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Peter MD vs Maximus (2026): Real Cost, Labs, and Which One Fits You

Educational information, not medical advice. Chest pain, trouble breathing, or a painful, swollen leg needs emergency care, not an online clinic.

Peter MD vs Maximus comes down to one trade: price or flexibility. PeterMD has the lower published long-term injection price: $948 for 12 months before labs, versus $1,199.88 for 12 months before labs at Maximus. Maximus costs more, but it lets you start month-to-month and offers cream, oral testosterone and enclomiphene. PeterMD's own FAQ says its TRT programs need at least six months.

That $251.88 plan-price gap is real. It's just not the number we'd use to decide.

The number we'd use is what it costs to try each one and walk away if it isn't right. That number runs the other way, and it isn't close. We'll show you the math in a minute.

PeterMD fits you if: you've had your low testosterone confirmed, you want shots, and you can pay $948 upfront for the year without needing a refund.

Maximus fits you if: you want to try treatment before committing or you'd rather use a cream or a pill than needles. If future fertility matters, the treatment choice needs a clinician discussion before you pick either subscription.

Neither fits you if: you're trying to conceive now, you want an FDA-approved product billed to insurance, or nobody has confirmed your low testosterone with two early-morning blood tests. Map a safer starting point →

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

Peter MD vs Maximus at a glance

Peter MD vs Maximus table 1: Peter MD vs Maximus at a glance
PeterMD Maximus
Built around Low-cost testosterone shots More ways to take it: shots, cream, oral testosterone, enclomiphene
Cheapest shot plan $79/mo, paid as $948 upfront for 12 months $99.99/mo on a 6- or 12-month plan ($49.99 first month on the 6-month plan for new customers)
Published 12-month injection charge, before labs $948 $1,199.88
Cheapest way to start before follow-up labs At least $749 (6-month plan + $95 starter labs) ≈ $299 (1 month + one $99 lab kit)
True month-to-month? No. FAQ says TRT needs at least 6 months Yes. 1-month plans end at the close of the month
Ways to take testosterone Shots only Shots, cream, oral testosterone
Enclomiphene pricing $278 on a card labeled both "2-Month Plan" and "90 days supply"; annual cost cannot be stated reliably $99.99/mo on the standard 12-month plan before separate labs
hCG $147 per 5,000 IU vial; not sold in 24 states + DC Shots + hCG plan: $299.98/mo on 6- or 12-month plans
Starter labs $95, in-person at Quest; hematocrit not listed on the starter-panel card $99 at-home kit; Maximus says required markers vary by protocol and lists hematocrit for testosterone protocols
Published lab schedule Starter panel; PeterMD publishes a 90-day check-in and separately sells follow-up labs Baseline, 1 month, 3 months, and 12 months unless the clinician directs otherwise
Medication Testosterone cypionate; FDA-approved finished product vs. compounded not stated on the public TRT page Maximus states its testosterone protocols use compounded medication from licensed U.S. compounding pharmacies
States All but Alabama and Idaho; labs not sold in AL, ID, NY, NJ No public list; "availability varies by state"
Insurance No (lab-only insurance route for a $25 fee) No; says HSA/FSA eligible
Trustpilot Profile removed by Trustpilot 4.4 from 1,083 reviews

All prices read from each company's own pages on October 8, 2026. Any year-one totals shown below are our arithmetic using stated assumptions; actual lab requirements can change the total.

What we actually verified (October 8, 2026)

  • Checked directly on October 8, 2026: both companies' pricing pages, lab pages, hCG offers, refund and cancellation policies, full terms, FAQs and help-center articles; Maximus's own "Maximus vs PeterMD" page; the AUA testosterone guideline; FDA's hCG compounding notice; FDA's June 2026 warning letter to Maximus; the DEA telemedicine rule in the Federal Register; HHS's June 2026 testosterone label announcement; both Trustpilot profiles.
  • Provider-stated only: doctor access, shipping speed, patient counts (PeterMD "400K+," Maximus "50,000+"), HSA/FSA eligibility, Maximus's in-house study results.
  • Could not confirm: whether PeterMD's testosterone is FDA-approved or compounded; which pharmacy fills each order; how many enclomiphene tablets PeterMD ships per $278; which states Maximus serves for each product.
  • What we didn't do: we didn't sign up, order labs or receive medication from either. This is a comparison built from public records, not a hands-on review.

How we make money: The PeterMD and Maximus links on this page are plain research links. TRT Provider Guide's current affiliate disclosure lists paid relationships with Hone Health and Male Excel, so we may earn a commission if you start care through clearly labeled affiliate links to those providers. That never changes what we publish. Affiliate disclosure.

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay.


Are Peter MD and Maximus selling the same thing?

No. PeterMD is built around low-cost testosterone shots. Maximus offers shots too, but it's built around choice: testosterone cream, oral testosterone, and enclomiphene, a pill that pushes your body to make more of its own testosterone.

That difference matters more than the monthly price, because it decides which price you're actually comparing.

