Quick Answer
Keeps is the best-value telehealth option for men who want oral finasteride and/or minoxidil without extras. It costs less than Hims for equivalent treatments, offers solid progress tracking, and focuses on hair loss. Its main limitations: men-only and limited state availability.
LegitScript status: LegitScript Certified
What Is Keeps?
Keeps launched in 2018 with a focused thesis: a telehealth platform for men's hair loss, and nothing else. Where Hims and Ro operate across multiple health categories (ED, weight loss, mental health), Keeps was built to do one thing (it has since added erectile dysfunction treatment, but hair loss remains its core). The benefit of that focus is a streamlined experience and competitive pricing.
Keeps is not publicly traded. It is part of Thirty Madison, a privately held company that also runs Nurx and Cove; in September 2025, Remedy Meds announced an agreement to acquire Thirty Madison. As of early 2026, it serves men across the majority of US states — though availability varies and some states are excluded. The platform has grown substantially since launch and is widely considered one of the two primary alternatives to Hims in the men's telehealth hair loss market.
What Treatments Does Keeps Offer?
Keeps's treatment menu is narrower than Hims but covers the core FDA-approved options:
Oral finasteride — Generic finasteride 1mg. Approximately $20-25/month depending on subscription length. Same drug as brand-name Propecia. Clinical evidence: finasteride 1mg halted hair loss progression in 83% of men and produced measurable regrowth in 66% over two years (Kaufman et al., 1998, PMID: 9777765). This is the foundation of most male hair loss treatment regimens.
Topical minoxidil — 5% minoxidil foam or liquid. Around $20-25/month. Olsen et al. (2002) demonstrated 5% minoxidil produced significantly greater regrowth than 2% formulations in men with androgenetic alopecia (PMID: 12196747). Applied directly to the scalp twice daily.
Combination kit — Finasteride + minoxidil bundled. Around $30-40/month, making it one of the most cost-effective combination options in the telehealth market. Combining finasteride and minoxidil appears to add benefit — a 2020 systematic review and meta-analysis found minoxidil plus finasteride outperformed minoxidil alone on global photographic assessment, though the authors said more trials are needed to confirm it (Zhou et al.).
Keeps-branded shampoo — DHT-blocking shampoo. Adjunct treatment, not a standalone. Some evidence for ketoconazole-based shampoos as mild anti-androgens.
Newer additions: Keeps now also lists oral minoxidil, a topical finasteride + minoxidil gel, and compounded multi-ingredient formulas, some with dutasteride (which is not FDA-approved for hair loss). It has also added erectile dysfunction treatment.
How Does Keeps Work?
The process is fully online and asynchronous:
- Online consultation — Medical questionnaire and photo submission (hairline, crown, and sometimes temples). Takes 10-15 minutes.
- Physician review — A licensed physician reviews your case within 24-48 hours and issues a prescription if appropriate.
- Medication shipped — Ships from a licensed pharmacy. Standard delivery 3-5 days in discreet packaging.
- Progress tracking — Keeps prompts you to submit standardized progress photos at 3, 6, and 12 months. Their comparison tool lets you overlay photos from different time points — useful because hair changes are gradual enough to be imperceptible without documentation.
- Subscription — Auto-refill, with treatment shipped every 3, 6, or 12 months. You can adjust, pause, or cancel the plan through the app or website.
Free consultation — no visit fee. Consistent with Hims and Ro.
What Are the Pros of Keeps?
Best value for oral finasteride + minoxidil — Keeps offers the most competitive pricing among major telehealth platforms for the core combination treatment. Its combination kit undercuts Hims's comparable offering, though neither platform publishes prices before checkout.
Excellent photo-based progress tracking — Keeps's 3/6/12-month photo comparison tool is well-implemented and one of the genuine standout features. Hair regrowth is too subtle for most people to perceive without side-by-side documentation. Keeps makes this easy.
Men-focused = streamlined experience — Because Keeps is built around hair loss for men, the onboarding flow and product menu are not cluttered with unrelated health categories. You answer relevant questions and receive relevant prescriptions. No upsells to weight loss programs.
Transparent pricing — What you see in Keeps's pricing table is what you pay from day one. No first-month teaser rates that convert to higher prices. This differs from Hims, which often advertises discounted introductory pricing that normalizes later.
Free consultation — No visit fee, unlike some competitors.
What Are the Cons of Keeps?
Men only — Keeps does not serve women. This is a fundamental limitation for women seeking hair loss telehealth, not a criticism of the platform design, but a hard constraint to know about.
Topical finasteride only in combination — Keeps now offers topical finasteride, but its product menu lists it only combined with minoxidil (a topical gel and compounded formulas), not as a standalone topical.
