In order to participate in the eSample affiliate program operated by SymmetryRx, LLC, a North Carolina limited liability company having its principal place of business at 150 N Radnor Chester Road, Suite F200, Radnor, PA 19087 (SymmetryRx) (the "Program"), you must review and agree to the following, which contains the terms and conditions between SymmetryRx and you (the "Agreement") regarding your application and participation as an affiliate in the Program (an "Affiliate"). As used herein, the terms "you" and "your(s)" shall refer to the corporate entity or individual owning, either directly or indirectly, the referring URL.


From time to time, SymmetryRx may amend, supplement or replace entirely this Agreement by: (i) posting updated terms and conditions or supplements, amendments or exhibits thereto (collectively the "Updated Agreement") on the website; and (ii) if, in SymmetryRx’s reasonable judgment, the Updated Agreement constitutes a material change, notifying each affected party via e-mail at the address then currently in SymmetryRx’s records. No Updated Agreement shall affect Commissions, as defined below, earned by you prior to the Updated Agreement.

1. The Program.

SymmetryRx provides multi-channel marketing solutions to its clients, including, but not limited to, facilitating requests from eligible healthcare professionals ("HCP") for pharmaceutical samples, vouchers, coupons and related offers through SymmetryRx’s proprietary and patented one-stop sample center ("Sample Center"). As part of SymmetryRx’s services, such HCPs are given the opportunity to request pharmaceutical samples and patient savings offers online, directly from the HCP’s desktop and/or mobile device.

Eligible HCPs are required to register online for the Sample Center by establishing a set of login credentials for before requesting samples, vouchers, coupons, and other materials. This is a one-time registration. Returning HCPs will use their Sample Center credentials to login to Generally, any samples, vouchers, coupons, or other materials are shipped directly to the requesting HCP’s provided business address, but in some cases, items, such as certain coupons, may be eligible to be printed directly from for distribution to the patient.

SymmetryRx is seeking Affiliates to drive additional eligible HCPs to the Sample Center via a unique hyperlink provided by SymmetryRx to increase new registrations by, and increase samples, vouchers, and coupons and other materials requested by, HCPs to aid in patient care. If you qualify, are approved, and agree to participate as an Affiliate, SymmetryRx will make available to you, on a non-exclusive basis, a variety of graphic or textual links and other promotional materials, and a unique Affiliate tracking code, which will establish a trackable link from your website to that will serve to track activity for billing purposes, as further described below. Any hyperlink provided by SymmetryRx may not be modified without express, written consent of SymmetryRx, and such consent may be withheld in SymmetryRx’s sole discretion.

2. Application.

You may apply to join the Program by completing and signing this application form. SymmetryRx will evaluate your application and notify you if you are accepted into the Program. SymmetryRx may reject your application for any reason, or no reason whatsoever, in its sole discretion. Platforms that do not contain consumer-friendly site navigation, or that contain content (including pornographic or hateful content) that SymmetryRx, in its sole discretion, determines does not meet an acceptable commercial or aesthetic standard, are not eligible for participation. Membership is limited to the specific URL(s) submitted on your application.

3. Participation and Termination.

Your participation in the Program will commence on SymmetryRx’s notification of acceptance and will continue for one (1) year, and upon such date and each anniversary thereafter, this Agreement shall automatically renew unless you provide written notice to SymmetryRx no less than thirty (30) days prior to such renewal date at that you wish that this Agreement not be renewed. Upon such notice, all rights and obligations specified under this Agreement shall be terminated on the upcoming anniversary date, and Affiliate warrants that all links and references to the eSample program shall be removed from any properties under its control and proprietary assets will be deleted from its systems by such date. Please note that SymmetryRx reserves the right to terminate your participation in its sole discretion, for any reason, or for no reason at all. Immediately upon termination, you will remove any and all SymmetryRx links from any website owned or operated by you. As a precondition to receiving any earned but unpaid Commission, you will certify to SymmetryRx, via e-mail, that this condition has been met within one (1) business day following termination. Post-termination activity will not be reimbursed. Your right to participate in the Program is non-transferable, except with SymmetryRx’s written consent. SymmetryRx may transfer its rights to the Program without restriction. Any public announcement by you regarding your participation in the Program shall require SymmetryRx’s prior approval and no representations of Affiliation with SymmetryRx, in writing or by posting of logos, are allowed without SymmetryRx’s prior consent.

