Budget vs premium
Enhance MD vs Maximus: Which Costs Less Over 12 Months? (2026)
Compare Enhance MD and Maximus on real cost over 12 months, medication type, price stability and support. Independent 2026 analysis, no first-month gimmicks.
Published · Pricing as published in our provider dataset, synced · Editorial scores 8.4 and 7.0 out of 10
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Enhance MD and Maximus both prescribe GLP-1 medication online, take payment directly from the patient and ship to the door. That is where the overlap stops.
Maximus costs 2.7x more per month than Enhance MD once promotional pricing is out of the picture ($133/mo against $49/mo). Over a year that gap compounds into real money, and the question is what it buys.
This comparison works from what each provider publishes: the entry price, what it becomes at month two, the medication actually dispensed, and what is bundled rather than billed. Undisclosed pricing is treated as a finding, not rounded into an estimate.
The short answer
- Lowest ongoing rate
- Enhance MD — $49/mo against $133/mo, though only one of the two publishes enough to total a full year.
- Most predictable bill
- Enhance MD — Flat rate at every dose, so titration does not change what you are charged.
- Tirzepatide access
- Enhance MD — Tirzepatide at $99/mo; the other side publishes semaglutide only.
- Most support included
- Maximus — Prescriptions approved by licensed doctors, filled through U.S. pharmacies.
Enhance MD vs Maximus: the specification
Nothing in this table is our estimate. Where a provider does not publish something, the cell says so.
| Enhance MD | Maximus | |
|---|---|---|
| Advertised price | Semaglutide from $49, tirzepatide from $99, first month | $132.99/mo |
| Rate after promotions | $49/mo | $133/mo |
| Pricing structure | Flat rate at every dose | Flat rate at every dose |
| Medication | Compounded semaglutide and compounded tirzepatide | Compounded semaglutide |
| Shipping | Home delivery | Home delivery |
| Support model | No coaching program stated | No coaching program stated |
| Tirzepatide | $99/mo | Not published |
| Price transparency | Partly published | Published upfront |
| Patient reviews | 10,482 | 2,896 |
| eRxDoctor score | 8.4/10 | 7.0/10 |
Cost over a full course of treatment
The advertised rate answers the wrong question. Below, both are carried out to six and twelve months so the comparison holds at the point it matters.
| Enhance MD | Maximus | |
|---|---|---|
| First month | $49 | $133 |
| Months 2 onward | Not published | $133/mo |
| 6-month total | Not computable | $798 |
| 12-month total | Not computable | $1,596 |
| Best published plan | No multi-month discount published | No multi-month discount published |
A like-for-like annual total is not available for Enhance MD: the ongoing flat rate is higher than the $49 introductory month and is not prominently published before intake. Treat any comparison that quotes one as an estimate someone else has made for you.
What the price difference actually buys
Maximus charges $133/mo where Enhance MD charges $49/mo. A premium is defensible only if it maps to something specific, so here is what Maximus puts behind it: prescriptions approved by licensed doctors, filled through U.S. pharmacies, and home delivery.
Enhance MD counters with the lowest first month anywhere on this list, on both compounds, and the thing it asks you to accept in return: what you pay in month two is the number that is missing.
Price gaps in this market rarely reflect a different molecule; they reflect a different amount of human contact. Decide how much of that you actually intend to use before paying for it.
Enhance MD in detail
Enhance MD offers semaglutide from $49 and tirzepatide from $99 for your first month, with flat-rate pricing that stays the same at every dose, no fee escalation. In this pairing, its distinguishing feature is the lowest first month anywhere on this list, on both compounds.
Intake is online intake. Fulfillment is home delivery. The commercial terms are flat rate at every dose, partly published.
Behind the prescription sits 10,000+ patients treated. Available medication: compounded semaglutide and compounded tirzepatide.
Enhance MD pros
- No hidden fees at higher doses
- Flat-rate pricing: the same price at every dose, with no fee escalation during titration
- Cheapest first month for both compounds, semaglutide from $49 and tirzepatide from $99
- 10,000+ patients treated, meaningful real-world clinical volume
Enhance MD cons
- The $49/$99 rates are first-month introductory prices; ongoing flat rate is higher
- Compounded medication only, no branded Ozempic, Wegovy, or Zepbound
- Ongoing flat-rate pricing not always prominently published before intake
The cost of choosing this over Maximus: what you pay in month two is the number that is missing.