State availability gaps — Keeps is not available in all states. Before investing time in their intake process, verify they operate in your state. Keeps's own website has a state check at signup.
Fewer product options overall — Keeps's menu has historically been narrower than Hims's, though it now includes oral minoxidil and compounded formulations. For most men this doesn't matter — the core medications are what work — but if you want a specific formulation, check both menus.
Customer service wait times — Across verified reviews, Keeps customers report longer-than-ideal customer service response times. Not catastrophically worse than Hims (which also has documented CS issues), but a legitimate concern for a subscription health service.
App is functional, not polished — Keeps's app does what it needs to do. It is not as well-designed as Hims's. If you care about the quality of the software experience, Hims is better.
What Do Real Users Say About Keeps?
Reddit's r/tressless is the primary source of candid user feedback:
Positive patterns: Users who complete 6-12 months consistently report outcomes consistent with the clinical literature — hair loss stabilization in most cases, regrowth in a meaningful subset. The pricing is praised. The photo tracking tool gets positive mentions. Users appreciate that Keeps doesn't push unnecessary products.
Negative patterns: Customer service response times are the most common complaint. State availability frustration from men who discover Keeps isn't available where they live. A recurring thread on Reddit notes that Keeps's app, while functional, feels dated compared to Hims.
On effectiveness: Because Keeps dispenses the same generic finasteride and minoxidil as every other platform, effectiveness reviews are essentially reviews of those medications. Men who respond to the drugs respond; men who don't, don't. This is true across all telehealth platforms.
The Reddit consensus: Keeps is the sensible, no-frills choice. You get the right medications at a fair price with decent support tools. You don't get a beautiful app or a wide menu. For many men, that trade-off is exactly right.
How Does Keeps Compare to Competitors?
| KeepsBest Value | HimsBest UX & Options | Ro | |
|---|---|---|---|
| Price / mo | Not published | Not published | $16-50/mo |
| Rx options | Fin, Min, combo kit, topical fin+min, oral min | Fin, Min, topical fin+min combo, oral min | Fin, Min, compounded topical, oral min |
| Visit fee | Free | Free | Free |
| Ship time | 3-5 days | 2-4 days | 2-3 days |
| Our verdict | Best value for core treatments, men-focused | Widest product range, best app, higher price | Lowest finasteride price, broader health platform |
For a full three-way comparison, see our Hims vs Keeps vs Ro guide.
If you're looking for Keeps alternatives, see our Keeps alternatives guide.
Our Verdict
Keeps is the best-value telehealth option for most men who want oral finasteride and minoxidil. The medications are the same as you'd get anywhere else. The pricing is lower than Hims. The photo tracking is genuinely good. The experience is efficient without being fancy.
Choose Keeps if: You are a man seeking oral finasteride and/or minoxidil at a competitive price. You want a focused, no-frills experience. Progress tracking matters to you.
Don't choose Keeps if: You are a woman (Keeps is men-only). You want the widest possible product menu. You prioritize app quality over price.
Bottom line: For straightforward male androgenetic alopecia treatment with the two evidence-based medications, Keeps is the value choice. If budget matters, start here.
Prefer an online option we've vetted? Strut Health offers a comparable physician-reviewed compounded topical (finasteride + minoxidil in one formula), is LegitScript-certified, and prescribes after a licensed-physician review.
Sources
- Kaufman KD, Olsen EA, Whiting D, et al. Finasteride in the treatment of men with androgenetic alopecia. Journal of the American Academy of Dermatology. 1998;39(4):578-589. PMID: 9777765.
- Olsen EA, Dunlap FE, Funicella T, et al. A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. Journal of the American Academy of Dermatology. 2002;47(3):377-385. PMID: 12196747.
- Zhou Y, Chen C, Qu Q, et al. The effectiveness of combination therapies for androgenetic alopecia: a systematic review and meta-analysis. Dermatologic Therapy. 2020;33(4):e13741. PMID: 32478968.
- Mella JM, Perret MC, Manzotti M, et al. Efficacy and safety of finasteride therapy for androgenetic alopecia: a systematic review. Archives of Dermatology. 2010;146(10):1141-1150. PMID: 20956649.
- Keeps Health. Finasteride and minoxidil subscription pricing. keeps.com. Accessed March 2026.
- Keeps. Our products, About us, and FAQ pages. keeps.com. Accessed September 2026.
- Remedy Meds to Acquire Thirty Madison, Expanding Telehealth Capabilities Across Men's, Women's, and Metabolic Health. PR Newswire. September 3, 2025.