PeterMD in one paragraph. Testosterone cypionate shots are the core. It also sells enclomiphene (which it labels "Oral TRT") and hCG as add-ons. Testosterone is offered in every state except Alabama and Idaho. PeterMD says it's "a fully functioning Medical Practice," so you don't need your regular doctor first. It's based in Vero Beach, Florida, per its terms.

Maximus in one paragraph. Maximus sells testosterone as shots, cream or an oral capsule, plus enclomiphene and mix-and-match combinations. It mails an at-home blood kit. Care comes from affiliated "Maximus Medical Group Practices"; Maximus's own terms say Maximus itself is not a medical provider. It's based in Santa Monica, California.

The simplest way to hold it in your head: PeterMD replaces your testosterone cheaply. Maximus gives you more ways to raise it, and more room to change your mind.

One quick definition before we go on. Testosterone replacement therapy (TRT) means taking testosterone from outside your body. Enclomiphene is not TRT. It works by raising the brain's signal to your testicles (called luteinizing hormone, or LH), so they make more testosterone themselves. It only works if your testicles can still respond, and it isn't FDA-approved for any use.


Which is cheaper, Peter MD or Maximus?

For testosterone shots, PeterMD has the lower published long-term plan price: $948 for 12 months before labs, versus $1,199.88 at Maximus, a gap of $251.88. The exact first-year lab total depends on the tests your clinician orders. PeterMD's enclomiphene billing card is internally inconsistent, so we do not publish a definitive first-year enclomiphene total.

Here's the part both headline prices hide. Neither "$79" nor "$99.99" is what you actually pay each month.

  • PeterMD's $79 needs $948 paid upfront for 12 months.
  • Maximus's $99.99 needs a 6- or 12-month plan. Maximus says committed plans are paid upfront or in installments (it offers Klarna).
  • Labs cost extra at both. That's where the numbers move.

Year one on testosterone shots

Peter MD vs Maximus table 2: Year one on testosterone shots
Plan you pick PeterMD Maximus
Cheapest long plan 12-month: $948 before labs. With the $95 starter panel and one $124.50 follow-up panel, an illustrative total is $1,167.50 12-month: $1,199.88 before labs. If all four published year-one checks use Maximus's $99 at-home kit, an illustrative total is $1,595.88
Middle plan 6-month twice: $1,308 + the same illustrative $219.50 in labs = $1,527.50 3-month renewed across a year: $1,799.88 + four $99 kits = $2,195.88 if the at-home kit is used each time
Monthly price $139 × 12 = $1,668 + the same illustrative $219.50 in labs = $1,887.50 (not a true monthly exit; see below) $199.99 × 12 = $2,399.88 + four $99 kits = $2,795.88 if the at-home kit is used each time

Year one on enclomiphene

Peter MD vs Maximus table 3: Year one on enclomiphene
PeterMD Maximus
Best published plan $278 "2-Month Plan," priced "/Bi-Monthly," but the same card says "90 days supply" 12-month: $99.99/mo in Maximus's current pricing table; promotions may reduce the first payment
If PeterMD bills every 2 months 6 × $278 = $1,668 before labs Maximus: $1,199.88 before labs on the standard 12-month rate
If PeterMD's $278 really covers 90 days 4 × $278 = $1,112 before labs Maximus: $1,199.88 before labs

How we did the math. We multiplied each live plan price across 12 months. Where we show an illustrative total with labs, we use each company's published lab prices and clearly state the assumption:

  • PeterMD: its $95 starter panel plus one $124.50 follow-up panel. PeterMD publishes a 90-day check-in and sells that follow-up panel, but its public injectable page does not establish that one follow-up is the complete first-year testing schedule. Your clinician may order more.
  • Maximus: its current lab policy lists checks at baseline, 1 month, 3 months and 12 months. Its at-home kit is $99 and Quest panels range from $19.99 to $115. Maximus says the at-home kit can cover the marker panel for the chosen protocol, but the same help article also says Quest is used when a fuller panel is required. So the four-kit example is an illustration, not a guaranteed bill.

We assumed renewals at today's prices. Both companies reserve the right to change them. We left out taxes and optional add-ons like hCG.

Already have recent bloodwork? Maximus accepts labs under 6 months old for free if they include every marker it needs. PeterMD says it "may be able to" use your existing results. Either way, that can knock the starter-lab line off your bill.

A tip most people miss. PeterMD publishes a price-match promise: find a better price and it gives you 20% off. If you prefer PeterMD for enclomiphene, Maximus's 12-month price is the one to show them.

Already sure about shots, and lowest published long-term plan price is what matters most? PeterMD is cheaper on that measure. Before you pay, ask how baseline hematocrit will be checked, what follow-up labs your clinician will require, and what happens after month 12. See PeterMD's current injection plans and prices →


What does it cost to try each one and walk away?

Starting Maximus month-to-month costs about $299 before the required follow-up testing that may fall around the one-month mark. PeterMD's minimum published starting cost for TRT is at least $749 before follow-up labs, because its FAQ says TRT programs need at least six months. If you're unsure about committing, the exit terms matter more than the annual sticker-price gap.

This is the number we promised at the top. Most comparisons skip it.

