Abstract: A promotions system and methods are provided for generating incentive-based promotions for specialized products with subsequent generated tracking metric data. The promotions system is configured to receive promotion data, generate coupon data based on the promotion data, and transmit the coupon data to a retail server. The generated coupon data generally comprises approved products list data and medically tailored meals data. The retail server checks purchased products against the approved products list data and the medically tailored meals data, including accessing data related to the nutritional content of the purchased products. The retail server provides a discount to at least one of the purchased products if at least a combination of two or more items within the purchased products qualify as a medically tailored meal based on the nutritional content data surpassing a first threshold. Data relating to the purchased product is transmitted to the promotions system server upon completion.