GLP-1 Affiliate Commissions: What Brands Pay and What You Keep

GLP-1 affiliate commissions published on US telehealth brands’ own pages run from $10 to $540 per conversion at base rates, and one program pays 20% of the purchase. The biggest flat payouts sit on prepaid 3-, 6- and 12-month plans. What you keep depends on the payout event, the clawback window and what your traffic costs.

Every figure below is quoted from the brand’s page, or the network listing it uses, on October 24, 2026. Next to each payout we put the price of the order it’s paid from, because a $50 commission against a $69-a-month starting price and a $50 commission on a $959.88 annual plan are very different deals. This page covers prescription telehealth offers only, not the supplement offers that also rank for “GLP-1 affiliate” searches.

GLP-1 affiliate commissions published by US brands (October 2026)

Fourteen US brands that sell GLP-1 programs publish an affiliate commission. Thirteen pay a fixed amount and one (BiltRx) pays a percentage. Brands are listed alphabetically, not ranked, and the share column is our arithmetic on each brand’s stated prices.

The large flat payouts are tied to multi-month prepaid orders. HealthRX’s top rate of $540 comes off a $2,123 twelve-month tirzepatide order, and its card says “Monthly plans do not commission.” Where a big payout sits next to a single month, read the hold terms before the headline. Good Girl Rx pays $150 against a $149 monthly order, and its card also states when a commission locks and what claws it back (quoted in the margin section below).

HealthRX and WeightRx also publish other rates. HealthRX on Katalys “pays flat $250 on 3-month plans and $300 on 6- and 12-month plans”, which is more than the direct card on 3-month plans and 6-month semaglutide, and less on 12-month plans and 6-month tirzepatide. WeightRx runs a separate Performance Partner Program at “$35–$60+” “per attributed sale”, where “WeightRx funds the ad spend” and payouts settle weekly.

Why GLP-1 commissions run higher than other affiliate verticals

GLP-1 commissions run higher because the orders behind them are bigger, and a prepaid GLP-1 plan can run past $2,000. A brand that pays several verticals on one card shows this directly.

HealthRX publishes all three of its lines on one page:

On the 12-month plan, tirzepatide pays about 7.7 times what hair pays and about 2 times ED. The brand and the program are the same in every row, so the gap comes from the order value.

WeightWatchers is the counterpoint: a $10 base commission per qualifying subscription, with no GLP-1 order value attached.

For outside context, affroom’s September 3, 2026 roundup says “Reported payouts run from about $35 to $500 per acquisition.” That range comes with no source links, so treat it as a market impression. The brand-stated base rates above run from $10 to $540.

Order values and multi-month plans behind GLP-1 payouts

Longer plans mean bigger orders, and on the tiered cards the payout follows the order. Four brands publish price ladders to set against their rate cards.

Subscribe or one-time matters too. HealthRX says “one-time purchases pay 50% of the subscribe rate,” so a 12-month semaglutide plan pays $325 on Subscribe & Save ($1,163) and $162.50 as a one-time purchase ($1,188).

Most brands in the table sell compounded semaglutide or tirzepatide on a subscription. OrderlyMeds also lists branded pens (Zepbound $1,498 and Wegovy $1,839 a month) next to $149 compounded semaglutide, yet no card above pays a separate branded rate. Check before you build content around branded names.

Rev-share vs CPA in GLP-1 affiliate programs

Flat CPA dominates GLP-1 affiliate programs: 13 of the 14 cards in the table pay a fixed amount per conversion. BiltRx is the only percentage program, and its page doesn’t say whether the 20% recurs on refills.

The models in use:

• Flat CPA: one fixed amount per new customer (Cora, Mondae, OrderlyMeds, Noom). Simple to model. You carry none of the retention risk after the hold ends.
• Plan-tiered CPA: the amount rises with plan length (HealthRX, WeightRx). Your content and landing pages decide which plan the visitor picks, so they move your payout directly.
• Volume-tiered CPA: the rate rises with your referral count (per quarter at Good Girl Rx, per day at TrimRx; HeliMeds doesn’t state the period). HealthRX adds quarterly bonuses of $25, $50 or $75 per GLP-1 order at Silver (5+), Gold (20+) and Platinum (50+), and says “Your first referred order within 30 days of approval pays double the published rate.”
• Percentage: a share of the purchase (BiltRx). It only beats CPA if it recurs and the brand’s reporting is something you can audit.
• CPA plus a capped recurring share: HealthRX’s creator program adds “10 percent of months 2 through 7” to its $100 first-order payout, or “$25/mo per active customer, months 2 through 7, up to $350 per customer” on its Proven tier.

Rev-share wins when customers stay for many months and you trust the reporting. CPA wins when you want the money to land before cancellations start. On the affiliate cards in the table, CPA is close to the only option, so the real choice is between plan-tiered and volume-tiered CPA.

