ED Treatment Review
Maximus ED Review 2026: Blood Flow PDE5 Protocols From $35.99/mo, About $2 a Day
Maximus sells ED as a monthly Blood Flow protocol — vardenafil, tadalafil, and sildenafil from $35.99/mo, run daily, as-needed, or microdosed — rather than by the dose.
- Vardenafil, tadalafil and sildenafil, each priced openly
- Daily, as-needed, or microdosed protocols — not just per-dose packs
- Free priority shipping from licensed US compounding pharmacies
- Physician-led dose adjustment as your results come in
From $35.99/mo (about $2/day)
About 5 minutes online · no clinic or lab visit required
By Charly P. · Not medically reviewed
Updated August 2026 · Pricing last checked August 2026
- 3 PDE5 molecules, priced openly
- Daily, as-needed or microdose
- Physician-led titration
- Free priority shipping
Comparing the whole field? See our best ED providers guide to see how Maximus ranks against every major provider.
About Maximus Blood Flow
Maximus does not sell ED medication by the dose. It sells Blood Flow, a monthly protocol built around vardenafil, tadalafil, and sildenafil, priced from $35.99/month and framed by the company as roughly $2 a day. If you have been buying compounded ED doses at $7 to $15 apiece, that framing is the entire argument — and the arithmetic is worth running before you renew anything.
The other departure from the norm is dosing pattern. Most telehealth ED brands sell one thing: a dose you take before sex. Maximus publishes daily, as-needed, and microdose options depending on the molecule, which is the structure men who use ED medication several times a week tend to end up wanting anyway.
At a Glance
| Starting price | From $35.99/month (10 mg, 4 ct, 1-month plan) |
|---|---|
| Medications | Vardenafil, tadalafil, sildenafil, or vardenafil + tadalafil |
| Dosing options | Daily, as-needed, or microdosed |
| Prescriber | Board-certified physicians |
| Pharmacy | Licensed US compounding pharmacies |
| Shipping | Free priority shipping, discreet |
| Payment | Klarna instalments available |
| Billing | Every 30 days, auto-renews, cancel anytime |
| Best for | Men who use ED medication often enough that per-dose pricing stops making sense |
Pricing: What Each Protocol Costs
| Entry plan | From $35.99/mo (10 mg, 4 ct, 1-month plan) |
|---|---|
| Sildenafil | From $49.99/mo · as-needed |
| Tadalafil | From $53.99/mo · daily, as-needed or microdose |
| Vardenafil | From $59.99/mo · as-needed |
| Vardenafil + Tadalafil | From $59.99/mo · daily, as-needed or microdose |
| Billing | Subscription billed every 30 days, auto-renewing |
Note what the combination protocol costs: $59.99/month, the same as vardenafil alone. If you were going to pick one of the two, the pairing is priced as though the second molecule were free. Compare that against the per-dose model at BetterMe Rx QMAX, where a 4-in-1 sublingual runs from $7.48 a dose, and against Ro, which sells brand-name and generic ED medication through a more familiar per-pill structure. The full field is ranked in our ED provider comparison, and the Vardenafil + Tadalafil protocol is compared against the compounded 3-in-1 and 4-in-1 formulas on our best ED medications page.
Every dose tier, 1-month vs 3-month
The headline figures above are entry prices. What actually determines your monthly cost is the dose, the count, and whether you commit to one month or three — Maximus publishes the full matrix, and the three-month column takes roughly a third off every row. These are the published monthly rates for each plan length.
Tadalafil
| Dose | 1 month | 3 month |
|---|---|---|
| 2.5 mg (30 ct) | $66.99/mo | $44.99/mo |
| 5 mg (30 ct) | $99.99/mo | $66.66/mo |
| 10 mg (4 ct) | $35.99/mo | $23.99/mo |
| 10 mg (8 ct) | $53.99/mo | $35.99/mo |
| 10 mg (12 ct) | $71.99/mo | $47.99/mo |
Vardenafil
| Dose | 1 month | 3 month |
|---|---|---|
| 10 mg (4 ct) | $59.99/mo | $39.99/mo |
| 10 mg (8 ct) | $89.99/mo | $39.99/mo |
| 10 mg (12 ct) | $119.99/mo | $79.99/mo |
Sildenafil
| Dose | 1 month | 3 month |
|---|---|---|
| 25 mg (4 ct) | $49.99/mo | $32.99/mo |
| 25 mg (8 ct) | $74.99/mo | $49.49/mo |
| 25 mg (12 ct) | $99.99/mo | $66.66/mo |
| 50 mg (4 ct) | $69.99/mo | $46.99/mo |
| 50 mg (8 ct) | $104.99/mo | $69.99/mo |
| 50 mg (12 ct) | $139.99/mo | $93.99/mo |
Vardenafil + Tadalafil
| Dose | 1 month | 3 month |
|---|---|---|
| 2.5 mg (30 ct) | $99.99/mo | $66.66/mo |
| 5 mg (30 ct) | $149.99/mo | $99.99/mo |
| 10 mg (4 ct) | $59.99/mo | $39.99/mo |
| 10 mg (8 ct) | $59.99/mo | $39.99/mo |
| 10 mg (12 ct) | $59.99/mo | $39.99/mo |
Two things in that matrix are worth acting on. The first is the 10 mg combination rows: 4, 8 and 12 counts are all priced at $59.99 a month, so tripling your supply costs nothing extra — if you are on the combination at 10 mg there is no reason to be on the 4-count. The second is the daily-style 30-count plans. Tadalafil 2.5 mg at 30 count is $66.99 a month, but the same dose in the combination is $99.99, so the second molecule stops being free the moment you move to a daily protocol. The place the combination is genuinely free is the 10 mg as-needed tiers, where it matches vardenafil alone.