4. Your Obligations and Limitations.

As part of your participation as an Affiliate in the Program:

  1. You agree to fully cooperate with SymmetryRx, including any direction therefrom, in order to establish and maintain any hyperlinks provided by SymmetryRx.
  2. You shall only engage in advertising, marketing and promotional efforts which do not violate any applicable law, including, but not limited to, any relevant law, regulation, rule, or order relating to the marketing of pharmaceuticals online, including any state laws of the states which your platform targets, as well as all copyright, trademark, and patent laws, and which do not, in any manner, reflect negatively upon the business reputation of the Sample Center or the SymmetryRx brand.
  3. You shall not establish any social network profiles or domains, a blog domain, profile name, display name, or any other intellectual property containing the terms "Sample Center" or "SymmetryRx" or any variation thereof. You shall not purchase any domains that include any variation or misspell of and shall not bid on any keywords or keyword phrases that include any variation or misspell of Sample Center, including but not limited to any keywords containing "Sample Center", in any format in any pay per click (PPC) search engine. You are also restricted from utilizing any Sample Center trademarks, any variations or misspells of Sample Center in URLs. This includes, but is not limited to, the following search engines: Google, MSN, Yahoo! and Ask.
  4. You shall not use "branded term + generic terms" to gain preferential listings on any search engines, directories or any other kind of online database, including without limitation, Google, Yahoo!, MSN and Ask. It is your responsibility to seek the advice of SymmetryRx at If you are in any doubt about what is permitted or not permitted to do, pursuant to these Terms. In the event that you are operating or will operate within social environments, you must communicate so there is clarity and no commercial confusion, and that you are not misrepresenting yourself as Sample Center or SymmetryRx so that customers understand that you operate separately from Sample Center and SymmetryRx.
  5. You are prohibited from using Twitter hash tags when posting comments which could be construed as negative to the SymmetryRx brand.
  6. If you post on an existing community website with reference to Sample Center, such posts must indicate to the other community members that you are an affiliate for Sample Center.
  7. If you receive complaints from users regarding Sample Center services, you shall not respond to such complaint and shall forward the complaint via email to Sample Center’s Customer Care within 24 hours of receipt at
  8. Other than your Commissions in accordance with Section 5, you shall not be entitled to any costs or payments and shall bear all costs and expenses incurred by you in connection with the advertising, marketing and promotion of Sample Center products and services to your customers in accordance with the Program.
  9. All clicks must first land on your site, and the platform user must click from your site to Clicks must never land directly on Overlays and masked URLs are not permitted.
  10. You shall not set up any site redirects from any page on your platform or network of platforms so that the page goes directly to
  11. You shall not place any banners or links within unsolicited email, unauthorized newsgroup postings, chat rooms or through the use of "bots". Traffic generated illegally will not be commissionable.
  12. You shall: (i) utilize the entire URL provided by SymmetryRx for the banners, links and other promotional tools (including the tracking codes therein) and not in any way alter or remove any part of the code; (ii) display on your platform(s) only those graphical or textual images that are provided by SymmetryRx or what has been expressly approved by SymmetryRx; (iii) update such images with new images provided by SymmetryRx from time to time; (iv) display such graphic and/or textual images prominently in relevant sections of your platform(s); (v) only display such graphic and/or textual images in accordance with any applicable time limits provided to you via SymmetryRx and ensure that they are not displayed after the expiration of any applicable promotional periods relating to such graphic or textual images; (vi) not copy or resemble the "look and feel" or layout of the Sample Center website or otherwise represent to users that your platform(s) is representing SymmetryRx and/or the eSample Service; (vii) not misrepresent or embellish the relationship between you and SymmetryRx; and (viii) not suggest that SymmetryRx endorses any products or services other than its own.
  13. You agree that: (i) SymmetryRx does not condone or endorse Spam, and has a zero tolerance policy for violations of the CAN SPAM Act and other relevant laws; (ii) you agree not to use Spam in promoting the Sample Center and its associated services and products; (iii) if you are found to be actively engaged in Spam activities, you will be in irrevocable breach of this Agreement and removed from the Program, as well as subject to legal action; (iv) Commission will not be payable where it results from or is connected to Spam activity; (v) you shall not conduct unauthorized email communications advertising the Sample Center or SymmetryRx brands; (vi) by participating in the Program, you agree to abide by all applicable federal and state laws and regulations and employ best practices in all marketing email communications, including but not limited to the CAN SPAM Act; (vii) subscribers and customers may incur expenses in dealing with Spam-generated mail, and that SymmetryRx may potentially incur legal expenses and penalties as a result of your unauthorized third party email communications, and all expenses and penalties incurred by SymmetryRx, following SymmetryRx’s demand for payment of such amount by you.
  14. You agree that the Program is not open to voucher code directories at this time and that if you operate a voucher code directory you will not be approved onto the Program, and any voucher code affiliate generating commissions via a voucher code site will be declined.
5. Determining a Commission.

