Revit MEP is a joke.
There is barely enough content to illustrate how to create new families. And, believe me, that is what you will spend half your time doing.
The Family Editor is a cute little 3D modeler that would not bring $19.95 as a stand-alone product. But, you will get to know it well. In fact, it's probably good that it is simplistic, because you have to master it.
If you read the various posts, you will read that Revit is not really intended for the production of CDs--it's a program for Engineers and Designers. I don't understand that statement. Revit won't do what Engineers and Designers would want to do. Revit MEP won't size ductwork consistently. In my experience, it gives up more often than it succeeds, giving you error messages like, "can't move element." This on a layout that it has generated. It seems to do a little better with constant velocity sizing than it does with equal friction, but does not do a good job with either. The limit of Revit's duct sizing is an extended plenum with the air handler at one end.
You can't define new duct shapes--you are stuck with round and rectangular. Flat oval is not an option.
Plumbing is bad in AutoCAD MEP, and it's just about as bad in Revit MEP. Revit MEP will actually draw sloped pipe, but that's about it.
DRAWING vertical pipes an ducts is an ordeal. You can't draw in section views. You can draw in 3D views, but the results are unpredictable.
With AutoCAD, you can draw a vertical line, not only by changing the active plane, but by snapping to two points at different elevations, one directly above the other. Doesnt work with Revit MEP, at least not consistently.
However, in my opinion, production drafting is actually one of Revit's best acts. With ADT and ABS(MEP), you end up wth a lot of drawing files. Even with careful management of files and XREFs, it's easy to let inconsistencies creep into your drawings.
With Revit, everything is in one file, or can be. (You can still build your mechanical model over a linked archtectural model.) That means that you can plot anytime you want, without worrying about reloading XREFs, etc. Producing schedules is a snap.
My advice is to download the product and use it heavily in the demo mode for the 30-day trial period.