Three names dominate telehealth hair loss: Hims (the lifestyle brand), Keeps (the budget option), and Happy Head (the compounding specialist). All three can get you prescriptions for finasteride and minoxidil delivered to your door. But they're not identical—and the right choice depends on what you actually need.
This is an honest comparison. We'll cover pricing, treatment options, and what each does best in 2026.
Side-by-Side Comparison
| Feature | Hims | Keeps | Happy Head |
|---|---|---|---|
| Finasteride (oral) | ✓ | ✓ | ✓ |
| Minoxidil (topical) | ✓ | ✓ | ✓ |
| Oral minoxidil | ✓ | Limited | ✓ |
| Custom compounding | Basic | — | ✓ Specialty |
| Topical finasteride | ✓ | — | ✓ |
| Dutasteride | — | — | ✓ |
| Starting price | $26/mo | $17/mo | $49/mo |
| Free consultation | ✓ | ✓ | ✓ |
Hims: The Lifestyle Brand
Hims From $26/mo
Hims positioned itself as the "modern men's wellness" brand. Sleek marketing, broad product line (ED, skin, mental health), and strong brand recognition. For hair specifically, they offer the standard treatments plus some compounded options.
Best for: Men who want a polished experience and may use Hims for other wellness products. Good choice if brand aesthetics matter to you.
Limitation: Not the cheapest, not the most specialized. Jack of all trades.
Keeps: The Budget Option
Keeps From $17/mo
Keeps focuses on affordability and simplicity. No frills, just the core treatments at competitive prices. If you want generic finasteride and minoxidil delivered without paying for brand premium, Keeps delivers.
Best for: Price-conscious men who just want the basics. Great starting point if you're not sure you'll stick with it.
Limitation: Fewer advanced options. If you want custom formulations or oral minoxidil, look elsewhere.
Happy Head: The Compounding Specialist
Happy Head From $49/mo
Happy Head's differentiator is custom compounded formulations. Their topical solutions can combine finasteride, minoxidil, and other active ingredients in one product—potentially more effective and definitely more convenient than applying multiple products.
Best for: Men who want optimized treatment—particularly those interested in combination topicals, oral minoxidil, or who haven't responded well to basic protocols.
Limitation: Higher price point. If generic finasteride alone works for you, you're paying for features you may not need.
Pricing Breakdown
Here's what you'll actually pay for common treatment combinations:
| Treatment | Hims | Keeps | Happy Head |
|---|---|---|---|
| Finasteride only | $26/mo | $17/mo | $39/mo |
| Minoxidil only | $15/mo | $10/mo | $39/mo |
| Fin + Min combo | $35/mo | $25/mo | $49/mo* |
| Topical combo spray | $45/mo | — | $49-79/mo |
| Oral min + oral fin | $55/mo | — | $59/mo |
*Happy Head's $49/mo includes custom compounded formula with multiple actives
Value tip: All three offer discounts for quarterly or annual subscriptions. If you're committed, prepaying can save 15-30%.
Which Should You Choose?
Our Recommendations
🎯 For Best Results
Happy Head. Custom compounding means optimized formulas. The convenience of one topical vs. multiple products improves compliance.
💰 For Best Value
Keeps. If generic fin + min is your plan, Keeps offers the lowest prices without compromise on the actual medication.
🏪 For Broader Wellness
Hims. If you'll also use their ED, skin, or mental health offerings, consolidating makes sense. Good middle ground.
Get Started
All three offer free online consultations. You'll answer questions about your hair loss, upload photos, and a provider will recommend a protocol. No commitment required to get started.
Common Questions
Are these the same medications my doctor would prescribe?
Yes. Generic finasteride is generic finasteride whether you get it from Keeps, Hims, or CVS. The active ingredients are identical. What differs is pricing, convenience, and in some cases, custom formulations.
Do I really need custom compounding?
Not necessarily. Many men do great on basic oral finasteride + topical minoxidil. Compounding shines when you want convenience (one product instead of multiple) or need a specialized formula (topical finasteride for lower systemic absorption, added tretinoin for enhanced penetration, etc.).
Can I switch between providers?
Absolutely. Your prescription is yours. You can cancel anytime and restart elsewhere. Some men try Keeps to start, then upgrade to Happy Head if they want more advanced options.
What if the treatment doesn't work?
All three have satisfaction policies, though details vary. More importantly, hair treatments take 3-6 months to show results. Give any protocol time before judging effectiveness.
The Bottom Line
All three providers can get you FDA-approved hair loss treatments conveniently delivered. The differences come down to price, specialization, and extras.
- Choose Keeps if you want the basics at the lowest price
- Choose Hims if you value brand experience and might use other wellness products
- Choose Happy Head if you want optimized, custom-compounded treatments
The best provider is the one you'll actually stick with. Consistency beats optimization. Pick one, commit to it, and give it 6-12 months. That's what actually produces results.