Disclosure first: we earn $40-80 per sign-up from Keeps. That's stated in the button below and explained in full on our methodology page. We're telling you this because we think transparency is better than pretending we have no financial interest.
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 exclusively on hair loss. Its main limitations: men-only, no topical finasteride, limited state availability.
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 does one thing. The benefit of that focus is a streamlined experience and competitive pricing. The limitation is fewer treatment options.
Keeps is not publicly traded and is backed by private investors. 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. The combination of finasteride and minoxidil produces additive benefits — a 2021 meta-analysis in JAMA Dermatology confirmed combined therapy outperforms either treatment alone (Hu et al., PMID: 34613349).
Keeps-branded shampoo — DHT-blocking shampoo. Adjunct treatment, not a standalone. Some evidence for ketoconazole-based shampoos as mild anti-androgens.
What Keeps does NOT offer: Topical finasteride (a gap if you want to avoid systemic finasteride), oral minoxidil, or treatments outside hair loss.
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.
- Monthly subscription — Auto-refill. You manage the subscription through the app or website.
Free consultation — no visit fee. Consistent with Hims, and better than Ro's $15 visit fee in some states.
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. The combination kit at $30-40/month beats Hims's comparable offering by a meaningful margin.
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 does only hair loss for men, the onboarding flow and product menu are not cluttered with other health categories. You answer relevant questions and receive relevant prescriptions. No upsells to ED meds or 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.
No topical finasteride — As of early 2026, Keeps does not offer topical finasteride or a topical finasteride + minoxidil combo. If you're interested in minimizing systemic finasteride exposure (to reduce risk of sexual side effects), Keeps cannot serve that need. Hims is the better option in that specific scenario.
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 — Compared to Hims, Keeps's menu is limited. No oral minoxidil, no compounded formulations, fewer shampoo and supplement options. For most men this doesn't matter — the core medications are what work — but if you want flexibility, Hims has more.
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 | $20-40/mo | $22-55/mo | $15-50/mo |
| Rx options | Fin, Min, combo kit | Fin, Min, topical fin+min combo, oral min | Fin, Min, compounded topical |
| Visit fee | Free | Free | $15 in some states |
| 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 |
| We earn | $40-80/signup | $50-100/signup | $50-120/signup |
Try Keeps We earn $40-80/signup if you sign up · See all commissions | Try Hims We earn $50-100/signup if you sign up · See all commissions | Try Ro We earn $50-120/signup if you sign up · See all commissions |
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. You are not interested in topical finasteride.
Don't choose Keeps if: You are a woman (Keeps is men-only). You want topical finasteride to minimize systemic drug exposure. 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.
We earn $40-80/signup if you sign up · See all commissions
We earn $40-80 per signup through the link above. See our full commission disclosure.
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.
- Hu R, Xu F, Han Y, et al. Comparison of finasteride and minoxidil alone and in combination in treating male androgenetic alopecia. JAMA Dermatology. 2021;157(11):1365-1367. PMID: 34613349.
- 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: 20956647.
- Keeps Health. Finasteride and minoxidil subscription pricing. keeps.com. Accessed March 2026.
Affiliate disclosure: We earn $40-80/signup from Keeps. This does not influence our ranking or assessment. Full methodology.