time affiliate program listed on the FlexOffers network, reported at about $20 per checkout (and around $4 per lead), with a 30-day cookie. One model pays you again every month a referral stays active. The other pays once, when the checkout completes. That single structural difference is what this comparison is about.
Both programs let you earn by pointing people toward telehealth treatment, and both are legitimate ways to get paid for a referral. Where they diverge is how often you are paid for the same person, and how long that person stays tied to you. Below is a fair, side-by-side look using only what each program publishes, with every Marek Health figure attributed to its FlexOffers listing.
At a glance
| MedStands | Marek Health | |
|---|---|---|
| Payment model | A recurring fixed marketing fee by medication category (a flat per-category dollar amount, not a commission, percentage, or share of sales) | A one-time CPA, listed on the FlexOffers affiliate network |
| When you are paid | Every month a referral stays active | Once, at checkout |
| How much per referral | $36 to $260 per active customer per month, by category | About $20 per checkout, and around $4 per lead, per its FlexOffers listing |
| Attribution window | Tied to you for life, stored on the account at signup (no expiring cookie) | A 30-day cookie, per its FlexOffers listing |
| Cost to join | $0, free to join, no setup or monthly fee | Not disclosed |
| Sign-up requirements | Self-serve, live the same day, admin review, no follower minimum | Not disclosed; the program is listed on the FlexOffers affiliate network |
| Referral cap | No cap on referrals or earnings | Not disclosed |
| Who handles the clinical side | Independent licensed providers prescribe; licensed pharmacies fulfill, refill, and ship on a LegitScript-certified platform; you do no clinical work and hold no inventory | Marek Health focuses on hormone optimization, TRT, and peptides |
One clarification before the table is read as final. The Marek Health numbers here, about $20 per checkout, around $4 per lead, and a 30-day cookie, come from its listing on the FlexOffers affiliate network, not from a MedStands estimate. Affiliate network listings change over time, so treat them as the published terms at the time of writing rather than a permanent guarantee. Where a detail is not stated on that listing, this comparison says not disclosed instead of guessing at a number.
The math: recurring monthly vs one-time
The clearest way to see the structural gap is to follow one referred customer across a year.
A one-time CPA pays a single amount when the referral converts, and then it is finished. Whether that customer stays on treatment for one month or two years, a one-time model pays on that person once. Marek Health's program, as listed on FlexOffers, pays about $20 per checkout (and around $4 per lead), so a referral there is a single payment event tied to that checkout.
MedStands pays a fixed marketing fee every month that same customer stays active. The fee is set by the medication category and lands between $36 and $260 per active customer per month. So a customer who stays active for a year is paid on twelve times, not once. Even at the low end of the range, a referral who keeps refilling becomes a recurring line on your payout rather than a single event at signup.
To be clear and honest about it, this is not a promise of a guaranteed total. Your actual MedStands earnings depend on which medication category applies to each referral, whether it is a semaglutide or a tirzepatide protocol, and on how many referred people qualify and stay active. Not everyone qualifies, and people can stop. The $36 to $260 figure is the per-customer monthly fee schedule by category, not a projection of what you will earn. What the recurring model changes is the shape of the payout: retention works for you month after month instead of paying out once. For a wider view of how recurring programs stack up, see the highest paying recurring telehealth affiliate programs, and for how the recurring fees compound, see how much you can earn referring businesses to telehealth.
Attribution: lifetime binding vs a cookie
Attribution decides whether a referral still counts to you weeks or months later, and this is where the two programs differ most.
Marek Health's FlexOffers listing uses a 30-day cookie. In practice that means a click is credited to you for 30 days, and if the person converts after that window closes, the referral is no longer attributed to you. Thirty days is a common, reasonable cookie length for a CPA program, and it works well when people decide quickly.
With MedStands, a referred customer or business is bound to you for life. The link is stored on the account at signup, not in a browser cookie that expires. It does not matter when the person comes back, what device they use, or how long they deliberate first: the account stays tied to you, and you keep earning the monthly fee for as long as they are active. That difference matters most in areas like GLP-1 weight care, where people often research for weeks before starting. For the mechanics of account-level binding, see how telehealth referral attribution and lifetime tracking work.
Cost, sign-up, 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 same day you sign up, and an admin reviews the account. There is no follower or audience-size minimum, so you do not need a large platform to qualify. Marek Health's join cost and sign-up requirements are not disclosed beyond the fact that the program runs through the FlexOffers network, so the responsible comparison is at the model level rather than an invented figure.
On the clinical side, MedStands is not a medical practice and does not prescribe. Independent 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. As a partner or affiliate you do no clinical work and hold no inventory. If you are weighing the two MedStands paths, partner vs affiliate: which program fits breaks it down, and you can browse partner programs by industry to see how it maps to your niche.
Where Marek Health may be a fit
Marek Health is a recognized name in hormone optimization, TRT, and peptides, and that focus can suit certain audiences very well. If your audience is centered on men's health, testosterone support, or performance and longevity, a brand built around those categories can convert strongly, and a straightforward one-time payout at checkout is simple and predictable per conversion. If a single upfront payment per customer is what you are optimizing for, a CPA model listed on an established network like FlexOffers is a legitimate, low-friction way to earn.
It is worth noting that the categories overlap more than they might first appear. MedStands' referral menu also spans peptides alongside GLP-1 categories like semaglutide and tirzepatide protocols, plus other categories, so an audience interested in Marek Health's focus areas may also fit the MedStands menu. The deciding factor is usually the model: a one-time CPA with a 30-day cookie, or a recurring monthly fee with lifetime attribution. If you want the broader landscape first, the best GLP-1 weight loss affiliate programs sets the context.
Common questions
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 between $36 and $260 per active customer per month. It is not a commission, a percentage, or a share of sales or revenue. The amount is tied to the category, not to how much the customer spends.
How much does Marek Health pay per referral?
According to its listing on the FlexOffers affiliate network, Marek Health's program pays about $20 per checkout and around $4 per lead, as a one-time payout with a 30-day cookie. Those figures come from the FlexOffers listing rather than a MedStands estimate, and affiliate network terms can change, so check the current listing before you rely on them.
How long does a MedStands referral keep earning?
For as long as that customer stays active. The referral is bound to you at signup and stored on the account, not on an expiring cookie, so the monthly fee continues each month the customer remains active rather than stopping after a 30-day window. There is no cap on how many referrals you have or how much you can earn.
How is this different from a one-time CPA?
A CPA pays once, at checkout. MedStands pays every month a referral stays active. Over a year, the same active referral is paid on repeatedly under the MedStands model, versus a single payment under a one-time CPA. If you want the bigger picture, what a telehealth partner program is explains the recurring structure end to end.
Ready to earn recurring fees?
If recurring income beats a one-time payout for you, the MedStands affiliate program is free to join, live the same day, and pays a fixed monthly marketing fee for the life of every active referral. Businesses can apply to the partner program on the same recurring terms, and you can browse partner programs by industry to find the fit for your audience. You get paid, you never pay.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information. Programs change, so check their current terms.