Peter MD vs Maximus table 4: What does it cost to try each one and walk away?
PeterMD Maximus
Shortest real commitment 6 months for TRT, even on the plan labeled "1-Month Plan" (per PeterMD's FAQ) 1 month
Cheapest published start before follow-up labs 6-month plan $654 + $95 starter labs = ≈ $749 1-month plan $199.99 + one $99 kit = ≈ $299; Maximus publishes a 1-month follow-up lab that may add another charge
If you quit early Already paid; "all sales final" once medication arrives Month-to-month ends at the close of the month. Committed plans run to the end, with no partial refund
How to cancel Policy says email at least 48 hours before renewal. FAQ says use your Member Account page. Do both. Turn off auto-renew in your dashboard, or email. No phone call needed
After your term ends Long plans: "option to renew monthly." Renewal price not published Renews at the plan price shown at checkout unless you turn it off
Labs refundable? No No

Sources: PeterMD's FAQ, refund policy and plan cards; Maximus's July 15, 2026 refund policy and help center. Checked October 8, 2026.

Our one honest warning about PeterMD

PeterMD does not offer a real way to try TRT for a month and leave. Its FAQ says TRT programs need at least six months, and treatment sales are final once medication arrives. If being able to stop next month is your priority, Maximus is the better fit. Its 1-month plan ends when the month does, and Maximus itself recommends new patients start month-to-month.

But because PeterMD skips that flexibility and collects upfront on its long plans, it can sell shots for $79 a month, the lowest published long-term injection price in this comparison. If your low testosterone is confirmed, you know you want shots, and you plan to stay on treatment, that trade can work in your favor. You give up the exit. You save $251.88 on the published 12-month plan price before labs.

Not sure yet, and want room to stop? Maximus's 1-month plan is the lowest-risk way to try either of these two. Check Maximus's month-to-month plans and your state →

Want to never be locked in, and want regular labs included? Hone Health says plainly: "No commitments. Cancel anytime." You start with a $65 blood panel at one of 2,000+ labs plus a doctor video visit. Premium membership is $155 a month and includes retesting every 90 days; testosterone cypionate starts at $28 a month on top. That's about $2,286 in year one on shots using Hone's current $65 initial panel, $25 TRT confirmatory test, $155 monthly Premium membership and testosterone starting at $28 a month. It's much more than PeterMD's long plan, but about $510 less than the illustrative Maximus month-to-month year with four $99 lab checks. Hone says follow-up labs are included in Premium. (Affiliate link.) See Hone's month-to-month plan and lab schedule →


Which one has more ways to take testosterone?

Maximus, clearly. It offers testosterone as shots, a daily cream and an oral capsule, plus enclomiphene and combinations. PeterMD sells testosterone only as shots; what it calls "Oral TRT" is enclomiphene, which isn't testosterone.

Here's Maximus's price list for its main options, from its own help center (August 24, 2026).

Peter MD vs Maximus table 5: Which one has more ways to take testosterone?
Maximus option 1 month 3-month plan 6- or 12-month plan
Testosterone shots $199.99 $149.99/mo $99.99/mo
Testosterone cream $199.99 $149.99/mo $99.99/mo
Oral testosterone $249.99 $199.99/mo $149.99/mo
Enclomiphene $199.99 $149.99/mo $99.99/mo
Shots + enclomiphene $249.98 $199.98/mo $149.98/mo
Shots + hCG $399.98 $349.98/mo $299.98/mo

Maximus says prices vary by dose and may vary slightly by state.

PeterMD's testosterone menu: testosterone cypionate shots ($79–$139/mo), enclomiphene ($278 per "2-Month Plan"), and hCG ($147 per 5,000 IU vial). No testosterone cream. No oral testosterone.

Three things to know before you pick a format:

  • Cream can rub off on other people. The AUA guideline tells doctors to discuss this "transference" risk with anyone using testosterone gels or creams. If you live with kids or a partner, ask about it.
  • Maximus's oral testosterone is compounded. FDA-approved oral testosterone capsules do exist, but they come through a regular prescription and pharmacy, not this product.
  • Switching formats is easier at Maximus. A Maximus doctor can move you from shots to cream without changing clinics. At PeterMD, there's nothing to switch to.

If needles are a dealbreaker, Maximus is the only one of these two that sells testosterone without them. See Maximus's cream and oral testosterone options →


Which is better if you might want kids someday?

If you're trying to conceive now or soon, start with a urologist or reproductive urologist, not either website. Testosterone shots lower sperm production, and guidelines say not to prescribe them to men trying to conceive. For men who want kids later, Maximus has more options designed around keeping your own hormone signals running, but none is a guarantee.

Here's why this matters so much. Testosterone from outside your body tells your brain to stop sending its "make testosterone" signals, LH and FSH (follicle-stimulating hormone). Those signals also drive sperm production, called spermatogenesis. Turn them down, and sperm counts often fall.

Both companies say this on their own pages. PeterMD's safety list includes "infertility or decreased sperm count." Maximus's shot page warns that injections suppress sperm count.

