Maximus TRT Review: Enclomiphene, Pricing & Honest Assessment (2026)

Provider Review

Maximus TRT Review — Full Profile

Last updated: October 3, 2026 Trustpilot 4.4/5 (1,083 reviews) — third-party rating, not our score

Quick Facts

Care modelFully telehealth (app and messaging, with video visits for testosterone protocols)
Founded2020 by S. Cameron Sepah, PhD, a clinical psychologist and UCSF psychiatry faculty member (not a physician). Prescribing is done by licensed clinicians; the company says its doctors are board-certified.
PricingFrom $99.99/mo (enclomiphene, injectable, or cream); oral testosterone from $149.99/mo; combination protocols $149.99–$199.99/mo
Treatment formatsInjectable testosterone, testosterone cream, oral testosterone, enclomiphene; hCG and anastrozole add-ons
LabsRequired before starting. At-home kit $99, Quest draw $19.99–$115, or upload your own labs from the last 6 months for free
BillingMonth-to-month or committed multi-month plans; committed plans can't be ended early
Refund policyShipped medication is final sale; no refunds for the rest of a committed term
InsuranceCash pay only; HSA/FSA accepted
State availability⚠️ Says it serves clients across the U.S.; its 2022 announcement excluded AL, AK, IN, and DC. Testosterone is limited to states where its clinicians are licensed, so confirm yours.
3.9/5

Atlas Score

Scored October 3, 2026 against five published criteria

Scores are based on public information and can't be bought. How we score providers →

Ready to check eligibility?

Independent link. We don't earn a commission from this provider. How we're funded

Check Maximus availability →

Overview

Maximus is a Los Angeles–based telehealth company that pitches itself as "performance medicine." Its testosterone line is built around preserving your body's own production: the flagship protocols pair oral or topical testosterone with enclomiphene, a drug that signals the testes to keep making testosterone and sperm. It also offers standard injectable testosterone (with hCG as an option) for men who want the strongest effect. The company raised a $15 million Series A in 2022 and says it has more than 50,000 clients across testosterone, GLP-1 weight loss, hair, and ED programs.

Two things set it apart. First, it publishes its own open-label outcome data and white papers, which is unusual for a direct-to-consumer clinic. Second, its medical advisors include urology faculty from Tulane, UNC, and Cedars-Sinai. Keep in mind that company-run, open-label studies aren't the same as independent randomized trials, and that advisors design protocols but aren't the clinicians you'll see.

The main caution is that much of what Maximus sells is compounded, including enclomiphene, which has never been FDA-approved. Compounded drugs aren't reviewed by the FDA for safety, effectiveness, or quality. Maximus says so on its own site. Its blood-flow (ED) products also combine two PDE5 inhibitors, tadalafil and vardenafil, in one formula, which isn't how those drugs were approved or tested. Why that matters →

How It Works

  1. Pick a protocol and complete the intake questionnaire online.
  2. Baseline labs: an at-home shoulder-collection kit ($99), a Quest draw, or recent labs you upload. Testosterone protocols check total and free testosterone, LH, FSH, PSA, and hematocrit.
  3. Video visit with a clinician. It's required for injectable, topical, and oral testosterone. The enclomiphene-only protocol can skip it.
  4. Medication ships from a licensed 503A compounding pharmacy, typically within a week of approval.
  5. Follow-up labs at about 1 and 3 months, then yearly, with dose changes made through the app. Messaging with your care team is included.

Pricing: The Full Breakdown

Figures as published on maximustribe.com and its help center, checked October 3, 2026. Plan prices vary by dose and term; the checkout page shows the exact amount before you pay.