How Maximus works
The pitch is a low flat rate with a simple direct-pay structure and nothing bolted on. $132.99 per Month
Practically: telemedicine intake, no clinic visits, home delivery, and a pricing model that is flat rate at every dose.
On the clinical side, prescriptions approved by licensed doctors, filled through U.S. pharmacies, prescribing compounded semaglutide.
Maximus pros
- Low flat rate at $132.99/month
- Convenient telemedicine access with no clinic visits
- Prescriptions approved by licensed doctors
- Medication filled through trusted U.S. pharmacies
Maximus cons
- Compounded medication only, no branded Ozempic, Wegovy, or Zepbound
- Smallest patient base on this list, limited public reviews and track record
- No published outcome or weight loss guarantee
Against Enhance MD specifically, the trade you are making: the smallest patient base here, with limited published detail on tirzepatide.
Who each program is actually built for
Choose Enhance MD if:
- delivery works the way you want it to: home delivery
- you want to start on their timeline: online intake
- the level of clinical contact suits you: 10,000+ patients treated
- the feature you would actually use: the lowest first month anywhere on this list, on both compounds
Choose Maximus if:
- the level of clinical contact suits you: prescriptions approved by licensed doctors, filled through U.S. pharmacies
- what it leads on is worth paying for in your case: a low flat rate with a simple direct-pay structure and nothing bolted on
- you want the full price in front of you before completing an intake
- you want the price you sign up at to survive titration
What each one gives up
On price. The monthly gap is 2.7x in Enhance MD's favor. Whether that is a saving or a false economy turns on one thing: what you pay in month two is the number that is missing.
On predictability. Flat rate at every dose versus flat rate at every dose. Whichever you pick, get the maintenance-dose price in writing at intake.
On access. Enhance MD advertises online intake and home delivery; Maximus advertises telemedicine intake, no clinic visits and home delivery. Neither publishes its state coverage, so confirm you are eligible before paying for anything.
On medication. Enhance MD covers compounded semaglutide and compounded tirzepatide; Maximus covers compounded semaglutide. Only Enhance MD publishes a tirzepatide route, which matters if semaglutide underdelivers.
The clinical evidence, separated from the marketing
The efficacy data people cite when comparing these platforms is not platform data. It comes from trials of the underlying medication, and it applies to both.
NIDDK frames medication as one component of obesity treatment rather than a replacement for the rest of it, per NIH, NIDDK.
SURMOUNT-4 found that continuing tirzepatide maintained and extended weight reduction, while withdrawing it led to substantial regain, per JAMA, SURMOUNT-4.
Which is to say: the medication decision belongs with a clinician, and the platform decision belongs with a spreadsheet.
Enhance MD vs Maximus: common questions
Which is cheaper to start, Enhance MD or Maximus?
Enhance MD, at $49 against $133. Note that the cheapest first month and the cheapest year are often different providers here — check the 12-month row of the cost table before deciding on the entry price.
Do Enhance MD or Maximus take insurance?
Both run on a direct-pay basis: you pay the platform and it does not bill your insurer. Neither publishes HSA/FSA acceptance, so budget the full amount as out-of-pocket spending.
How fast can I start with Enhance MD compared with Maximus?
Enhance MD advertises online intake, with home delivery. Maximus advertises telemedicine intake, no clinic visits, with home delivery. Both are subject to clinician review and to whether your state and health history clear, so treat the advertised timeline as a best case rather than a commitment.
What happens if I stop taking the medication?
Weight regain is the documented pattern, and it is not specific to either platform. Trial extension data has recorded participants regaining most of the weight they lost within a year of stopping semaglutide. Both Enhance MD and Maximus price on a monthly basis, so treat the twelve-month figure as the realistic commitment rather than a first-month experiment.
Is Enhance MD or Maximus better for a first GLP-1 prescription?
If this is your first GLP-1, the question is who answers when nausea arrives on day nine. Enhance MD publishes 10,000+ patients treated, which is the more useful thing to buy at the start.
The verdict
Enhance MD is the cheaper of the two to run at $49/mo, but a full-year total is only computable for one side of this comparison, so treat that as a directional finding rather than a settled one.
Maximus's case is a low flat rate with a simple direct-pay structure and nothing bolted on; its cost: the smallest patient base here, with limited published detail on tirzepatide.
Both platforms are legitimate routes to a GLP-1 prescription. The decision is commercial, and it should be made with the twelve-month figure in front of you rather than the first-month one.
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Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by Enhance MD or Maximus, and does not sell treatment. Read our ranking methodology.