What the guidelines say:

  • The AUA says testosterone shouldn't be prescribed to men who are currently trying to conceive (a Strong recommendation), and that men interested in fertility should get a reproductive health check before treatment.
  • The Endocrine Society recommends against starting testosterone in men planning fertility in the near term.
  • The AUA says clinicians may use hCG, selective estrogen receptor modulators (SERMs), aromatase inhibitors, or combinations in men with testosterone deficiency who want to maintain fertility. That's a conditional recommendation backed by low-certainty evidence. Enclomiphene is a SERM-related option but has no FDA-approved finished drug product in the U.S.

What each company offers here

Maximus builds whole plans around this: enclomiphene alone, cream or oral testosterone paired with enclomiphene, and shots paired with hCG. It reports in-house studies where men kept LH and FSH in range. Those studies are small, open-label and run by Maximus. Hormone markers aren't the same as proven fertility. Even Maximus's own comparison page says: "Fertility preservation is not guaranteed."

PeterMD sells enclomiphene and hCG as separate products. Its hCG checkout copy says that starting hCG with TRT means "nothing shuts down." We would not rely on that as a fertility promise; exogenous testosterone can still suppress spermatogenesis, and fertility outcomes need individual assessment.

The hCG fine print nobody else shows you

hCG (human chorionic gonadotropin) acts on the same receptor as LH and is used in some fertility-focused treatment plans. It does not guarantee preserved sperm production or future fertility. Here's how the two compare on it:

Peter MD vs Maximus table 6: The hCG fine print nobody else shows you
PeterMD Maximus
Price $147 per 5,000 IU vial on its hCG page. A checkout pop-up offers 10,000 IU for "$301 today, $412 later" Shots + hCG: $299.98/mo on a 6- or 12-month plan, versus $99.99 for shots alone. That's about $2,400 a year added
The catch Two vials from PeterMD's own hCG page cost $294, less than the "last chance" $301 offer The hCG premium is large. Ask what dose and supply it covers
Where it's sold Not in AK, AL, AR, CA, DC, HI, IA, ID, IN, KY, LA, MA, MD, MI, MS, NC, ND, NE, NH, NJ, NV, SC, TN, VA, WA. The checkout pop-up shows no state warning Not listed by state
Can it be compounded? FDA says biologics such as hCG are not eligible for the usual 503A/503B compounded-drug exemptions. Ask which licensed hCG product would be dispensed Same question applies

Both companies call enclomiphene safer than TRT. We don't. PeterMD says it has fewer side effects. Maximus calls it "a safer alternative." Neither claim rests on long-term, head-to-head studies or an FDA review. Our view: different mechanism, different trade-offs, less long-term data.

Trying to conceive now, or already know your sperm count is low? Skip both websites for now. A reproductive urologist is your first stop. Our fertility guide lists what to ask.

Not trying now, but want to keep the door open? Ask a fertility-aware clinician whether a non-testosterone option such as a SERM is appropriate before choosing a subscription. Maximus publishes a clearer enclomiphene plan price than PeterMD, whose current billing card is internally inconsistent. Review Maximus's enclomiphene plan and lab requirements →


Are labs included, and how often will you be tested?

No. Labs cost extra at both. PeterMD sells a $95 in-person Quest starter panel. Maximus lists a $99 at-home kit and Quest panels from $19.99 to $115, with baseline, 1-month, 3-month and 12-month checks unless the clinician directs otherwise.

Before we compare panels, here's what the main markers mean:

  • Total testosterone: all the testosterone in your blood.
  • Free testosterone: the small share not stuck to proteins. SHBG (sex hormone-binding globulin) is the protein that holds the rest.
  • LH and FSH: brain signals to the testicles. They help show why testosterone is low.
  • PSA (prostate-specific antigen): a prostate marker.
  • Hematocrit: how much of your blood is red cells. Testosterone can push it too high, which is why it's watched.

What each starter panel actually checks

Peter MD vs Maximus table 7: What each starter panel actually checks
Marker Why it matters (AUA guideline) PeterMD $95 starter PeterMD $124.50 follow-up Maximus $99 at-home kit (provider-stated)
Total testosterone Diagnosis needs two early-morning tests (Strong) ✅ ✅ ✅
Free testosterone Helps when total is borderline ✅ ✅ ✅
SHBG Interprets free testosterone ❌ ❌ ✅
LH Measure in men with low T (Strong) ✅ ❌ ✅
FSH Fertility and testicle function ✅ ❌ ✅
PSA Men over 40, before treatment ✅ ✅ ✅
Hematocrit Before any testosterone (Strong) ⚠️ Not listed ✅ ✅
Estradiol If breast symptoms ❌ ✅ ✅

The gap to ask about: PeterMD's $95 starter panels name total and free testosterone, PSA, LH and FSH. Neither listing names a CBC, the test that shows hematocrit. The AUA calls checking hematocrit before treatment a Strong recommendation. Ask how your baseline hematocrit will be checked, and what it costs.

How the draw works:

  • PeterMD: in person at a Quest lab. PeterMD's site argues this is more accurate than at-home kits. Results take 5–7 business days, per its enclomiphene page.
  • Maximus: a small device you stick to your upper arm (the Tasso+). The kit arrives in 2–3 business days. Maximus also offers Quest draws from $19.99 to $115 if your doctor wants a fuller panel.

