Telehealth has fundamentally changed how people access hair loss treatment. Instead of waiting weeks for a dermatologist appointment, you can complete an online consultation, get a prescription, and have medication shipped to your door — often within days. But with so many platforms competing for your business, the differences in pricing, provider quality, and product offerings can be hard to parse.
We evaluated eight major telehealth platforms on the criteria that actually matter: what medications they offer, how much they cost, who provides the consultation (nurse practitioner vs. board-certified dermatologist), and whether they treat women as well as men. Here's how they rank.
Quick-Reference Pricing Table
| Platform | Oral Finasteride | Topical Minoxidil | Combo Topical | Consultation |
|---|---|---|---|---|
| Hims | $22/mo (annual) | $15/mo (annual) | $32–$50/mo | Free |
| Keeps | $20/mo (annual) | $10/mo (annual) | $35–$50/mo | Free year 1 |
| Ro (Roman) | $20/mo | $16/mo | $40/mo | Free |
| Happy Head | N/A (oral capsule $22–$49) | N/A (custom $47–$79) | $89–$118/mo | Free |
| Hers | Postmeno only | $15–$35/mo | $29+/mo | Free |
| Sesame Care | Rx to your pharmacy | Rx to your pharmacy | N/A | $39–$79 |
| Shapiro MD | $49+/mo (bundled) | $29+/mo | $49–$99/mo | Included |
| Miiskin | Rx to your pharmacy | Rx to your pharmacy | N/A | $39–$59 |
Prices verified March 2026. Annual plans offer the lowest per-month pricing; quarterly and monthly plans cost more. Combo topical = compounded or multi-active sprays/solutions.
The Rankings
Hims / Hers
Hims dominates the telehealth hair loss market for good reason: the widest product range, competitive pricing, and a seamless digital experience. The 2026 lineup includes oral finasteride (starting $22/month annual), topical finasteride + minoxidil spray ($32–$50/month), 3mg oral minoxidil chewable, and a comprehensive Rx spray + keto + biotin bundle at $39/month. Hers — the women's brand — offers topical and oral minoxidil, spironolactone, and a postmenopausal finasteride serum.
Consultations are free, follow-ups are unlimited, and everything ships directly to your door. The main drawback is that your "provider" is typically a nurse practitioner or PA reviewing a photo questionnaire — not a board-certified dermatologist performing a live evaluation.
Strengths
- Widest product selection in the market
- Competitive, transparent pricing
- Free consultations and follow-ups
- Both men's (Hims) and women's (Hers) platforms
- Oral minoxidil chewable option
Limitations
- Async photo consultation — not a live dermatologist visit
- Subscription-forward model (pushes recurring plans)
- Annual plans required for best pricing
- Compounded products are not FDA-approved
Best for: First-time treatment seekers who want a one-stop shop with the broadest options at mainstream prices. Read our full Hims review.
Happy Head
Happy Head's differentiator is its dermatologist-founded model: board-certified dermatologists (not NPs or PAs) create custom-compounded topical formulations that can include up to 8% minoxidil combined with finasteride, retinoic acid, and other active ingredients at concentrations you won't find elsewhere. The 2025-launched StrandIQ DNA test (~$300) personalizes treatment further based on genetic markers.
The SuperCapsule oral option ($22–$49/month) includes low-dose oral minoxidil and other ingredients. Topical solutions for women run $79–$118/month. Premium pricing, but the strongest formulations available through telehealth.
Strengths
- Board-certified dermatologist consultations
- Strongest custom-compounded formulations
- DNA-powered StrandIQ personalization
- Oral dutasteride option (stronger than finasteride)
- Free follow-ups with your dermatologist
Limitations
- Most expensive platform on this list
- Compounded products are not FDA-approved
- StrandIQ DNA test adds ~$300 upfront
- No standard finasteride-only option
Best for: People who've tried standard treatments without success and want dermatologist-grade custom compounds. Read our full Happy Head review.
Keeps
Keeps competes primarily on price. Oral finasteride starts at $20/month on an annual plan, topical minoxidil at just $10/month — making it the cheapest telehealth option for the core FDA-approved treatments. They also offer Rx ketoconazole shampoo (2%) at $10/month, which most competitors don't carry. Parent company is Thirty Madison.
The tradeoff: Keeps is men-only, has a narrower product lineup than Hims, and follow-ups cost $5 each after the first year. Shipping adds $5 per quarterly shipment. Still, for budget-conscious men who want proven treatments without premium pricing, Keeps is hard to beat.
Strengths
- Lowest prices for core treatments
- Rx ketoconazole shampoo ($10/mo)
- Simple, no-upsell experience
- Topical fin + minoxidil gel option
Limitations
- Men only — no women's offerings
- $5/visit after year 1
- $5 shipping per quarterly shipment
- Narrower product range than Hims
Best for: Budget-focused men who want standard FDA-approved treatments at the lowest price. Read our full Keeps review.
Ro (formerly Roman)
Ro's standout product is its Mane Spray — a multi-active topical combining minoxidil, finasteride, and tretinoin in a single spray application. At $40/month, it's a convenient way to get three active ingredients without multiple products. Standard offerings include oral finasteride ($20/month), topical minoxidil ($16/month), and oral minoxidil ($30/month). About 40% of Ro's patients are 50+, suggesting a more medically oriented user base.