Across every molecule, the three-month commitment lands about a third below the one-month rate — tadalafil 10 mg (4 ct) drops from $35.99 to $23.99, sildenafil 25 mg (4 ct) from $49.99 to $32.99. That is a real saving if the protocol suits you, and a real cost if it does not, which is the argument for starting on a one-month plan and moving to three once your physician has settled the dose.
Pros and Cons
Pros
- Monthly subscription pricing instead of expensive per-dose packs
- Three PDE5 inhibitors offered, so onset and duration can be matched to you
- Daily and microdose protocols available, not only as-needed dosing
- Combination protocol priced the same as vardenafil alone
- Physician-led dose adjustment as results come in
- Free priority shipping and Klarna instalments
- 100% online — the evaluation takes about five minutes
Cons
- Compounded medication is not FDA-evaluated for safety, efficacy or quality
- Auto-renewing subscription, so cancellation has to be handled actively
- Absolute contraindication with nitrates in any form
- Vardenafil can prolong the QT interval and is unsuitable for some cardiac patients
- Overkill if you only need a handful of doses a year
How It Works
- 1.Complete your evaluation
A few health questions online, about five minutes. No appointment, no waiting room, and no lab visit required.
- 2.A board-certified physician reviews it
They select the molecule and the dosing pattern — daily, as-needed, or microdosed — against your health history and goals.
- 3.Discreet direct shipping
Medication is compounded by a licensed US pharmacy and shipped fast and discreetly with free priority shipping.
- 4.Track results, adapt treatment
Your doctor and care team monitor how you respond and adjust the protocol, which is what the monthly structure is actually for.
Which PDE5 Should You Pick?
All three are PDE5 inhibitors: they block the enzyme that breaks down cyclic GMP, which sustains the nitric-oxide-driven vasodilation behind an erection. The differences are onset and duration. Sildenafil is the most studied and gives a reliable four-to-six-hour window at the lowest price on the menu. Vardenafil starts faster with a mid-length duration. Tadalafil lasts longest, which is why it is the one Maximus offers daily and microdosed. The combination pairs vardenafil's onset with tadalafil's duration.
Maximus also markets the class beyond the bedroom — muscle pumps, recovery, focus, arterial health — on the basis of established PDE5 pharmacology. Treat those as supportive claims rather than approved indications; the company itself notes individual results vary. The FDA maintains the postmarket safety labelling for these medicines, and it is the right place to read the contraindications in full.
Safety: The Part You Should Not Skim
PDE5 inhibitors must never be combined with nitrates in any form — the combination can cause a severe and potentially fatal drop in blood pressure — and they require caution with alpha-blockers. They are contraindicated where sexual activity is inadvisable on cardiovascular grounds. Vardenafil specifically can prolong the QT interval, so it is not suitable alongside Class IA or Class III antiarrhythmics or with known QT prolongation.
Common side effects across the class are headache, flushing, nasal congestion, indigestion, dizziness, back pain and muscle aches; sildenafil can also cause transient blurred or blue-tinted vision. Rare but serious events include priapism, sudden vision or hearing loss, and severe hypotension. The medication is compounded rather than dispensed as an approved finished product, and the FDA's compounding Q&A explains what that means for oversight. Give the prescribing physician your full history, cardiac conditions included.
Who It's For
Maximus Blood Flow suits men who use ED medication often enough that per-dose pricing stops making sense, and men who would rather run a daily or microdosed protocol than plan around a single pill. It is also the better structure if you want your dose actively titrated instead of buying the same fixed pack forever.
It is the wrong fit if you want an FDA-approved finished product rather than a compounded one, if you take nitrates or alpha-blockers, or if you only need treatment occasionally — in that case a per-dose option like Omzo will cost you less over a year than any auto-renewing subscription.
How We Scored Maximus
Our 9.2/10 is a weighted mean of six categories, scored in August 2026 using the same criteria we apply to every ED provider. Where we could not verify a claim, the category is capped rather than given full marks.
How We Scored It
Three PDE5 molecules plus a combination protocol, with daily, as-needed and microdose options.
Board-certified physician review and dose titration; the compounded protocol is not FDA-evaluated.
Ongoing monitoring and dose adjustment are the point of the monthly structure.
Full price matrix published; the auto-renewing subscription must be cancelled actively.
Five-minute online eval, no clinic or lab visit, free discreet priority shipping.
About $2/day at the entry tier, with the combination priced the same as vardenafil alone.
The same weighted method is applied to every provider we score, so competitor ratings are comparable. See our best ED providers guide.
Maximus Alternatives
Looking for alternatives to Maximus? Here are the top-rated ED providers we recommend:
Recommended Providers
Our editorial team’s top picks for this category.
Frequently Asked Questions
Editorial Verdict
Our Take
Maximus takes the two things men actually complain about in compounded ED — per-dose pricing and having to plan around a pill — and answers both with a monthly protocol that can run daily or microdosed. Three PDE5 molecules with published prices, a combination protocol that costs no more than vardenafil alone, and physician-led titration is a stronger structure than most of this category offers at about $2 a day. The caveats are the usual ones for compounded telehealth plus one specific to auto-renewal: the medication is not FDA-evaluated as a finished product, the subscription renews until you stop it, and the nitrate contraindication is absolute. Within those limits, it is one of the better-value ways to run ED medication continuously. Overall: 9.2/10.
Protocols from $35.99/month
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