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. MEDVi runs a one-time CPA affiliate program, which pays a single amount when a referral converts and is then finished. One model pays you again every month a referral stays active. The other pays once, at acquisition. That structural difference, a high one-time payout versus a recurring monthly fee, is what this comparison is really about.
Both are legitimate GLP-1 weight-loss telehealth brands, and both let you earn by pointing people toward treatment. Where they diverge is how often you are paid for the same person and how long that person stays tied to you. The look below uses only what each program publishes, and the MEDVi figures are hedged wherever the numbers come from third-party affiliate marketplaces rather than from MEDVi itself.
At a glance
| MedStands | MEDVi | |
|---|---|---|
| Payment model | Recurring fixed marketing fee by medication category (a flat per-category dollar amount, not a commission, percentage, or cut of sales) | One-time CPA per acquisition (a single payout when a referral converts) |
| When you are paid | Every month a referral stays active | Once, at the qualifying sale |
| How much per referral | $36 to $260 per active customer per month, by category | Not published by MEDVi. Listed on affiliate marketplaces at roughly $350 per sale (aggregators show a $300 to $500 range), which is a third-party listing rather than an official MEDVi rate |
| Attribution window | For life. Stored on the account at signup, not an expiring cookie | Not disclosed |
| Cost to join | $0. No setup fee and no monthly fee | Not disclosed |
| Sign-up requirements | Free and self-serve, no follower or audience-size minimum | Not disclosed |
| Referral cap | None on referrals or earnings | Not disclosed |
| Who handles the clinical side | Independent licensed providers prescribe; licensed pharmacies fulfill, refill, and ship (LegitScript-certified). MedStands is not a medical practice and does not prescribe | Not stated in the affiliate terms. MEDVi is a GLP-1 weight-loss telehealth brand |
One clarification before the table is read as gospel. The roughly $350 figure is not something MEDVi publishes on its own page. It comes from affiliate marketplaces such as OfferVault, where MEDVi is listed on affiliate marketplaces at roughly $350 per sale (aggregators show a $300 to $500 range). Treat that as a third-party listing that can change or vary by network, not as an official MEDVi rate. Wherever a MEDVi detail is genuinely unknown, the table says "not disclosed" rather than guessing.
The math: recurring monthly vs one-time
The clearest way to see the 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 done. Whether that customer stays on treatment for one month or two years, a one-time model pays on that person once. MEDVi's program is a one-time CPA, so a referral there is a single payment event at acquisition. The upside is that the per-conversion number can be large: a listing around $350 per sale is a meaningful bounty, notably higher than the small one-time payouts common elsewhere in this category.
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, whether the protocol is a semaglutide or a tirzepatide one. So a customer who stays active month after month is paid on repeatedly rather than once. Even at the low end of the range, a retained referral becomes a recurring line on your payout instead of a single event at signup.
To be 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 and on how many referred people qualify and stay active. Every request is reviewed by a licensed provider, 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.
There is also no cap on either side of the MedStands model. There is no ceiling on how many people or businesses you refer and no ceiling on total earnings, so recurring fees stack as your active base grows. For a fuller walkthrough of how that compounds, see how much you can earn referring businesses to telehealth and the highest-paying recurring telehealth affiliate programs.
Attribution: lifetime binding vs a cookie
Attribution decides whether a referral still counts to you weeks or months later, and it is where the two programs are most different.
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 deliberated first: the account stays tied to you, and you keep earning the monthly fee for as long as they are active.
MEDVi does not disclose an attribution or cookie window in the public marketplace listings, so there is no confirmed number to compare against. Because the window is not disclosed, the responsible comparison is at the model level rather than an invented figure. A one-time CPA is typically credited through a cookie-based window of some length, and any cookie window, wherever it lands, is a fundamentally different mechanism from an attribution stored on the account that never expires. That difference matters most in 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.
Where MEDVi may be a fit
MEDVi is a recognized GLP-1 weight-loss telehealth brand, and a high one-time CPA can genuinely suit certain setups. If you run high-volume paid traffic and want to be paid a large, predictable amount at the moment of conversion, a one-time bounty around the listed $350 is simple to model and easy to reconcile against ad spend. Media buyers who optimize campaigns to a fixed cost per acquisition often prefer exactly this shape, because a single upfront payout maps cleanly onto a return-on-ad-spend calculation and does not depend on how long a customer is retained. If your goal is a big payout at the sale rather than an ongoing relationship, that model is a legitimate fit, and MEDVi's brand recognition can help conversion.
MedStands is built for a different goal: ongoing income from customers who stay on treatment. If you would rather be paid every month a referral stays active than once at acquisition, the recurring model is the one to look at. If you are weighing referring businesses versus earning as an individual, partner vs affiliate: which program fits breaks down both paths, and you can browse partner programs by industry to see how it maps to your niche.
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 cut of sales or revenue. The amount is tied to the category, not to how much the customer spends.
How much does MEDVi pay per referral?
MEDVi does not publish a payout rate on its own page. It is listed on affiliate marketplaces at roughly $350 per sale (aggregators show a $300 to $500 range), and that is a one-time CPA paid at acquisition. Treat those figures as third-party marketplace listings rather than an official MEDVi rate, and check the current terms in the network before relying on any number.
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 fixed window. There is no cap on how many referrals you have or how much you can earn.
Does a high one-time CPA beat a recurring monthly fee?
It depends on your goal. A high one-time CPA pays more at the moment of the sale and is easy to reconcile against ad spend. A recurring fee pays less at first but is paid again every month a referral stays active, so a retained customer is paid on repeatedly rather than once. For a wider view of how these structures stack up, see the best GLP-1 weight-loss affiliate programs and MedStands vs Mochi Health.
Ready to earn recurring fees?
If recurring income beats a one-time payout for you, the MedStands affiliate program is free to join 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. If you are new to the model, what a telehealth partner program is explains the recurring structure end to end. You get paid, you never pay.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information and third-party affiliate marketplaces. Programs change, so check their current terms.