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. Nurx runs a real, public affiliate program whose payment model has genuinely shifted over time, from a one-time per-sale CPA to pay-per-click and, later, a tested pay-per-lead structure. None of those pay you again on the same customer next month. That single difference, recurring monthly versus a one-time or per-action payout, drives almost everything else, so here is a factual side-by-side.
A note before the table: Nurx is the women's-focused telehealth brand, and its affiliate figures are genuinely inconsistent across sources. Because we could not confirm current terms on the brand's own page, every Nurx number below is hedged and marked as publicly reported or listed by affiliate directories, not confirmed.
At a glance
| MedStands | Nurx | |
|---|---|---|
| Payment model | Recurring fixed marketing fee by medication category (not a commission, a percentage, or a cut of sales) | Publicly reported to have shifted over time: originally per-sale CPA, migrated to cost-per-click (CPC), later tested cost-per-lead (CPL). None is a recurring monthly fee |
| When you are paid | Every month a referral stays active, to your bank via Stripe Connect | Per network payout schedule on Impact.com; once per click, lead, or sale depending on the active model (reported), not recurring on the same customer |
| How much per referral | $36 to $260 per active customer per month, by category | Conflicting. Acceleration Partners' case study documents a CPC model at a reported $0.50 to $1.00 per click by partner level. Affiliate directories instead list roughly $20 per sale, 20% (some say 20 to 40%) per sale, or $6.40 to $60 by SKU. None confirmed on Nurx's own page, and the per-sale figures are likely stale given the documented switch to CPC and CPL |
| Attribution window | For life. Stored on the account at signup, not an expiring cookie | Publicly reported at roughly 30 days by most affiliate directories such as FlexOffers; some listings say 7 days. Not confirmed on the brand's own page, and the agency case study did not state a cookie window. Whatever it is, it is a cookie-based window that can expire |
| Cost to join | $0. No setup fee, no monthly fee, no participation fee. You get paid, you never pay | Free to join, publicly reported |
| Sign-up requirements | Self-serve, live the same day, admin reviews the account. No follower or audience-size minimum | Submit an affiliate application and await approval (typically a few days), reported; aimed at health and wellness content creators, bloggers, and influencers. The historical nurx.com/affiliate page currently returns a 404 |
| Referral cap | None on referrals or earnings | Not disclosed |
| Who handles the clinical side | Licensed providers prescribe; licensed pharmacies fulfill, refill, and ship (LegitScript-certified platform). MedStands is not a medical practice and does not prescribe | Not part of the affiliate terms |
One more clarification on the Nurx program's plumbing, because it is easy to get tangled. The program is listed on Impact.com, and it has been agency-managed at different times by Acceleration Partners (who ran the Impact.com migration) and later by Perform[cb] Agency, and it is also syndicated through FlexOffers. Those are agencies and a syndication network running the same underlying program on Impact.com, not separate competing offers. If you see two different agencies each claiming to run Nurx's program, that is why.
The math: recurring monthly vs one-time
This is the difference that compounds, and it is worth walking through with one referred customer over a year.
Every model Nurx has publicly used is non-recurring. Under the CPC model that Acceleration Partners documented, you are paid a reported $0.50 to $1.00 each time someone clicks, whether or not that person ever becomes a customer. Under a per-lead model, you are paid once when a lead is captured. Under the older per-sale figures that directories still list at roughly $20 per sale, 20 percent, or $6.40 to $60 by SKU, you are paid once at the sale. In all three shapes, the payment happens at a single moment and then stops. The same person does not generate another payout next month.
MedStands works the opposite way. The fee is a fixed marketing fee tied to the medication category, between $36 and $260 per active referred customer, and it is paid to your bank every month for as long as that customer keeps using the platform. The same referral that pays you this month is designed to keep paying you next month, and the month after, as long as that person stays active on treatment. A customer who stays active for a year is paid on across those months, not once. Businesses in the partner program and individuals in the affiliate program are both paid this recurring monthly fee for the life of each active customer.
