We use for a few of our outpatient clinics, (their website is pretty basic but I can vouch for them paying on time and being legitimate) it pays a bit better than the previously quoted card, I believe it is 1.25-2.75 for pharmacists or clinics that they pay out. Pays out monthly like clockwork for any of our clinics and we use the money for a patient assistance fund to give out to patients. Very little effort required on our end, and works out to several hundred dollars per month a slow clinics to maybe several thousand per year at busy clinics that write for/send out lots of RXs. PM me and I can get you in touch with the marketing manager there if you want. It doesn't cost anything to get set up on it and works great if you are using it to give to social workers at your hospital, an outpatient clinic, or just if you are giving it out personally to patients and want to keep the $ for yourself etc. I believe they only ask for SSN after you earn more than $600 in a year as they need to file a 1099 at that point, otherwise I don't think you need it when you register.