Medication Card Affiliate Agreement

$100 Affiliate Starter Kit

The Affiliate Starter Kit includes 5,000 medication discount cards, 25 card holders with display banners, your own fully functioning website, and back office. No monthly fee or annual fee.


COMPANY, "" agrees to compensate AGENT/AFFILIATE , as outlined in ADDENDUM A of this AGREEMENT, for each claim COMPANY receives compensation for (hereinafter referred to as 'CLAIM'), that is processed using AGENT/AFFILIATE's CARDS. AGENT/AFFILIATE acknowledges that they will NOT be paid for the CLAIMS that the COMPANY is not paid for, or that are reversed or charged back to the COMPANY, for any reason.

  1. AGENT/AFFILIATE understands that CARDS offer a point-of-sale discount on prescriptions, and are NOT insurance, and should never be referred to as such in any communication, either verbally or in writing.
  2. AGENT/AFFILIATE understands and agrees not to distribute CARDS or any marketing information to any customer anywhere on the grounds (inside or out) of any pharmacy.
  3. AGENT/AFFILIATE understands that CARDS are to be given away free, and are never to be sold for any price on eBay or by any other method, to an end-user. AGENT/AFFILIATE caught doing so will be terminated.
  4. Medication Cards are NOT to be distributed on private property, without prior written permission of property owner. This includes placing cards on cars in parking lots, or any other form of distribution on private property. You're not allowed to place or hang cards on USPS mail receptacles. You are not allowed to put cards on vehicles on public/private property.
  5. AGENT/AFFILIATE understands that CARDS do not guarantee card holders discounts every time, and will not provide added discounts to drugs on already-discounted “drugs lists” (found in many pharmacies) or on other specially priced drugs offered by pharmacies.
  6. AGENT/AFFILIATE agrees to NOT send unsolicited spam email or junk faxes, as a method of promoting CARDS, to anyone.
  7. AGENT/AFFILIATE agrees to use pre-approved marketing materials (press releases, web ads, print, postcards, brochures, fliers, broadcast, etc.). Any AGENT/AFFILIATE -produced marketing materials must be approved in writing, by COMPANY before material is used publicly.
  8. Checks are made payable to AGENT/AFFILIATE as shown on this AGREEMENT, and will be sent out by U.S. Mail, no later than forty-five (45) days following the end of the calendar month.
  9. Commission checks must total a minimum of fifty dollars ($50.00) to be issued.
  10. This AGREEMENT shall not constitute or otherwise imply a joint venture, pooling arrangement, partnership or formal business organization of any kind. Both parties shall be considered independent contractors and neither party shall be considered, nor should ever represent themselves as an employee of the other. Under no circumstances shall employees of one party be deemed the employees of the other party.
  11. AGENT/AFFILIATE acknowledges, that as an independent contractor, they are responsible for any and all marketing expenses, as well as any taxes on the compensation paid by the company to the AGENT/AFFILIATE.
  12. AGENT/AFFILIATE agrees to notify COMPANY of any contact information changes, including addresses, phone numbers, and email addresses.
  13. AGENT/AFFILIATE acknowledges that violation of any of these terms is basis for the immediate termination of AGENT/AFFILIATE, at the COMPANY's sole discretion.
  14. This AGREEMENT contains all the terms and conditions agreed upon by the parties and supersede all prior understandings, writings, proposals, representations, or communications, oral or written, of the parties hereto.
  15. Governing Law. The validity, enforceability, and interpretation of this Agreement shall be determined and governed by the internal laws of the State of California, County of Orange.

Level 0 - your direct transactions. Medication Card Monthly Prescription Claims

Generate 1 to 1,000 paid claims per month – $1.50 per paid claim.

Generate 1,001 to 5,000 paid claims per month – $2.00 per paid claim.

Generate 5,001 to 10,000 paid claims per month – $2.25 per paid claim.

Generate 10,001 or more paid claims per month – $2.50 per paid claim.
Level 1 - Affiliate transactions sponsored by you. Override on sub-Affiliate per claim.
$0.25 per paid claim.

Discount Dental Plans
$45.00 per paid plan enrollment.

Affiliate Information:
Full Name: Bus. Name:
Address: City:
State: Postal Code:
Primary Phone: Email Address:

Agent Referrer’s Information:
Group ID:         Referrer Name:
14 + 5 =         How did you find us?:

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