The difference between these two programs comes down to how often the same referral pays you. 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 stays active. TrimRx runs a one-time CPA affiliate program, and a live affiliate-network offer lists a one-time payout of around $220 per sale. One model pays you again every month a referral stays active. The other pays once, at the sale. That single difference is what this comparison is about.
Both are real ways to earn from GLP-1 weight-loss telehealth referrals, and both let you earn by pointing people toward treatment. Where they diverge is how often you get paid for the same person, and how long that person stays tied to you. Because the TrimRx payout figure is listed on affiliate networks (via Dynu In Media) rather than on a TrimRx-owned affiliate page, we treat it as network-reported rather than brand-confirmed, and we hedge it accordingly throughout.
At a glance
| MedStands | TrimRx | |
|---|---|---|
| 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 (cost per action) per sale, listed on affiliate networks (via Dynu In Media), not a recurring fee |
| 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 | A one-time payout of around $220 per sale, listed on affiliate networks (network-reported, not confirmed on a TrimRx-owned page) |
| Attribution window | Tied to you for life, stored on the account at signup (no expiring cookie) | Not clearly disclosed |
| Cost to join | $0, free to join, no setup or monthly fee | Not disclosed; accessed through affiliate networks |
| Sign-up requirements | Self-serve, live the same day, admin review, no follower or audience minimum | Not disclosed; joined through a third-party affiliate network rather than a public brand sign-up page |
| 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 | Handled within TrimRx's own GLP-1 weight-loss telehealth service |
One clarification before the table is read as gospel. The roughly $220 figure comes from a live affiliate-network offer listed through Dynu In Media, not from a TrimRx-owned affiliate page. That is a reasonably confident data point, but network listings change and are set by the offer, so treat it as the current network-listed rate rather than a permanent, brand-published promise. TrimRx does not appear to publish its own cookie or attribution window, which is why we mark it as not clearly disclosed rather than inventing 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. TrimRx's affiliate offer, as listed on affiliate networks, is a one-time payout of around $220 per sale, so a referral there is a single payment event. That is a clean, front-loaded structure: you earn the payout at the sale, and the counter resets to zero.
MedStands pays a fixed marketing fee every month that same customer stays active. The fee is set by the medication category, spanning options such as semaglutide, tirzepatide, and other GLP-1 treatments, and it 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 stays active month after month 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.
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 walk-through of how that compounds, see how much you can earn referring businesses to telehealth, and for where a recurring fee 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 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.
TrimRx does not clearly disclose an attribution or cookie window. Because no window is published, the responsible thing is to compare at the model level rather than invent a number. What we can say plainly is that a cookie-based 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. If someone discovers a program through you but signs up a month later, a short cookie and an account-level lifetime binding treat that credit very differently. For the mechanics of account-level binding, see how telehealth referral attribution works with lifetime tracking.
One more MedStands-specific point worth knowing: 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 program fits breaks it down.
Where TrimRx may be a fit
TrimRx is a recognized GLP-1 weight-loss telehealth brand, and a one-time CPA can suit certain audiences well. If you are a performance marketer who prefers a straightforward, front-loaded payout at the sale over managing a recurring relationship, a CPA model is simple and predictable per conversion, and a roughly $220 one-time payout is a healthy per-sale figure to model against. If you already run high-volume traffic through affiliate networks and want to add a recognizable weight-loss brand to a dashboard you already use, joining TrimRx through its network offer fits neatly into how you already operate. For short bursts of volume where most clicks convert quickly, a one-time payout can be easier to forecast than a stream of smaller monthly fees.
MedStands is built for a different goal: durable, recurring income from customers who stay on treatment, with $0 to join and no third-party network sitting in between. If you would rather be paid every month a referral stays active than once at the sale, the recurring model is the one to look at. You can also compare this side by side with other brands, such as MedStands vs Hims and Hers, or scan the best GLP-1 weight-loss affiliate programs for the wider field.
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 TrimRx pay per referral?
A live affiliate-network offer lists a one-time payout of around $220 per sale, distributed via Dynu In Media rather than a TrimRx-owned affiliate page. Treat that as the current network-listed rate rather than a brand-confirmed, permanent figure, because network offers change. It is a one-time CPA per sale, not a recurring per-customer fee.
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.
How is this different from a one-time CPA?
A CPA pays once, at the sale. 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 monthly 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 field. Independent licensed providers prescribe and licensed pharmacies handle fulfillment on a LegitScript-certified platform, so the clinical side is covered. 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.