The score, part by part
Red flag
-
FDA warning letter about weight-loss drugs, not TRT
On 8 June 2026 the FDA sent Maximus a warning letter about claims on its website for compounded semaglutide and tirzepatide, which are weight-loss drugs, including that they came from "FDA approved pharmacies". The letter does not concern testosterone or TRT. The FDA's site lists no close-out letter for it (read 6 November 2026).
Score capped at 50 while this flag stands. Capped providers are left out of our best lists and cannot buy the sponsored spot.
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True monthly cost
26.7 of 30
$116.66 a month in the first year. Every required charge priced.
$99.99 a month on the 10-month plan, billed up front at $999.90, plus a $199.99 yearly lab panel. That comes to $116.66 a month. Lab work is required, and no page says this panel is the required one, but it is a priced lab product, so we added it. 1–8
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What the price includes
14 of 20
- Yes: Medication
- No: Ongoing lab tests
- Yes: Follow-up visits
- Yes: Supplies and shipping
- Yes: An at-home lab option
The protocol price 'covers physician consultation, monitoring, and medication', so we count follow-ups. Shipping is free and an at-home test is available. Lab draws are not stated as included, and the lab panel is sold separately. 9–15
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Treatment options
10 of 10
- Yes: Injection
- Yes: Cream or gel
- Yes: Oral
- No: Pellets
- No: Troche
- Yes: An option meant to preserve fertility
Injection, cream and oral testosterone. Enclomiphene is offered, and we count it as a fertility option. 16–19
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Transparency
9 of 15
- Yes: A firm monthly price
- Yes: Every required extra priced
- No: A list of the states served
- No: A named clinician leading care
Plan prices are firm and the lab panels are priced. The site says it serves patients 'across the United States' without listing the states. Care is 'led by USA board-certified physicians', but none is named. 3,4,20–25
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Public reputation
19.4 of 25
Trustpilot 4.4 from 1,106 reviews. Better Business Bureau B-.
Trustpilot 4.4 from 1,106 reviews, and the site's '4.3+' and '800+' figures name Trustpilot and are consistent with it. Better Business Bureau B-, with a file opened on 7 July 2025, over a year ago. 26–29
The five parts add up to 79.1, and the cap holds the score at 50.
Where each fact comes from
- 1
"1-Month PlanBilled monthly **$199.99** /mo"
- 2
"4-Month Plan$599.96 billed today for 4 monthsBuy 3 months, get 1 free ~~$199.99/mo~~**$149.99** /mo"
- 3
"10-Month Plan$999.90 billed today for 10 monthsBuy 5 months, get 5 free BEST VALUE~~$199.99/mo~~**$99.99** /mo"
- 4
"$199.99/year"
- 5
"All testosterone protocols require at-home or in-lab CLIA-certified lab testing to establish baseline values and monitor protocol response."
- 6
"Lab testing is required to confirm eligibility, guide dosing, and monitor key health markers over time."
- 7
Looked for annual panel required: not found on this page
- 8
"Available for a one-time fee of $99.99."
- 9
"Free priority shipping"
- 10
"Pricing varies by dosage and plan length. May vary slightly by state."
- 11
"Your Maximus doctor monitors your bloodwork regularly and adjusts your protocol as needed to minimize side effects and maximize results."
- 12
"When you start your evaluation, you’ll complete a health questionnaire and an at-home lab test."
- 13
Looked for includes clinician followups: not found on this page
- 14
"Pricing is transparent and covers physician consultation, monitoring, and medication in a single protocol cost."
- 15
"Free priority shipping"
- 16
"Painless subcutaneous injections using ultra-fine insulin needles."
- 17
"Testosterone Cream"
- 18
"Oral Testosterone"
- 19
"That’s why Maximus offers fertility-friendly protocols — like Enclomiphene — that stimulate your body’s own testosterone production while preserving testicular function and fertility markers."
- 20
"Pricing varies by dosage and plan length. May vary slightly by state."
- 21
"Serves clients across the United States."
- 22
Looked for medical lead: not found on this page
- 23
Looked for states served: not found on this page
- 24
"The Program is limited to participants residing in states where Maximus is authorized to provide services."
- 25
Looked for medical lead: not found on this page
- 26
"Maximus Reviews 1,106 • ... 4.4"
- 27
"BBB Rating B-"
- 28
"BBB File Opened: 7/7/2025"
- 29
"Trustpilot: 4.3+ star average, 800+ verified reviews."
- 30
"Violations were identified and documented during a review of Maximus' website, https://www.maximustribe.com, FDA Establishment Identifier (FEI) 3032037948, in May 2026. FDA observed that your website offers compounded drug products, including semaglutide and tirzepatide products."
- 31
"Your website claims that the compounded drug products it offers are sourced from "FDA approved pharmacies.""
- 32
"Maximus Health, Inc. dba Maximus MARCS-CMS 730095 — June 08, 2026"
- 33
"Maximus Health, Inc. dba Maximus MARCS-CMS 730095 — June 08, 2026"