How often you're tested in year one:

  • PeterMD: a $95 starter panel and a 90-day check-in are public. PeterMD separately sells a $124.50 follow-up panel, but its injectable TRT page does not clearly publish the complete first-year lab schedule.
  • Maximus: baseline, then 1 month, 3 months and 12 months, then annually unless the clinician directs otherwise. If your account is set to automatic at-home kits, Maximus says it charges $99 at each required interval unless you switch to your own qualifying labs.

More testing costs more. The AUA recommends an initial follow-up testosterone level after treatment starts and ongoing testing every 6–12 months. Maximus publishes an ongoing annual schedule; PeterMD's public injectable page does not publish enough detail to confirm a complete long-term monitoring schedule.

One thing neither company tells you: test early in the morning, and confirm a low number with a second test. The AUA calls that a Strong recommendation. Many men skip it and pay for treatment they didn't need. Our guides on whether you need two tests and the best time of day to test explain why.

Only tested once, or not sure your numbers qualify? Get a checklist of which tests to repeat, when to draw them and which care route fits, before you pay for any plan. Get my care-route checklist with Find My TRT Path →


Is the testosterone FDA-approved or compounded?

Maximus says its testosterone comes from licensed U.S. compounding pharmacies, and compounded drugs aren't FDA-approved. PeterMD doesn't say on its public pages whether its testosterone cypionate is an FDA-approved product or compounded, so ask before you pay.

FDA-approved means the FDA reviewed that exact product for safety, effectiveness and quality before it was sold. Compounded means a pharmacy mixed it for patients; the FDA doesn't review those products before they're sold. "Compounded" isn't the same as "generic."

Here's a point most online clinics leave out. The AUA guideline says doctors should prescribe commercially made testosterone instead of compounded when possible. It's a conditional recommendation based on low-certainty evidence. It applies to Maximus, and to every compounded program, including our affiliates. We'd rather tell you than leave it out.

Why people choose compounded anyway: formats you can't easily get otherwise (cream-plus-enclomiphene combos), Maximus's oil choice (it markets MCT oil as smoother; that's its claim), and price.

What PeterMD discloses: its terms name two pharmacies, Absolute Pharmacy in Lutz, Florida, and Partell Pharmacy in Las Vegas, Nevada. Its terms also say prescriptions go "to a pharmacy of the patient's choosing," while its product pages say medication is included. Ask which pharmacy fills yours and whether the price changes. Our PeterMD cost guide covers both pharmacies' public FDA records.

Don't read PeterMD's "FDA-regulated care providers" banner as an answer. It says nothing about the drug in the vial.

Want an FDA-approved product, ideally on insurance? Neither of these is your best route. A primary care doctor or urologist can prescribe a brand or generic FDA-approved product through a regular pharmacy. Compare that path in our online vs. local care guide.

Has Maximus received an FDA warning letter?

Yes, but the scope matters. The FDA sent Maximus Health a warning letter dated June 8, 2026, over website claims about its compounded weight-loss drugs (semaglutide and tirzepatide). The letter doesn't mention its testosterone products.

The FDA objected to wording like "clinically studied ingredients" and a claim that its compounded drugs came from "FDA approved pharmacies." The FDA doesn't approve compounding pharmacies or compounded drugs. Maximus's current testosterone pages carry a clear disclosure that compounded medications aren't FDA-approved.

Our read: this is a claims-honesty issue in another product line. It isn't a finding against Maximus's testosterone care. It's still worth knowing when you weigh a company's marketing claims, including its in-house study numbers.

What changed with testosterone labels in 2026?

On June 18, 2026, HHS announced that the FDA asked makers of FDA-approved testosterone products to update their labels. The changes drop a line saying safety and effectiveness aren't established for age-related low testosterone, and ease some prostate warnings. That applies to FDA-approved products only. Compounded products don't have an FDA label to update.


Can you message a doctor or change your dose?

Both promise ongoing doctor access, but they work differently. PeterMD's FAQ says any dose change requires a scheduled consultation. Maximus says you can message a doctor any time through its dashboard. Neither has been tested by us.

Peter MD vs Maximus table 8: Can you message a doctor or change your dose?
PeterMD Maximus
Doctor access (provider-stated) "Unlimited provider access"; a 90-day check-in Message a doctor 24/7 through the dashboard
Dose changes Need a scheduled consultation, booked from your account or at renewal Handled by your Maximus doctor; follow-up labs ordered after changes
Who treats you PeterMD calls itself a medical practice; says its doctors hold the needed state licenses Doctors from affiliated "Maximus Medical Group Practices"; Maximus isn't the medical provider
Extra fees we found $70 consult for standalone hCG $20 for a missed video visit; video consults aren't part of the plan price

What matters in real life is speed when something's off. Ask each one: "If my hematocrit comes back high, who contacts me, and how fast?"


Is Peter MD or Maximus available in your state?

PeterMD sells testosterone in every state except Alabama and Idaho, but its labs aren't sold in Alabama, Idaho, New York or New Jersey. Maximus publishes no state list and says availability varies by state. Check your exact product, not just the company.

