Budget vs premium
MedVi vs Maximus: Which Costs Less Over 12 Months? (2026)
MedVi costs $3,468 a year against $1,596 for Maximus. Full 2026 comparison of price, medication class and included support.
Published · Pricing as published in our provider dataset, synced · Editorial scores 9.2 and 7.0 out of 10
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MedVi and Maximus sit at ranks 6 and 26 in our weight loss listing, which makes them close enough to be a genuine decision rather than an obvious one.
The gap is 2.2x: $133/mo at Maximus, $299/mo at MedVi. Neither number is unusual for the market, but paying the higher one only makes sense if you can name what it adds.
Each program is read on its own published terms first, then against the other on the four things that decide satisfaction: price, predictability, formulary and access to a clinician. Every figure traces back to the provider's own published material, and the missing ones stay missing.
The short answer
- Lowest 12-month cost
- Maximus — $1,596 against $2,592 at MedVi, on each provider's own best published pricing.
- Most predictable bill
- Maximus — Flat rate at every dose, so titration does not change what you are charged.
- Quickest to start
- MedVi — Simple online process, no clinic visits, then fast, free shipping.
- Widest medication choice
- MedVi — compounded semaglutide.
MedVi vs Maximus at a glance
Scan the pricing rows first, then the medication row. Those two settle most of these decisions between them.
| MedVi | Maximus | |
|---|---|---|
| Advertised price | $179 promotional first month | $132.99/mo |
| Rate after promotions | $299/mo | $133/mo |
| Pricing structure | Promotional first month, then standard rate | Flat rate at every dose |
| Medication | Compounded semaglutide | Compounded semaglutide |
| Support model | No coaching program stated | No coaching program stated |
| Shipping | Fast, free shipping | Home delivery |
| Price transparency | Published upfront | Published upfront |
| Tirzepatide | Not published | Not published |
| Patient reviews | 12,896 | 2,896 |
| eRxDoctor score | 9.2/10 | 7.0/10 |
What MedVi and Maximus actually cost over a year
Both providers lead with a number designed to get you through the intake. What matters is the total at the point most people are still in treatment, so both programs are extended to six and twelve months below.
| MedVi | Maximus | |
|---|---|---|
| First month | $179 | $133 |
| Months 2 onward | $299/mo | $133/mo |
| 6-month total | $1,674 | $798 |
| 12-month total | $3,468 | $1,596 |
| Best published plan | 3-month plan at $649 — $2,592/yr | No multi-month discount published |
The twelve-month spread is $996. That is the number to hold MedVi against: it has to justify roughly $83 extra every month.
Price escalation to plan for: MedVi moves from $179 to $299, a 67% increase. Set a calendar reminder for the month it changes.
Where the extra money goes at MedVi
The gap runs to 2.2x a month. What MedVi offers for it: 24/7 support from certified medical professionals, plus fast, free shipping.
Maximus counters with a low flat rate with a simple direct-pay structure and nothing bolted on, and the thing it asks you to accept in return: the smallest patient base here, with limited published detail on tirzepatide.
For a patient who has taken a GLP-1 before, knows how they titrate and needs a reliable monthly refill, the cheaper program is usually the correct one and the premium is a donation. For a first prescription, the calculus changes.
MedVi in detail
The pitch is a genuinely low promotional entry point with 24/7 clinical support behind it. MedVi provides compounded semaglutide starting at $179/month with a simple online intake, no clinic visits, and 24/7 certified medical support for weight loss.
You start with simple online process, no clinic visits; medication arrives via fast, free shipping. The price behaves as promotional first month, then standard rate.
24/7 support from certified medical professionals. The formulary covers compounded semaglutide.
MedVi pros
- Three-month plan available at $649 (about $216/month) for patients who commit
- 24/7 support from certified medical professionals
- Simple online process with no clinic visits required
- Low promotional first month at $179 including fast, free shipping
MedVi cons
- No published outcome or weight loss guarantee
- Compounded medication only, no branded Ozempic or Wegovy
- Semaglutide only, no tirzepatide option
The reservation worth holding, particularly next to Maximus: the price roughly doubles to $299 once the promotional month ends.