SymmetryRx shall be responsible in its sole business judgement for calculating accrued and earned commissions (“Commissions”) which are the net of Revenue Share (“Revenue Share”) less Sample Request Form Fee (“Sample Request Form Fee”) at the rates provided in Schedule A, which occur during the period for which such Commissions are being calculated. The Sample Request Form Fee shall be calculated by SymmetryRx based on time spent and actual costs when SymmetryRx’s call center finds it necessary to contact a prescriber regarding unreturned forms to prompt return of the form which is required to bill for the transaction. SymmetryRx will maintain records of all traffic passing over the Program, and SymmetryRx’s records shall govern all interpretations made under this Agreement, including but not limited to the calculation of Commissions.

6. Payment.

Commissions will be processed approximately forty-five (45) days after the end of the month in which they accrued, unless the monthly total for Commissions owed in such month is less than $1,000. If the total of Commissions owed to you for any month is less than $1,000, this amount shall be paid quarterly. Commission checks will be accompanied by a report outlining transaction details. Commissions shall be paid pursuant to your current information on record with SymmetryRx. You are responsible for informing SymmetryRx about changes to postal and e-mail addresses, as well as any changes to your name, email address, contact information, tax identification number, or other information. SymmetryRx reserves the right to withhold, suspend, and/or cancel a Commission, and cancel the Affiliate relationship with you, should SymmetryRx determine, at SymmetryRx’s discretion, that you are not in compliance with any provision of this Agreement. You are responsible for the payment of all taxes related to the Commissions you receive under this Agreement. For the avoidance of doubt, SymmetryRx calculates the Revenue Share component of Commissions based on sample request transaction fees billed to pharmaceutical manufacturers which include Recruiting, Ordering, Initial Session, Subsequent Session, and direct-to-patient; the Revenue Share component of Commissions does not include certain service fees, including but not limited to fees for eSignature, eSignature prescriber authentication, and certain fixed fees.

7. Disputes.

Any Commission disputes must be submitted by you in writing to SymmetryRx no later than forty-five (45) days after the final day of the month in which the disputed event occurred. Disputes filed after forty-five (45) days of the date on which the disputed event occurred will not be accepted by SymmetryRx, and you forfeit forever any rights to a potential claim related thereto. SymmetryRx reserves the right to audit any website traffic at any time and for any reason, or no reason at all. If SymmetryRx determines, in the exercise of its reasonable business judgment, that you have employed any device to artificially inflate the referral rate: (a) your membership in the Program will be immediately terminated; (b) any unpaid Commissions will be immediately voided, whether or not earned; and (c) upon demand, you will return immediately to us any Commissions attributable to the Program that had been previously paid to you. In addition to the above, SymmetryRx shall have all remedies available to it at law or in equity. All such available remedies are cumulative and may be exercised singularly or concurrently. All remedies are subject to the terms of this Agreement and applicable law.

8. Use of Trademarks.

If you become an Affiliate, SymmetryRx will grant you a limited, non-exclusive, non-transferable, revocable, worldwide right to: (a) post on your platform the materials provided by SymmetryRx, including any trademarked material, relevant to the Program; and (b) use, in connection solely with the Program, all copyrighted, trade or service marked or other protected intellectual property contained therein for the purposes described in this Agreement. You may not add, subtract or in any way alter or edit any such material, nor may you make any use whatsoever of same other than for the purposes of, and as contemplated by, this Agreement. SymmetryRx shall retain sole and exclusive ownership of all right, title and interest to and in its proprietary information, templates, processes, methodologies, inventions, patents, know-how and software owned by it, and all derivative works based upon and any improvements to any of the foregoing, and nothing in this Agreement shall grant you any rights to such property, or the use thereof, except as otherwise described in this Agreement. Immediately upon termination or upon the request of SymmetryRx, you will remove any and all SymmetryRx links from any website owned or operated by you, and return to SymmetryRx all of its materials, certifying in writing that you have complied with the provisions of this Section. You hereby grant SymmetryRx a limited, non-exclusive, revocable, worldwide license for the term of this Agreement to use, reproduce, and distribute your company name and logo for use in SymmetryRx’s promotional materials.

9. Data and Confidentiality.

All data, including but not limited to Program results, user data, statistical information, traffic analysis, or any other data produced or provided by you or the HCP, shall be deemed to be the sole property of SymmetryRx and shall not be used by you for any purpose. All information relating to your participation in the Program, including, but not limited to the data described above, identities of any client, SymmetryRx’s Commission rates and pricing strategies, shall be considered proprietary information of SymmetryRx, and shall at all times be held in strictest confidence by you and will not be disclosed by you to any other person or entity, in any manner whatsoever, in whole or in part, and will not be used by you directly or indirectly for any purpose other than the Program. Upon any such request, you shall destroy any and all data as contemplated in this paragraph (and all copies thereof).