One honest point, so nobody reads a guarantee into this: the range above is a fee schedule, not a promise of a total. Actual MedStands earnings depend on the medication category of each referral and on how many referred people qualify and stay active. Every request is provider-reviewed, not everyone qualifies, and people can stop. The $36 to $260 figure is the per-customer monthly fee by category, not a projection of what you will earn. The point of the comparison is the shape of the payment, recurring versus one-time or per-action, not a specific dollar guarantee. For a wider field of programs on both sides of that divide, see MedStands vs the Top GLP-1 Affiliate Programs.
Attribution: lifetime binding vs a cookie
Attribution decides who gets credit for a customer, and for how long. With MedStands, a referred customer or business is bound to the referrer for life. That link is stored on the account at signup rather than in a browser cookie that expires, so it does not lapse if the customer clears cookies, switches devices, or comes back weeks later.
Nurx's attribution is cookie-based and reported inconsistently. Most affiliate directories, including FlexOffers, list roughly a 30-day cookie, while some listings say 7 days, and the agency case study that documented the CPC model did not state a cookie window at all. Whatever the current number is, a cookie-based window is a fundamentally different mechanism from an attribution that is stored on the account and does not expire. If someone discovers a program through you but signs up two months later, a 30-day or 7-day cookie and an account-level lifetime binding treat that very differently. For a plain-English walkthrough of how account-level, non-expiring attribution works, see How Telehealth Referral Attribution Works (Lifetime Tracking).
MedStands also builds in flexibility on what you can refer. Affiliates 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, so nobody earns less because you referred them. If you are weighing the two paths, Partner vs Affiliate: Which MedStands Program Fits You? breaks both down.
Where Nurx may be a fit
Nurx is a well-established, women's-focused telehealth brand covering categories such as birth control, PrEP, and skincare, so it reaches an audience that a GLP-1-centered program does not. If you already publish health and wellness content aimed at that audience and run traffic through Impact.com, Nurx gives you a recognizable name to promote inside a network dashboard you may already use. A pay-per-click or pay-per-lead structure can also suit content built for volume, since it can pay on engagement rather than only on a completed sale. If broad women's-health reach and a familiar Impact.com workflow matter most to you, it is a reasonable option, and you should confirm the current terms directly with the program before applying.
Common questions
Does MedStands pay recurring or one-time?
Recurring. MedStands pays a fixed marketing fee of $36 to $260 per active referred customer per month, by medication category, to your bank for as long as that customer keeps using the platform. Nurx's publicly reported models (CPC, CPL, and older per-sale figures) all pay at a single moment and are not recurring on the same customer.
How much does Nurx pay per referral?
It depends on the source, and the figures conflict. Acceleration Partners' case study documents a CPC model at a reported $0.50 to $1.00 per click by partner level, while affiliate directories still list roughly $20 per sale, 20 percent (some say 20 to 40 percent) per sale, or $6.40 to $60 by SKU. None is confirmed on Nurx's own page, and the per-sale figures are likely stale given the documented switch to CPC and CPL. MedStands, by contrast, pays $36 to $260 per active customer per month, set by category.
How long does a referral stay credited to me?
With MedStands, for life. Attribution is stored on the account at signup, not in an expiring cookie. Nurx's window is cookie-based and reported at roughly 30 days by most directories, with some listings saying 7 days, and it is not confirmed on the brand's own page.
What does it cost to join MedStands?
Nothing. There is no setup fee, no monthly fee, and no participation fee. You get paid, you never pay, and your QR code and personal link are live the same day you sign up. Nurx is also free to join according to affiliate directories, though its application currently routes through Impact.com rather than the nurx.com/affiliate page, which returns a 404.
Ready to earn recurring fees?
If recurring monthly income beats a per-click, per-lead, or 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 join the partner program on the same recurring terms, and you can see how the model applies to your field in partner programs by industry.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information. Programs change, so check their current terms.