Peter MD vs Maximus table 9: Is Peter MD or Maximus available in your state?
Your situation PeterMD Maximus
Alabama or Idaho Not available Check at signup
New York or New Jersey Treatment listed, but PeterMD can't order your labs; you'll need an outside lab Check at signup
AK, HI, ND, NE, VT, SD, WV, MT Lab access "limited"; call 772-800-6133 first Check at signup
North Carolina or Michigan Enclomiphene page lists both as excluded in one spot, not in others; get it in writing Check at signup
Want hCG Not sold in 24 states + DC (list above) Check at signup

A state missing from a "no" list isn't a "yes." Treatment needs a licensed doctor, a lab and a pharmacy that can all serve you.

In Alabama or Idaho? PeterMD is out. Map your other options with Find My TRT Path →


Do Peter MD or Maximus take insurance?

No. Both are cash-pay for treatment. Both say you can use HSA or FSA funds. PeterMD also offers an insurance route for lab work only, for a $25 processing fee.

PeterMD's own FAQ answers the insurance question twice. One answer says its services aren't covered by insurance. The other says you can use insurance for lab work for a $25 fee. Both are true: treatment is cash, labs may be billable. The $25 is PeterMD's processing fee, not your lab bill.

Maximus says it's direct pay and doesn't bill insurance.

HSA/FSA: both say they accept these funds. Confirm with your plan administrator what counts, and ask for itemized receipts.

If you have insurance and a doctor willing to evaluate you, price that route too. A covered FDA-approved product can cost less than either program here. Our TRT cost guide shows what to compare.


Yes, when federal and state rules are met. Testosterone is a Schedule III controlled substance and requires a valid prescription. Temporary federal telemedicine flexibilities can allow controlled-substance prescribing without a prior in-person exam when their conditions are met, and the current extension runs through December 31, 2026.

Schedule III means the DEA controls testosterone more tightly than ordinary prescriptions. You can't legally get it without a prescription from a licensed clinician.

The date to know: the DEA and HHS extended the temporary telemedicine flexibilities through December 31, 2026 (Federal Register). The temporary rule does not tell you what framework will apply after that date, so recheck federal and state requirements before relying on any plan that runs into 2027.

Why that matters here: a PeterMD 12-month plan bought today runs into late 2027 and is paid upfront. A Maximus committed plan runs to its end too. Maximus's terms say it may end a program over a regulatory change and offer a comparable product; PeterMD's policies don't address it.

One outdated line to ignore: PeterMD's FAQ still says that since May 11, 2023, controlled-substance patients must be seen in person first. That doesn't match the current federal rule, which was extended repeatedly. But a state or a clinic can still require an in-person visit. Ask PeterMD directly whether you'll need one.

What a real diagnosis looks like. The AUA says low testosterone should be diagnosed only after two early-morning total testosterone tests on separate days, plus symptoms or signs. It uses under 300 ng/dL as a reasonable cutoff. One number on one day isn't a diagnosis. Neither is a quiz.

Some situations need a doctor in the room first: a history of prostate or breast cancer, high hematocrit, untreated severe sleep apnea, a recent heart attack or stroke, or concerns about your pituitary or testicles.


Are Peter MD and Maximus legit?

Both are operating telehealth businesses. Maximus says its partner U.S. pharmacies are LegitScript-certified and has a public Trustpilot profile rated 4.4 from 1,083 reviews as checked on October 8, 2026. PeterMD's Trustpilot profile has been removed by Trustpilot, while PeterMD's pages still show a "4.9/5" badge, so treat its on-site reviews as self-published.

What Trustpilot shows (October 8, 2026):

  • Maximus: 4.4 out of 5 from 1,083 reviews. 83% five-star, 9% one-star. Common complaints in low ratings: missed video visits, charges above the "starting at" price, and upsells in the dashboard.
  • PeterMD: Trustpilot's page says the profile "has been removed" because the business "goes against our guidelines." We're reporting the status. We don't know the reason, and we won't guess.

What customers say about service (short, service-only):

"customer service definitely responds quite quickly" — Magnus, Maximus customer on Trustpilot, July 10, 2026

"open and easy communication and willingness to work with you" — Mark Colon, quoted on PeterMD's own site (published by PeterMD; not independently verified)

We don't publish "I feel amazing" testimonials for prescription hormones. One person's results don't tell you what yours will be.

Is PeterMD the same as Dr. Peter Attia? No. PeterMD (getpetermd.com, once branded "Peter Uncaged MD") is a telehealth clinic. Dr. Peter Attia is an unrelated physician and podcaster.

Is "Maximus Tribe" the same as Maximus? Yes. maximustribe.com is Maximus Health, Inc. Other unrelated companies use the "Maximus" name.


Peter MD or Maximus: which should you choose?

Choose PeterMD if your low testosterone is confirmed, you want shots and you're ready to commit for the lowest price. Choose Maximus if you want to try first, want a cream or pill, or want fertility-minded options. Choose neither if you're trying to conceive now, want insurance, or haven't been properly tested.

