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. Strut Health runs a one-time CPA affiliate program, listed on the FlexOffers affiliate network at about $20 per online sale with a 30-day cookie. One model pays you again every month a referral stays active. The other pays once, at the sale, and the click credit expires 30 days later. That single structural difference is what this comparison is about.
Both are real telehealth brands, and both let you earn by pointing people toward care. Strut Health is a telehealth brand covering weight and GLP-1 treatment along with other categories, and its affiliate offer is a straightforward pay-per-sale bounty run through an affiliate network. MedStands is a B2B telehealth partner and affiliate platform built around recurring fees and account-level attribution. Below is a fair, side-by-side look using only what each program publishes, with the Strut Health figures attributed to FlexOffers and hedged where aggregators disagree.
At a glance
| MedStands | Strut Health | |
|---|---|---|
| Payment model | A recurring fixed marketing fee by medication category (a flat per-category dollar amount, not a commission, percentage, or cut of sales) | A one-time CPA per online sale, listed on the FlexOffers affiliate network |
| When you are paid | Every month a referral stays active | Once, at the qualifying online sale |
| How much per referral | $36 to $260 per active customer per month, by category | About $20 per online sale, as listed on FlexOffers (a separate aggregator lists a higher, conflicting figure, so we cite the FlexOffers-published rate) |
| Attribution window | Tied to you for life, stored on the account at signup (no expiring cookie) | 30-day cookie, per the FlexOffers listing |
| Cost to join | $0, free to join, no setup or monthly fee | Not disclosed; join through the FlexOffers network |
| Sign-up requirements | Self-serve, live the same day, admin review, no follower minimum | Not disclosed beyond applying as a publisher through FlexOffers |
| Referral cap | No cap on referrals or earnings | Not disclosed |
| Who handles the clinical side | Licensed providers prescribe; licensed pharmacies fulfill, refill, and ship (LegitScript-certified); you do no clinical work and hold no inventory | Strut Health operates its own telehealth clinical service |
One clarification before the table is read as final. The $20 figure is the rate published on the FlexOffers affiliate network. A separate aggregator lists a materially higher amount for Strut Health, but that number conflicts with the FlexOffers listing and is not confirmed on the network, so we cite the FlexOffers rate and treat the other as unverified. Where Strut Health does not publish a term, the table says "not disclosed" rather than guessing.
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 the customer stays on treatment for one month or two years, a one-time model pays on that person once. Strut Health's program, as listed on FlexOffers, pays about $20 per online sale, so a referral there is a single payment event tied to that first purchase.
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 using the platform month after month becomes a recurring line on your payout rather than a single event at signup.
To be honest about what that does and does not promise: it is not 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.
There is also no cap on the MedStands model: no ceiling on how many people or businesses you refer, and none 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 for where a recurring structure sits among other programs, see 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 this is where the two programs differ most.
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.
Strut Health, per its FlexOffers listing, uses a 30-day cookie. That means the click is credited to you for 30 days, and if the person converts inside that window you are paid the one-time CPA. It is a clear, standard affiliate term. The structural point is simply that a 30-day cookie is a fixed window that can lapse: if a referred person clears cookies, switches from phone to laptop, or takes longer than a month to decide, the credit can expire before they convert. An attribution stored on the account never expires. That difference matters most in GLP-1 weight care, where people often research for weeks before starting semaglutide or tirzepatide. 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. You get paid, you never pay. Sign-up is self-serve, your QR code and personal link are ready the same day, and an admin reviews the account. There is no follower or audience-size minimum, so you do not need a large platform to qualify.
Strut Health's affiliate offer is joined through FlexOffers, an affiliate network, which typically means an application and publisher approval. The specific cost and requirements are not disclosed in the facts we are working from, so we leave them marked "not disclosed" rather than assuming. Applying through an established network is a familiar, reasonable flow; it just runs through the network rather than being live the same day you sign up.
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. 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. Strut Health operates its own telehealth clinical service, which is a different structure for the company but not something an affiliate is involved in either way.
One MedStands-specific point: affiliates can refer customers 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 program fits breaks it down, and you can browse partner programs by industry to see how it maps to your niche.
Where Strut Health may be a fit
Strut Health is a legitimate telehealth brand covering weight and GLP-1 care plus other categories, and its affiliate program can suit certain publishers well. If you already run traffic through FlexOffers, a listed CPA is easy to plug into an existing network dashboard and easy to reason about, because it pays a fixed amount on the sale itself. A one-time bounty is simple and predictable per conversion, with no ongoing relationship to manage. If your audience converts quickly and you prefer a single upfront payout over a recurring one, that model is a genuine fit.
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 inside a 30-day window, the recurring model is the one to look at. Neither approach is simply better; they optimize for different things.
Common questions
Is the MedStands fee a commission or a percentage of sales?
No. It is a fixed marketing fee set 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 Strut Health pay per referral?
The FlexOffers affiliate network lists Strut Health at about $20 per online sale, paid one time, with a 30-day cookie. A separate aggregator shows a higher, conflicting figure, but because it is not confirmed on the network we cite the FlexOffers rate. MedStands, by contrast, pays $36 to $260 per active customer every month, set by the medication category.
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 like a 30-day cookie. 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 the sale, and the credit expires when the cookie does. MedStands pays every month a referral stays active, with attribution stored on the account for life. 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, and MedStands vs Hims and Hers compares another well-known brand.
Ready to earn recurring fees?
If recurring income beats a one-time bounty 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 your niche. 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.