am I correct that the stock sh-awd wheels are 5x120 19x8.5" with a +55 offset? Slim pickins on aftermarket wheels without doing something crazy like custom vossen wheels. I see Advanti has some 20x9's +45 that would likely work. How about tires? 255/55R19 stock... seems like 255/50R20 would be plus 1, and maybe 275/45R20 might work too.
Keep in mind that the 19x8.5 wheels with 255/55-19 tires are stock ONLY on the base model MDX, and not a whole lot of those are being sold. If that's what you want, though, you can find them. The Technology, A-Spec, and Advance all have 20x9 with 255/50-20 tires, and both Type S models have 21x9.5 with 275/40-21 tires. Any of the wheel/tire combos offered on other MDX trims ought to fit on the base MDX. And if you want a set of stock wheels/tires from another trim, you might be able to find a deal on a set for sale as take-offs by an Acura dealer.
Personally, I really like the gray and machine-finished stock wheels on the Tech package, shown below - all personal preference, of course. And if you like those wheels, it may be worth it to spend the extra $4700 for the Tech package MDX rather than the base package MDX, especially since it will cost you more than half that difference just to upgrade the wheels/tires. And there are so many additional features on the Tech package.