If you are comparing these two affiliate programs, the split is structural. 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. Winona, the menopause and hormone therapy telehealth brand at bywinona.com, runs a revenue-share affiliate program on the Impact network: from Winona's own affiliate page, roughly 15% to 30% commission for top performers as a percentage of the sale, with a 30-day cookie. One model pays you again every month a referral stays active. The other pays a percentage once, per sale, and credits it only inside a 30-day window. That single difference is what this comparison is about.
A naming note first, because it matters: this is bywinona.com, the menopause and HRT brand, not any other company that uses the Winona name. The two programs also serve different corners of care. Winona is built around menopause and hormone therapy; MedStands is a B2B telehealth partner and affiliate platform focused on GLP-1 weight care (semaglutide and tirzepatide protocols). That shapes who each program fits, so here is the factual side by side using only what each program publishes.
At a glance
| MedStands | Winona | |
|---|---|---|
| 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 revenue-share affiliate commission, a percentage of the sale, on the Impact network, per Winona's own affiliate page |
| When you are paid | Every month a referral stays active | Once, per sale (a one-time commission) |
| How much per referral | $36 to $260 per active customer per month, by category | From Winona's own affiliate page, roughly 15% to 30% commission for top performers as a percentage of the sale |
| Attribution window | For life, stored on the account at signup (no expiring cookie) | A 30-day cookie |
| Cost to join | $0, free to join, no setup or monthly fee | Not disclosed; join through the Impact network |
| Sign-up requirements | Self-serve, live the same day, admin review, no follower minimum | Apply through the Impact affiliate network; further requirements not disclosed |
| 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 (LegitScript-certified); you do no clinical work and hold no inventory | Winona is a menopause and hormone therapy telehealth brand that runs its own clinical service; not part of the affiliate terms |
Two clarifications before the table is read as gospel. First, the only Winona figures used here, the 15% to 30% range, the percentage-of-sale structure, and the 30-day cookie, come from Winona's own affiliate page, and the 15% to 30% is stated there as a range topping out for top performers. Second, a percentage commission and a flat fee are not the same unit, so the two "how much" cells are not directly comparable line for line. They describe different mechanisms, which is exactly the point of the sections below.
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, percentage-of-sale commission pays a share of the purchase 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. Winona's affiliate page describes a revenue-share commission, roughly 15% to 30% for top performers, credited per sale, so a referral there is a single commission event tied to the value of that sale.
MedStands pays a fixed marketing fee every month that same customer stays active. The fee is set by the medication category, whether it is a semaglutide or a tirzepatide protocol, and it lands between $36 and $260 per active customer per month. A customer who stays active across a year is therefore paid on month after month rather than once. Even at the low end of the range, a referral who keeps using the platform becomes a recurring line on your payout instead of a single event at the sale.
Two honest caveats so this reads straight. First, the percentage and the flat fee are not the same unit, so there is no clean apples-to-apples multiplication, and we are not going to invent one. A percentage commission scales with the price of the sale; a fixed marketing fee is set in advance by category and does not move with the sale price. Second, the MedStands figure is a fee schedule, not a promise of a total. Your actual earnings depend on which category applies to each referral and on how many referred people qualify and stay active. Every request is reviewed by a licensed provider, and not everyone qualifies. 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, so recurring fees stack as your active base grows. For where this sits among comparable 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.
Winona uses a 30-day cookie, per its affiliate page. That means a click is credited to you if the person purchases within 30 days. If they clear cookies, switch devices, or come back on day 45, that credit can lapse. A 30-day window is a common, perfectly standard affiliate term, and for fast decisions it works fine. It is simply a different mechanism from an attribution stored on the account that never expires. That difference matters most in categories where people research for weeks before starting. For the mechanics of account-level binding, see how telehealth referral attribution and lifetime tracking work.
Where Winona may be a fit
Winona is a recognized menopause and hormone therapy telehealth brand with a clean, network-run affiliate program on Impact, and that structure suits certain audiences well. If your audience is women navigating menopause and HRT rather than GLP-1 weight care, Winona speaks directly to that need in a way a weight-focused platform does not. If you already run traffic through Impact and prefer a percentage-of-sale commission you can manage inside an existing network dashboard, a revenue-share model is simple and familiar, and a higher-value sale can mean a larger single commission. For creators who would rather be paid a share at the point of sale than manage a recurring relationship, that is a legitimate fit, and Winona's brand focus can help conversion with the right audience.
MedStands is built for a different goal: ongoing income from customers who stay on treatment in GLP-1 weight care. If you would rather be paid every month a referral stays active than a percentage once per sale, 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 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. Winona's program, by contrast, is a revenue-share commission, a percentage of the sale on the Impact network.
How much does Winona pay per referral?
From Winona's own affiliate page, roughly 15% to 30% commission for top performers, structured as a one-time, percentage-of-sale payout on the Impact network with a 30-day cookie. Because it is a percentage, the dollar amount moves with the price of each sale, and it is credited once per sale rather than every month.
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 30-day window. There is no cap on how many referrals you have or how much you can earn.
Do Winona and MedStands cover the same treatments?
No, and this matters when you choose. Winona (bywinona.com) is focused on menopause and hormone therapy. MedStands is a GLP-1 weight-care platform (semaglutide and tirzepatide protocols) where independent licensed providers prescribe and licensed pharmacies fulfill, refill, and ship on a LegitScript-certified platform. MedStands is not a medical practice and does not prescribe, and not everyone qualifies. The two can even be complementary if your audience spans both needs. For the fuller picture of the model, see what a telehealth partner program is.
Ready to earn recurring monthly fees?
If recurring income beats a one-time commission 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.