Here is the bottom line: both MedStands and T2D.com pay recurring monthly income for every active referred member, so this is not the usual recurring versus one-time comparison. Both keep paying month after month. The real differences are how much each active referral is worth, whether there is a ceiling on it, how you get approved, and how the referral stays attributed to you. MedStands pays a fixed marketing fee of $36 to $260 per active referred customer per month, set by the medication category, while T2D.com's own agent page lists a flat $15 per month per active member, up to $180 per year per referral. Both are legitimate recurring GLP-1 referral programs. They just size and track a referral differently, and that difference is what this comparison is about.

At a glance

MedStands T2D.com
Payment model Recurring fixed marketing fee by medication category (a flat per-category dollar amount set in advance, not a commission or share of sales) Recurring monthly commission per active referred member (the brand's own term)
When you are paid Every month a referred customer stays active Every month a referred member stays active (the payout schedule and any minimum threshold are not published)
How much per referral $36 to $260 per active customer per month, by category $15 per month per active member, which t2d.com/agent states as up to $180 per year per referral
Attribution window Tied to you for life, bound to the account at signup (no cookie) Not disclosed; tracked by a custom referral link plus a promo code
Cost to join $0, no setup fee, no monthly fee No fee stated; you apply and get approved
Sign-up requirements Self-serve, no follower or audience-size minimum, admin review Apply and get approved for a referral link and promo code; the application collects name, email, phone, mailing address, individual or business type, and a payout method (ACH, PayPal, or check); no fee or license stated
Referral cap No cap on referrals or earnings No cap on the number of referrals is stated; each referral is listed as up to $180 per year
Who handles the clinical side Licensed providers prescribe, licensed pharmacies fulfill; you do no clinical work and hold no inventory Handled by T2D.com through its GLP-1 telehealth funnel for compounded semaglutide and tirzepatide

The math: two recurring models, and where the ceiling sits

Because both programs are recurring, the honest way to compare them is to follow one active referred member through a full year and see what each model does with that same relationship.

On T2D.com, the brand's own agent page states $15 per month per active member, framed as up to $180 per year per referral. So one active member is listed at a flat $15 a month, and the annual figure is that rate expressed across twelve months. It is a clean, easy number to explain, and it repeats for as long as the member stays active, which is the advantage any recurring model holds over a one-time payout.

On MedStands, the same active referral is also paid on every month, but the fee is set by the medication category and runs from $36 to $260 per active customer per month. It is a fixed marketing fee set in advance, not a commission and not a percentage of sales, and there is no per-referral annual ceiling. So depending on the category, a single active referral can be worth well above a flat monthly rate, and it keeps counting for as long as that customer stays active.

Here is the honest part, because it matters. MedStands does not promise a guaranteed total. Your actual earnings depend on the medication category involved and on how many referred people qualify with a licensed provider and stay active on the platform. Every request is reviewed by a licensed provider, and not everyone qualifies, and people can stop. The $36 to $260 range is the per-customer monthly fee schedule, not a promise of what you will make. The structural point is simply that MedStands sizes a referral by category with no annual cap, while T2D.com sizes every active member at the same flat monthly rate.

One sourcing note is worth reading, in fairness to the figure. The $15 per month, up to $180 per year language on t2d.com/agent appears word for word on a sibling site, UrgentCare.com/agent, run off the same operator template. That means the figure traces back to a single operator rather than two independent sources, so treat it as one confirmed brand statement rather than two corroborating ones. For a wider view of how recurring pay stacks up against one-time payouts across the whole category, see MedStands vs the Top GLP-1 Affiliate Programs.

Attribution: lifetime binding vs an undisclosed window

The second real difference is how long a referral stays yours.

With MedStands, a referred customer or business is bound to you for life. The link is stored on the account at signup, not held in a browser cookie that expires. If someone scans your QR code or uses your personal link and then comes back weeks later to sign up, you are still the referrer. There is no window to miss and nothing for the customer to remember.

T2D.com tracks referrals through a custom referral link plus a promo code, and its cookie or attribution window is not disclosed anywhere published. A promo code can help catch credit when a link click does not, since the member can enter it manually, but a promo code also depends on the person remembering to use it, and the underlying window is unknown. Neither the tracking length nor the payout schedule and minimum threshold are published, so those are open questions you would confirm with T2D.com directly. If attribution mechanics matter to you, How Telehealth Referral Attribution Works (Lifetime Tracking) explains the account-level, no-cookie approach in more detail.

Where T2D.com may be a fit

T2D.com has real advantages worth naming. It runs a recurring model, which already puts it ahead of the many GLP-1 programs that pay a single one-time CPA and then close the referral out. The flat $15 per month is one of the easiest numbers in the category to explain to an audience, and the program is openly marketed to agents, influencers, and healthcare professionals, so it is built for people who promote. It offers three payout methods (direct deposit by ACH, PayPal, or check by mail), which is flexible, and there is no stated fee or license requirement to apply. If you want a simple, predictable recurring number that is easy to communicate, and you are comfortable applying and getting approved before you receive your referral link and promo code, T2D.com is a reasonable fit.

MedStands takes a different shape. It is self-serve rather than approval-gated on the amount, the fee is sized by medication category rather than a single flat rate, attribution is lifetime rather than an undisclosed window, and there is no annual ceiling per referral. Which one fits depends on whether you value a flat, simple number or a category-based fee with no cap. If you are still deciding between referring individuals and referring whole businesses, Partner vs Affiliate: Which MedStands Program Fits You? breaks down the two tracks, and partner programs by industry shows which business types tend to fit best.

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 decided in advance. It is not a commission, a percentage, a cut, or a share of sales or revenue, and it does not move with the price of any sale. T2D.com, by contrast, describes its own payout as a recurring commission. For the full distinction, see Is a Telehealth Referral Fee a Commission?.

Both programs are recurring, so what actually separates them?

Three things. First, size: MedStands pays $36 to $260 per active customer per month by category, while T2D.com lists a flat $15 per month per active member. Second, the ceiling: MedStands has no cap on referrals or earnings, while T2D.com lists each referral as up to $180 per year. Third, attribution: MedStands binds a referral to your account for life with no cookie, while T2D.com's tracking window is not disclosed. For a broader look at earning from recurring referrals, read What Can You Earn Referring Businesses to Telehealth?.

How and when does MedStands pay out, and is there a minimum?

Payouts are monthly, sent to your bank through Stripe Connect, with a US$25 minimum. If your balance is below $25 in a given month, it rolls over to the next month rather than being lost. T2D.com offers direct deposit (ACH), PayPal, or a mailed check, but does not publish its payout schedule or any minimum threshold.

Do I need to be approved or have a following to join MedStands?

No. Sign-up is self-serve with no follower or audience-size minimum, and your QR code and personal link are live the same day, with an admin reviewing the account. T2D.com uses an apply-and-get-approved flow before it issues your referral link and promo code, and its application collects your name, email, phone, mailing address, whether you are an individual or a business, and your preferred payout method.

Ready to compare on your own terms?

If a recurring, category-sized, uncapped fee fits what you are building, learn how the fixed monthly marketing fee works on the MedStands affiliate program page and get your QR code and personal link the same day. If you would rather bring the platform to your own customers as a business, the partner program works the same way at the account level, and you can see the best-fit business types under partner programs by industry. For more head-to-head context, MedStands vs Noom covers a one-time CPA comparison, and What Is a Telehealth Partner Program? explains the model from the ground up.

Competitor program terms are as of July 2026 and come from each brand's published affiliate information. Programs change, so check their current terms.