ItemCost
Enclomiphene protocolFrom $99.99/mo
Injectable testosteroneFrom $99.99/mo
Testosterone creamFrom $99.99/mo
Oral testosteroneFrom $149.99/mo
Combination protocols (cream or oral + enclomiphene)$149.99–$199.99/mo
At-home lab kit (each)$99
Quest in-person draw (if ordered)$19.99–$115
Your own recent labs (uploaded)Free

Estimated first-year cost (entry-level protocol)

ComponentCost
12 months at $99.99/month~$1,200
Lab kits: baseline, 1 month, 3 months~$300
First-month discount on a 12-month plan (50% off)–~$50
Year 1 total~$1,450–$1,500

Higher doses, the oral or combination protocols, and add-ons like hCG raise the total. Using labs you already have, or ones your own doctor orders, lowers it.

What's Included vs. Extra

Included

  • Clinician visits and ongoing monitoring
  • Medication and free priority shipping
  • Messaging with your care team
  • Tadalafil with some testosterone protocols, at no added cost

Extra

  • Lab kits ($99 each) or Quest draws, unless you upload your own labs
  • Add-ons such as hCG
  • Fee for canceling or rescheduling a video visit within 48 hours

How billing works: Plans renew automatically. Month-to-month plans end at the close of the current month once you turn off auto-renewal in the dashboard, and no phone call is needed. Committed 3-, 6-, or 12-month plans run to the end of the term with no early exit or partial refund, so Maximus itself recommends starting month-to-month. Billing can begin before you finish onboarding, and skipping the intake questionnaire doesn't pause charges.

Pros

  • ✓Labs required before any testosterone protocol, with follow-up labs at 1, 3, and 12 months.
  • ✓Wide choice of formats, including fertility-preserving options (enclomiphene, or hCG with injections).
  • ✓Low entry price, and lab costs are spelled out in its help center.
  • ✓Clear written cancellation and refund terms, self-service cancellation, and HSA/FSA accepted.
  • ✓Publishes its own outcome data and lists named urology advisors.
  • ✓LegitScript-certified website.

Cons

  • ✕Leans on compounded drugs, including enclomiphene, which isn't FDA-approved.
  • ✕The enclomiphene-only path doesn't require a live visit.
  • ✕Recurring 1-star reviews describe charges after canceling, billing before treatment started, and paying for medication that didn't ship.
  • ✕Committed plans can't be ended early, and shipped medication is final sale.
  • ✕Some reviewers report slow, AI-first customer support and hard-to-get appointment times.
  • ✕Its research is company-run and open-label, not independent randomized trials.

State Availability

Maximus says it serves clients across the United States, but testosterone is only offered where its clinicians are licensed. Its 2022 funding announcement listed every state except Alabama, Alaska, Indiana, and DC. It doesn't publish a current list, so confirm your state before paying.

FAQs

How much does Maximus cost?

Protocols start at $99.99/month, with oral testosterone from $149.99 and combination protocols up to $199.99. Lab kits are $99 each unless you upload recent labs of your own.

Is enclomiphene FDA-approved?

No. Enclomiphene has never been approved by the FDA. Maximus prescribes compounded versions, which aren't FDA-reviewed for safety, effectiveness, or quality. It's commonly used off-label to raise testosterone while preserving fertility. Ask your clinician about the trade-offs.

Will I talk to a doctor?

For injectable, topical, and oral testosterone, a live video visit is required before you start. The enclomiphene-only protocol can be prescribed without one.

Can I cancel anytime?

Month-to-month plans can be canceled in the dashboard and end at the close of the month. Committed multi-month plans run to the end of their term with no early cancellation or partial refund.

Does Maximus take insurance?

No. It's cash pay, but HSA and FSA cards are accepted.

Will it affect my fertility?

Standard testosterone suppresses sperm production. Maximus offers enclomiphene, and hCG with injections, to help preserve it. If fertility matters to you, raise it at your first visit. Our TRT guide covers this →

Medical disclaimer: This content is for informational purposes only and is not medical advice. Testosterone replacement therapy requires a prescription and physician supervision. Always consult a qualified healthcare professional before starting treatment.