Women's offerings are limited compared to Hers, making Ro a stronger choice for men. Free unlimited follow-ups and a clean, no-nonsense consultation process round out the experience.
Strengths
- Multi-active Mane Spray (3 ingredients)
- Competitive pricing across the board
- Free consultations and unlimited follow-ups
- Oral minoxidil available ($30/mo)
Limitations
- Fewer women's-specific products
- Async consultation model
- Fewer non-prescription add-ons
Best for: Men who want a streamlined, multi-active topical approach. See how Ro compares in our Hims vs. Keeps vs. Roman comparison.
Sesame Care
Sesame Care operates differently from every other platform on this list. Instead of selling you their own medications, Sesame connects you with independent, licensed providers — including board-certified dermatologists — who send prescriptions to your pharmacy of choice. You pay for the consultation ($39–$79), then fill the prescription wherever you get the best price (GoodRx, Costco, your insurance pharmacy).
This model is ideal for people who want a genuine clinical evaluation rather than a product-sales funnel. The provider isn't incentivized to prescribe a specific brand's compounded topical — they're evaluating your case independently. The downside: you pay more upfront for the visit, and there's no bundled delivery convenience.
Strengths
- Independent provider (no product sales bias)
- Prescriptions sent to any pharmacy
- Can use insurance or GoodRx for medications
- Live video consultations available
- Treats men and women equally
Limitations
- Consultation isn't free (one-time fee)
- No bundled medication delivery
- You manage your own prescriptions
Best for: People who want an unbiased clinical assessment and the flexibility to fill prescriptions at their own pharmacy.
Get an Independent Assessment
Sesame Care connects you with licensed providers who evaluate your hair loss independently — no subscription required, no product upsell. Prescriptions go to your pharmacy.
Book a ConsultationAlso Worth Considering
#6 — Shapiro MD
Founded by board-certified dermatologists, Shapiro MD offers both FDA-approved treatments and custom-compounded prescriptions. Their telehealth model includes questionnaire-based consultation with a licensed clinician, prescription within 12–24 hours, and direct-to-door delivery. Pricing runs higher than Hims and Keeps ($49+/month for bundled plans), but the dermatologist-founded credibility adds clinical confidence. LegitScript certified. Best for people who value a dermatologist brand.
#7 — Miiskin
Miiskin takes a refreshingly different approach: a one-time board-certified dermatologist consultation ($39–$59) with no forced subscription. Your dermatologist reviews your case, provides a personalized treatment plan within 1–2 days, and sends prescriptions to your local pharmacy. You're in control of where you buy and when — no auto-shipments, no lock-in. Best for people who want maximum flexibility and don't mind managing their own treatment independently.
#8 — Lemonaid Health
Lemonaid offers straightforward telehealth hair loss treatment with a $25 consultation fee. Their formulary includes oral finasteride, topical and oral minoxidil, and combination options delivered through partner pharmacies. The platform is less polished than Hims or Ro but provides competent clinical access at reasonable prices. Best for people who want a simple, no-frills path to a prescription.
How to Choose: The Decision Framework
Choose a product-delivery platform (Hims, Keeps, Ro, Happy Head) if:
- You want the convenience of medication shipped to your door
- You already know your diagnosis is androgenetic alopecia
- You prefer a subscription model with automatic refills
- You're comfortable with an async (photo-based) consultation
Choose an independent-provider platform (Sesame Care, Miiskin) if:
- You want a genuine clinical evaluation (live video with a dermatologist)
- You're not sure what's causing your hair loss
- You want the flexibility to use insurance or GoodRx at your pharmacy
- You don't want to be locked into a subscription
Choose a premium custom-compound platform (Happy Head) if:
- You've tried standard finasteride and minoxidil without sufficient results
- You want a board-certified dermatologist managing your formulations
- You're willing to pay more for the strongest available topical concentrations
- You're interested in DNA-guided treatment personalization
Provider Credentials: Who's Actually Consulting You?
| Platform | Provider Type | Consultation Format |
|---|---|---|
| Hims / Hers | NP or PA (licensed) | Async photo questionnaire |
| Happy Head | Board-certified dermatologist | Photo + dermatologist review |
| Keeps | Licensed clinician (NP/PA/MD) | Async photo questionnaire |
| Ro | Licensed provider (NP/PA/MD) | Async questionnaire |
| Sesame Care | Your choice (including dermatologists) | Live video or async |
| Shapiro MD | Licensed clinician | Async questionnaire |
| Miiskin | Board-certified dermatologist | Photo-based review |
The Bottom Line
There's no single "best" telehealth platform for hair loss — the right choice depends on your budget, how much clinical oversight you want, and whether standard treatments have already failed you. For most first-timers, Hims offers the best combination of product breadth, pricing, and convenience. For budget shoppers, Keeps is the clear winner. For people who want genuine clinical evaluation, Sesame Care provides independent provider access. And for those who need the strongest possible formulations, Happy Head's custom-compounded approach is unmatched.
Whichever platform you choose, the most important thing is to start treatment early. Hair loss treatments work best when follicles are still active — waiting too long can move you from "medication can help" to "only a transplant will work." If you're noticing thinning, a consultation today — on any of these platforms — is worth far more than another month of uncertainty.
Ready for Dermatologist-Grade Treatment?
Happy Head pairs you with a board-certified dermatologist who creates custom-compounded formulations with up to 8% minoxidil — concentrations no other telehealth platform offers.
Try Custom Compounds