Peter MD vs Maximus table 10: Peter MD or Maximus: which should you choose?
If you are… Our pick Why
Sure about shots, budget first PeterMD 12-month $948 published annual plan price before labs, the lower of these two
Not sure you want a long commitment Maximus 1-month ≈ $299 to start before follow-up labs, vs. at least ≈ $749 at PeterMD before follow-up labs
Want real testosterone without needles Maximus cream or oral PeterMD sells neither
Future fertility matters Fertility-aware clinician first Treatment choice matters more than the subscription; enclomiphene is not TRT and does not guarantee fertility preservation
Want shots + hCG and live in CA, VA, WA, NC or another excluded state Maximus (check your state) PeterMD doesn't sell hCG there
In New York or New Jersey Maximus (check your state) PeterMD can't order your labs
Never want to be locked in, with labs included Hone Health (affiliate) No commitment; retesting every 90 days
In Alabama or Idaho Neither confirmed PeterMD excludes you; Maximus publishes no list
Want an FDA-approved product on insurance Neither → your doctor or a urologist Both are cash-pay; Maximus is compounded; PeterMD doesn't say
Trying to conceive now, or only tested once Neither yet → specialist or more testing AUA guidance

Didn't see yourself in that table? Answer a few questions and get the care route that fits your labs, fertility plans, state and budget, plus what to ask whichever clinic you pick. Use Find My TRT Path →


What if neither Peter MD nor Maximus fits?

Your best next step depends on why neither fits. For no lock-in with follow-up labs included, compare Hone Health. For a written membership-fee guarantee tied to its 90-day protocol, compare Male Excel. For insurance, an FDA-approved product or fertility now, start with your own doctor, urologist or reproductive urologist.

You want no commitment and regular labs. Hone Health: $65 initial testing, a $25 confirmatory lab for TRT candidates, then $155/mo Premium with retesting every 90 days, plus testosterone starting at $28/mo. About $2,286 in year one at those starting prices. Hone says "No commitments. Cancel anytime." Its testosterone product page lists injections starting at $28 per vial; confirm the exact dispensed product and pharmacy for your prescription. (Affiliate.) Compare Hone vs PeterMD →

You want a written promise if it doesn't work. Male Excel refunds three months of membership fees if your symptoms don't improve after following its plan for 90 days. Membership is $99/mo, with medication billed separately. Two cautions: its at-home starter kit checks five markers and doesn't include LH or hematocrit, and it says doctors may prescribe before lab results arrive when they judge it appropriate. Ask for a full baseline panel first. It also doesn't serve Alabama, Idaho or nine other states. (Affiliate.) Read Male Excel's guarantee terms →

You want insurance or an FDA-approved product. Start with primary care or a urologist. Online vs. local care →

You're trying to have kids. A reproductive urologist first. Not a subscription.


What should you ask before you pay?

Seven questions, sent by email or chat so you have a written record. Don't start a long plan until you have every answer.

Copy and send this before you pay:

  1. What is the exact amount charged today, and the date and amount of every charge for the next 12 months?
  2. What's the minimum commitment for this exact plan? (PeterMD: does your 6-month TRT minimum apply to the monthly plan?)
  3. Which labs do I need in the first 12 months, what does each cost, and can I use bloodwork I already have? Does my first panel check hematocrit?
  4. Is my testosterone an FDA-approved product or compounded, and which pharmacy fills it?
  5. If you add hCG, is it an FDA-licensed product, is it available in my state, and what's the full price per month?
  6. What are the exact steps and deadline to cancel, and where is that written?
  7. If federal telehealth rules change on January 1, 2027, what happens to my prescription and the months I've already paid for?

If they answer all seven clearly, that tells you something good about their billing. If they won't put the commitment or the renewal price in writing, that's your answer too.


Where do Peter MD's and Maximus's own pages disagree?

We found 12 places where a company's own pages say different things. Most look like template leftovers or old copy, not tricks. But each one can change what you pay, so we list the question to ask.

Peter MD vs Maximus table 11: Where do Peter MD's and Maximus's own pages disagree?
# Company What doesn't match What to do
1 PeterMD A "1-Month Plan" is sold, but the FAQ says TRT needs at least 6 months Get the minimum term in writing
2 PeterMD Monthly plan card says "$1068 total"; $139 × 12 is $1,668, which the page also lists Budget $1,668 for a year at the monthly rate
3 PeterMD Enclomiphene "2-Month Plan" priced "/Bi-Monthly," but labeled "90 days supply" Ask how many tablets ship and how often you're billed
4 PeterMD Enclomiphene excluded states: "AL, ID, NC, MI" in one spot, "AL, ID" in two others NC and MI: confirm in writing
5 PeterMD Cancel by email 48 hours ahead (policy) vs. on the Member Account page (FAQ) Do both; keep the reply
6 PeterMD hCG pop-up: "$301 today" for 10,000 IU; hCG page: 5,000 IU for $147 ($294 for two) Check the hCG page first
7 PeterMD Medication "included," but terms say prescriptions go to "a pharmacy of the patient's choosing" Ask who pays if another pharmacy fills it
8 PeterMD FAQ says in-person visits required since May 2023; the federal rule was extended through 2026 Ask whether you need an in-person visit
9 Maximus Terms (Feb 2026) allow a health-related early exit; help center (Jul 2026) says committed plans can't end early Ask which rule applies before choosing a long plan
10 Maximus Terms say you won't prepay the full term upfront; help center says committed plans are paid upfront or in installments Ask exactly what's charged at checkout
11 Maximus First-month discount tied to the 6-month plan on the shots page, the 12-month plan on the enclomiphene page Confirm the discount at checkout
12 Maximus Its comparison page says PeterMD's medication is "priced separately"; PeterMD's TRT plans say medication is included Compare PeterMD's own pages, not a competitor's

How did we compare Peter MD and Maximus?