What eats your margin on a GLP-1 offer

Your margin on a GLP-1 offer is the headline payout minus everything the terms take back or never pay. Every line below is quoted from a brand’s own page or its network listing, checked October 24, 2026.

• Lock and clawback: Good Girl Rx: “A commission locks after the customer’s first refill ships or 45 days, whichever comes first,” and “Refunds or cancellations in that window claw back.”
• The event that counts: Mondae pays once a signup’s medication ships from the pharmacy. Factor Health MD pays only for someone “deemed medically qualified for our services, and prescribed medications.” Good Girl Rx pays “never on quiz starts, sign-ups, or approvals alone.” FindMyDirectDoctor pays on the “first medication payment.” Each step later in the flow means fewer conversions count.
• Conversions that never pay: HealthRX pays nothing on monthly plans and says “Orders placed through your own links are not commissionable.” Fella Health’s FlexOffers listing pays “$200 per sale (excluding sales from existing customers).” Mondae gives no referral credit for Florida signups. FindMyDirectDoctor pays a reduced “$25 commission” on orders with a discount code.
• Attribution: Good Girl Rx: “Your unique link tracks clicks for 14 days,” and “orders that came through paid ads are attributed to those ads, not the link.” HealthRX gives a “30-day last-click cookie.”
• Cash timing: Good Girl Rx pays “monthly after the month closes, net-30, with a $50 minimum that rolls forward.” GobyMeds pays “within 30 days of that month ending.” OrderlyMeds pays “by the 15th each month for prior activity.” WeightRx performance partners are paid weekly.
• Terms can change: OrderlyMeds: its payouts “may be modified or revoked at any time at the company’s discretion.” Factor Health MD “reserves the right to withhold or revoke referral payments” for referrals that break its terms.

Together these shrink a $150 headline fast. A 14-day window loses the visitor who returns on day 20, a paid-ads rule hands the conversion to the brand’s campaign, and a 45-day lock plus net-30 after month close can put the cash months after the click.

A simple margin check before you switch GLP-1 offers

Net per order is the payout times the share of orders that survive the hold, minus what you paid in traffic to get one order.

Net per order = payout × (1 − reversal rate) − traffic cost per order

Take HealthRX’s published $325 for a 12-month semaglutide order. Every 10 points of reversal rate costs you $32.50 of that. If your traffic costs more than $325 × (1 − reversal rate) per order, the offer loses money on that traffic no matter how good the headline looks. You measure both variables yourself; no rate card shows them.

Four questions to get answered in writing:

1. What event fires the payout: card submit, first payment, prescription, or shipment?
2. How many days until a conversion locks, and can a refund reverse it after that?
3. What’s the reversal rate on your traffic type, not the program average?
4. When does cash arrive, and is there a minimum?

If you already run a GLP-1 offer and know these numbers, send us your current payout.

Rules that come with a GLP-1 commission

GLP-1 programs attach traffic and claim rules to every commission, and a payout on traffic the program won’t accept is worth nothing. Three published lines show the range:

• Brand bidding: Found says “Trademark and Trademark+ bidding are not permitted.”
• Result claims: Mondae says “Partners may not make claims about weight loss results or promise that anyone will be prescribed medication.”
• Disclosure: HealthRX asks for “A clear affiliate disclosure near the link, in every placement and every format.”

HealthRX also bans prescription ads from your own Google or Meta accounts, and GobyMeds usually declines accounts that are mostly AI-based. Both limits trace back to Meta and Google certification, which sits with the brand. The full traffic table and the FTC’s disclosure wording are in how GLP-1 affiliate programs work. The brand side is in LegitScript for GLP-1 telehealth brands and Meta’s prescription drug ads policy for GLP-1. Meta limits result claims in the ad itself as well, covered in Meta’s weight loss ads policy for GLP-1 brands.

FAQ

What is a good affiliate commission for GLP-1 offers?

A good GLP-1 commission is one that leaves margin after reversals and traffic cost. The headline number alone doesn’t tell you. Published flat payouts run from $10 to $540 per conversion at base rates. Compare each one with the order it’s paid from: HealthRX pays 25% to 31% of a prepaid plan, WeightRx 6% to 10%.

Do GLP-1 affiliate programs pay recurring commission?

Few do. HealthRX’s creator program adds 10% of months 2 through 7 to a $100 first-order payout, and BiltRx doesn’t say whether its 20% recurs. OrderlyMeds calls its payout “a one-time payment.”

Why do some GLP-1 programs pay more for tirzepatide?

Tirzepatide plans usually cost more, and the payout follows the order. HealthRX pays $540 against $325 for semaglutide on 12 months. Good Girl Rx goes the other way, with a flat $75 on tirzepatide referrals, below its $150 standard rate.