10. Representations and Warranties.

As a condition to your participation in the Program, you represent and warrant, and covenant on an ongoing basis, that: (a) this Agreement has been duly and validly executed and delivered by you and constitutes your legal, valid, and binding obligation, enforceable against you in accordance with its terms; (b) there is no pending or, to the best of your knowledge, threatened claim, action, or proceeding against you, or any affiliate of yours; (c) you will display such links prominently in relevant pages of your platform; (d) any information with respect to SymmetryRx or the Program that you display on your website must be provided by SymmetryRx and/or approved by SymmetryRx in writing in advance of any display; (e) your platform does not: (i) violate any applicable law or regulation governing false or deceptive advertising; (ii) does not contain any comparative advertising, trade disparagement or libelous, defamatory or infringing content, or any content that is, in SymmetryRx’s opinion, unlawful, harmful, threatening, defamatory, obscene, harassing, racially, ethically, or otherwise objectionable; and (iii) does not contain any malicious code that could be unintentionally downloaded onto a user's computer or device, including, but not limited to, viruses or other self-executing computer programs; (f) each referred HCP, and each pharmaceutical request submitted by such HCP, is valid, genuine, unique and not fraudulent and meets the criteria for generating a Commission as provided in this Agreement; (g) with regard to the Program, you will fully comply with all applicable laws and regulations including but not limited to, the regulations provided by the Federal Trade Commission and the CAN SPAM Act; (h) you will not employ any device that has the effect of inflating the click-through rate, including, but not limited to, automatic page-spawning, automatic redirects, or "bots"; (i) you will use your commercially reasonable best efforts to continue to operate and maintain your platform in a manner consistent with the intent and purpose of this Agreement; and (j) the performance of your obligations under this Agreement shall not infringe or violate upon the intellectual property, privacy, or any other rights of any third party.

11. Warranties.


12. Limitation on Damages.

SymmetryRx shall not be liable to you for any special, consequential, incidental, punitive or indirect damages, losses (including lost or imputed profits), costs or expenses of any kind arising out of this Agreement or your participation in or termination from the Program, however caused, and whether based in contract, tort (including negligence), products liability or any other theory of liability regardless of whether you have been advised of the possibility of such damages, losses, costs or expenses. Except for liabilities resulting from willful misconduct or recklessness, any liability of SymmetryRx to you shall not exceed the total amount of the Commissions actually paid to you with respect to your participation in the Program.

13. Indemnification.

You hereby agree to indemnify, defend and hold harmless SymmetryRx, its shareholders, officers, directors, employees, agents, affiliates, successors and assigns, from and against any and all claims, demands, losses, liabilities, damages or expenses (including attorneys' fees and costs) of any nature whatsoever incurred or suffered by SymmetryRx (collectively the "Losses"), in so far as such Losses (or actions in respect thereof) arise out of, are related to, or are based on (i) the acts, failure to act, by you or any of your users; (ii) the breach of any representation or warranty made by you herein; or (iii) or any claim related to your site.

14. Miscellaneous.

(a) This Agreement, as it may be updated and/or amended from time to time, is the sole and complete Agreement covering the subject matter hereof. Any provision of deemed unenforceable by a competent court of jurisdiction may be deleted, leaving the remainder of the Agreement operable and in effect. This Agreement is made in accordance with and governed by the laws of the Commonwealth of Pennsylvania. The relationship between you and SymmetryRx established by this Agreement is that of non-exclusive independent contractors. Neither party may represent and/or bind the other to a third party, or otherwise be deemed to be, an employee, agent, partner, or joint venturer with respect to the other. Any notice to be provided relating to this Agreement shall be in writing and deemed effective: (a) upon delivery when delivered in person; (b) upon transmission when delivered by verified e-mail or facsimile transmission; or (c) when delivered by registered or certified mail, postage prepaid, return receipt requested by nationally recognized overnight delivery service to the address of the respective party as indicated above. The failure of either party to insist upon or enforce strict performance or to exercise any right under this Agreement shall not be construed as a waiver or relinquishment to any extent of such party's right to assert or rely upon any such provision or right in that or any other instance, and the same shall be and remain in full force and effect. Sections 6, 7, 8, 9, 10, 11, 12, 13 and 14 shall each survive the termination of this Agreement and your participation in the Program.
(b) During the term of this Agreement, and for twelve (12) months afterwards, neither You, any owner of You, nor any spouse of an owner of Your (the “Restricted Parties”) shall directly or indirectly have any ownership interest in, or be engaged or employed by, any company generating drug sample requests or that would otherwise be considered a competing service.