Inside the Maximus program
$132.99 per Month In this pairing, its distinguishing feature is a low flat rate with a simple direct-pay structure and nothing bolted on.
From signup to first shipment: telemedicine intake, no clinic visits, then home delivery. Billing follows a flat rate at every dose structure.
Support: prescriptions approved by licensed doctors, filled through U.S. pharmacies. The medications on offer are compounded semaglutide.
Maximus pros
- Simple, straightforward direct-pay model
- Medication filled through trusted U.S. pharmacies
- Prescriptions approved by licensed doctors
- Convenient telemedicine access with no clinic visits
Maximus cons
- Limited published detail on tirzepatide availability and program features
- No published outcome or weight loss guarantee
- Smallest patient base on this list, limited public reviews and track record
The cost of choosing this over MedVi: the smallest patient base here, with limited published detail on tirzepatide.
MedVi or Maximus: matching the program to the patient
Choose MedVi if:
- the level of clinical contact suits you: 24/7 support from certified medical professionals
- what it leads on is worth paying for in your case: a genuinely low promotional entry point with 24/7 clinical support behind it
- you are willing to commit for a term in exchange for a lower effective rate (3-month plan at $649)
- you would rather use the platform with the longer public record (12,896 reviews)
Choose Maximus if:
- the twelve-month total is what you are optimizing ($1,596 against $3,468)
- 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
- the monthly rate is the constraint — $133/mo against $299/mo
- you want the price you sign up at to survive titration
What each one gives up
On price. Maximus is the cheaper program at $133/mo against $299/mo. What Maximus gives up for that is the smallest patient base here, with limited published detail on tirzepatide; what MedVi charges for is a genuinely low promotional entry point with 24/7 clinical support behind it.
On access. MedVi advertises simple online process, no clinic visits and fast, free shipping; 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 predictability. Promotional first month, then standard rate versus flat rate at every dose. Whichever you pick, get the maintenance-dose price in writing at intake.
On clinical contact. MedVi provides 24/7 support from certified medical professionals. Maximus provides prescriptions approved by licensed doctors, filled through U.S. pharmacies. Both are asynchronous-first services and neither replaces a physician who can examine you.
Evidence and regulatory status
Neither MedVi nor Maximus manufactures the molecule it prescribes, and the clinical evidence behind GLP-1 treatment belongs to the drug rather than to any platform selling access to it.
Weight regain after withdrawal is the documented pattern: the STEP 1 extension recorded participants returning to close to their starting weight a year after stopping, per Diabetes, Obesity and Metabolism.
STEP 1 recorded a mean 14.9% reduction in body weight over 68 weeks on weekly semaglutide, against 2.4% for placebo, per NEJM, STEP 1.
Read alongside the pricing above, that is the case for treating the medication decision as clinical and the provider decision as commercial. They are not the same choice.
MedVi vs Maximus: common questions
What happens when MedVi's promotional price ends?
The rate moves to $299/mo, a 67% increase on the advertised entry price. Budget from that number rather than the headline, because it is the one you will pay for eleven of your first twelve months.
Does the price go up as my dose increases?
At Maximus, no — a low flat rate with a simple direct-pay structure and nothing bolted on. At MedVi, the published structure is promotional first month, then standard rate, moving from $179 to $299. Since GLP-1 doses escalate over the first months, that difference is worth more than most feature comparisons.
Which has more patient reviews, MedVi or Maximus?
MedVi, with 12,896 against 2,896. Ratings across this market cluster tightly, so volume is the more useful signal: it indicates how much operational load the platform has already absorbed, not how good the medication is.
Do MedVi 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 MedVi compared with Maximus?
MedVi advertises simple online process, no clinic visits, with fast, free shipping. 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.
The verdict
Maximus is the cheaper year by $996, and for a straightforward course of treatment that settles it.
The case for MedVi is a genuinely low promotional entry point with 24/7 clinical support behind it. That is worth $83 a month to some patients and nothing at all to others — be honest about which you are.
The failure mode here is not picking the wrong platform; it is stopping treatment because the bill moved. Choose the one whose bill you can predict.
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See every provider in context on the weight loss rankings, or browse the full comparison index.
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 MedVi or Maximus, and does not sell treatment. Read our ranking methodology.