We read both companies' live pricing, lab, refund and terms pages twice on October 8, 2026, then did the year-one math with the same assumptions for both. We checked medical and legal claims against the AUA guideline, the FDA, the DEA and HHS. We separated what we confirmed from what each company only claims.

We used TRT Provider Guide's published method, How We Review TRT Providers. It sorts every fact into four buckets:

  • Verified fact: checked against a primary or current source, with a date.
  • Provider-stated fact: what a company says about itself, which we couldn't test.
  • Customer-experience signal: a named customer's report. Useful for patterns. Not proof of policy or results.
  • Editorial conclusion: our judgment, built only on the verified facts.

We don't give providers numeric scores. A score hides the trade-offs you actually need to see. Being included on this page isn't an endorsement.

Neither PeterMD nor Maximus pays us. Prices and policies change, so we date every number and update this page when we re-verify. See our editorial standards and corrections policy.


Peter MD vs Maximus FAQ

Is Peter MD cheaper than Maximus?

For the published long-term injection plan, yes: PeterMD lists $948 for 12 months before labs, versus $1,199.88 at Maximus. Exact first-year totals depend on the lab testing your clinician requires. PeterMD's enclomiphene billing card is too internally inconsistent for a definitive annual comparison.

What does it cost to try each one?

Maximus costs about $299 to start month-to-month with one $99 baseline kit, before the required follow-up testing that may fall around one month. PeterMD starts at about $749 for its six-month minimum plus $95 starter labs, before any follow-up lab.

Does Maximus offer testosterone shots?

Yes. From $99.99/mo on a 6- or 12-month plan, or $199.99 month-to-month.

Does Peter MD offer testosterone cream or oral testosterone?

No testosterone cream or oral testosterone was listed on PeterMD's public TRT menu when checked. PeterMD's product labeled "Oral TRT" is enclomiphene, which is not testosterone.

Can I cancel Peter MD after one month?

Its FAQ says TRT programs require at least a six-month commitment, even though it sells a plan labeled "1-Month Plan." Get your minimum term in writing.

Can I cancel Maximus anytime?

Month-to-month plans end at the close of the current month. Committed 3-, 6- and 12-month plans run to the end with no partial refund.

Are labs included?

No. PeterMD's starter panel is $95 and its published follow-up panel is $124.50. Maximus lists a $99 at-home kit and Quest panels from $19.99 to $115, with testing at baseline, 1 month, 3 months and 12 months unless the clinician directs otherwise.

Is enclomiphene FDA-approved?

No, not for any use. Both companies supply it as a compounded drug.

Is Maximus testosterone compounded?

Yes. Maximus says its testosterone protocols use compounded medication from licensed U.S. compounding pharmacies. Compounded drugs are not FDA-approved.

Is Peter MD's testosterone FDA-approved?

Its public pages don't say. Ask before you pay.

Can I get hCG from Peter MD?

In most states, yes, at $147 per 5,000 IU vial. It isn't sold in 24 states plus DC.

Does Maximus offer hCG?

Yes, paired with shots, at $299.98/mo on a 6- or 12-month plan.

Has the FDA warned Maximus?

Yes. A June 8, 2026 warning letter cited misleading website claims about its compounded weight-loss drugs. It didn't mention its testosterone products.

Do Peter MD or Maximus take insurance?

No. Both are cash-pay and say they accept HSA/FSA. PeterMD offers a lab-only insurance route for a $25 fee.

Which states do they serve?

PeterMD: all states except Alabama and Idaho for testosterone, with lab limits in several states. Maximus: no public list; check at signup.

What happens to online testosterone prescriptions after 2026?

The federal telehealth flexibility runs through December 31, 2026. A permanent rule is reportedly under review. Ask your provider how it will handle a change.

Is PeterMD the same as Peter Attia?

No. They're unrelated.

Can I switch from Peter MD to Maximus?

Yes, but finish or cancel your PeterMD term first, bring recent labs, and tell the new doctor what you're taking.

Will enclomiphene work as well as shots?

They are different treatments, and there is no simple rule that one "works as well" as the other for every patient. Enclomiphene is not TRT and is not FDA-approved; ask a clinician which approach fits your diagnosis, fertility plans and health history.


Still not sure which TRT care route fits you? Use our free Find My TRT Path tool. Find My TRT Path →


Sources (checked October 8, 2026)

PeterMD

Maximus

Other providers mentioned

Medical and regulatory

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