5 Best Keeps Alternatives for Hair Loss Treatment (2026)

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First, What Keeps Actually Offers Now

Most "Keeps alternatives" articles — including the earlier version of this one — describe a platform that sold two things: oral finasteride and topical minoxidil. That hasn't been true for a while.

Keeps now lists topical finasteride combined with minoxidil, oral minoxidil, a finasteride + minoxidil chewable, and compounded dutasteride formulas. It ships every 3, 6 or 12 months, lets you pause a subscription, and has phone support — which is more than either of its larger rivals offers.

That matters before you switch: if you were leaving because Keeps "doesn't do topicals" or "doesn't do oral minoxidil", the premise is out of date. The reasons below are the ones that survive.

Why Do People Leave Keeps?

Keeps serves men only. Women who arrive at Keeps on a recommendation can't be treated there at all. That's not a preference, it's a hard stop, and it's the single most common reason people need somewhere else. Hers and Nurx both treat women, as does any dermatologist.

State availability. Keeps isn't licensed everywhere. If you move to a state it doesn't cover, the decision is made for you.

Published price. Keeps shows a price only after the medical intake. Ro publishes its: $16-20 a month for the same generic finasteride, depending on how long a plan you commit to. For anyone comparing before signing up, that transparency is itself the differentiator.

Custom compounding. Keeps' compounded options come in set formulas. Happy Head and Strut build a formula around your case, with concentrations chosen by a physician and ingredients standard platforms don't offer.

One platform for several conditions. Keeps is hair loss only. If you also want ED or weight management treatment from the same provider, Ro and Hims cover them.

What to Look for in a Keeps Alternative

• If you're a woman: Hers, Nurx or a dermatologist — Keeps can't treat you
• If you want a published price: Ro
• If you have an existing prescription: GoodRx at a pharmacy, plus minoxidil from Amazon
• If you want a formula built for your case: Happy Head or Strut
• If you want the best app and several health categories: Hims
• If your hair loss is unusual or not responding: a dermatologist

The 5 Best Keeps Alternatives

1. Ro — Best for a Price You Can See Before Signing Up

What it is: A broad men's health telehealth platform, founded in 2017 as Roman and renamed Ro in 2018.

Why it's a Keeps alternative: Ro publishes what it charges — $16-20 a month for generic finasteride, depending on plan length — and Keeps doesn't show a price until after the medical intake. Ro also offers a compounded topical spray combining finasteride, minoxidil and tretinoin.

Pros:

• Lowest published price for oral finasteride ($16-20/mo)
• Free online visit
• Compounded topical finasteride + minoxidil option
• Broad platform covering several health categories

Cons:

• Ships quarterly only, so you commit three months at a time
• Less hair-loss-focused than Keeps
• No meaningful progress tracking in the app

Best for: Men who want the lowest published price for oral finasteride, or a compounded topical from a large established platform.

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2. Happy Head — Best for Custom Compounded Formulas

What it is: A dermatologist-founded telehealth platform specializing in compounded hair loss treatments.

Why it's a Keeps alternative: Happy Head's topicals can combine finasteride, minoxidil, tretinoin, latanoprost and other actives at concentrations chosen for your case. Keeps' compounded products come in fixed formulations, so this is genuinely something it doesn't do.

Pros:

• Dermatologist-designed custom protocols
• Can include adjunct ingredients such as tretinoin and latanoprost
• Hair-loss-focused platform
• Also sells an oral finasteride + minoxidil capsule

Cons:

• More expensive: its site lists custom formulas at $59-119/month
• Compounded medicines have less regulatory oversight than approved generics
• Smaller, less established company

Best for: Men who've used standard finasteride and minoxidil without enough result and want a formula tailored beyond the off-the-shelf options.

Similar option — Strut Health: another compounding telehealth service offering physician-customized topical finasteride, alone or combined with minoxidil and other actives. Worth comparing on ingredients and price for your case.

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3. Amazon + GoodRx — Cheapest If You Already Have a Prescription

What it is: Not a platform at all — generic minoxidil bought over the counter, and generic finasteride filled at a pharmacy with a discount card.

Why it's a Keeps alternative: No subscription beats this on price:

• Generic minoxidil 5% foam in multipacks from Amazon or Costco: roughly $7-10/month
• Generic finasteride at a pharmacy via GoodRx: about $15-25/month
• Together, around $22-35/month with no subscription to cancel

Pros:

• Usually the lowest total cost
• No subscription; buy minoxidil when you need it
• Fill the prescription at any pharmacy

Cons:

• You need a prescription from somewhere — a PCP, a dermatologist or a telehealth platform
• No clinician to message about side effects or renewals
• GoodRx pricing varies by pharmacy and location

Best for: Men already settled on finasteride and minoxidil who want to cut the monthly cost without changing anything clinical.

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4. Hims — Best App, Broadest Platform

What it is: The largest telehealth hair loss platform (NYSE: HIMS), founded in 2017, with more than 2.5 million subscribers across all its categories.

Why it's a Keeps alternative: Hims covers far more health categories, and its app is the most polished in the category — progress photo overlays, clinician messaging and reminders all work well. Its hair loss range is comparable to Keeps' rather than clearly wider.

Pros:

• Best app and user experience in the category
• Many health categories on one account
• Full hair loss range: oral and topical finasteride, combination spray, oral minoxidil

Cons:

• The most expensive of the major platforms for equivalent treatment
• Neither Hims nor Keeps publishes a price before the medical intake
• Documented customer service complaints and a multi-step cancellation flow

Best for: Men who want a premium app, or one provider for hair loss plus other conditions.

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5. Direct Dermatologist — Best for Complex Cases

What it is: Seeing a board-certified dermatologist in person.

Why it's a Keeps alternative: If your hair loss is progressing despite finasteride and minoxidil, or doesn't look like ordinary pattern loss, a dermatologist can do what no telehealth intake can: examine your scalp, order labs, biopsy if needed, and prescribe off-label options with follow-up.

What a dermatologist offers beyond Keeps:

• A real differential diagnosis — confirming pattern hair loss rather than alopecia areata, scarring alopecia or something else
• Trichoscopy for a closer assessment
• Labs to check thyroid, iron and hormonal contributors
• In-person management of off-label options such as dutasteride (PMID: 17110217) and oral minoxidil, plus procedures like PRP
• A prescription you can fill at any pharmacy

Cost: Without insurance, a visit typically runs $150-300; with insurance, a copay of about $40-80. Prescriptions filled via GoodRx run about $15-25/month for generic finasteride.

Pros:

• The most thorough evaluation available
• Catches diagnoses telehealth misses
• Access to the full range of prescription options
• No subscription for the medication

Cons:

• Requires scheduling and attending an appointment
• Higher upfront cost without insurance
• Waits of 4-8+ weeks are common

Best for: Men with unusual or fast-moving hair loss, men who haven't responded to standard treatment, or anyone who wants a diagnosis before committing to years of medication.

Summary Comparison

For Full Reviews of These Platforms

• Keeps Review 2026 — our full assessment of Keeps
• Hims Review 2026 — our full assessment of Hims
• Ro Review 2026 — our full assessment of Ro
• MangoRx "Grow" Review 2026 — oral minoxidil + finasteride in one chewable
• Hims vs Keeps vs Ro Comparison — three-way comparison
• Telehealth platforms compared — the smaller prescribers, including the compounders

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