Keeps was founded in 2018 with a tighter focus than Hims or Roman: men’s hair loss treatment, full stop. The platform has stayed focused on this single category through eight years of operation, which produces a more refined experience than competitors offering hair loss as one product among many. Keeps was acquired by Thirty Madison in 2020, which also owns Picnic (allergies) and Cove (migraines). This keeps review covers 2026 pricing on finasteride and minoxidil, what’s included beyond the medications, the prescriber experience, and how Keeps compares to Hims and Ro for hair loss specifically. The headline: Keeps is consistently the cheapest source of generic finasteride and minoxidil through a DTC subscription, with a tighter focus that produces a cleaner experience.
How Keeps works
Keeps’ intake is brief — 5-7 minutes covering hair loss pattern (with photos), medical history, contraindications, and medication preferences. A licensed clinician reviews the intake within 24-48 hours and writes prescriptions if appropriate. Approved medications ship from Keeps’ affiliated pharmacy on a quarterly auto-refill schedule.
The model is purely asynchronous — there’s no video visit, no synchronous consultation, and no comprehensive medical workup. For the specific use case Keeps handles (uncomplicated androgenic alopecia in men), this is clinically appropriate. The American Academy of Dermatology recognizes asynchronous telehealth as an appropriate model for routine hair loss prescribing in patients without complicating factors. For broader DTC telehealth context, see our telehealth guide.
Keeps pricing in 2026
Finasteride 1mg generic through Keeps is $20 per month, billed quarterly at $60. Topical minoxidil 5% (foam or solution) is $15 per month, billed quarterly at $45. The combined finasteride + minoxidil bundle is $35 per month, billed quarterly at $105. A “complete hair kit” with finasteride, minoxidil, ketoconazole shampoo, biotin gummies, and thickening conditioner is around $50 per month.
The first quarterly shipment is often discounted at $20-25 for the bundle as a promotional rate. Some patients price-shop at retail with GoodRx discount cards and find generic finasteride at independent pharmacies for $15-25 per month, but the convenience of the auto-shipped subscription justifies the small premium for many. Keeps doesn’t accept insurance for the visit fee or the medications.
What Keeps treats
Keeps treats male pattern hair loss (androgenic alopecia) with the two FDA-approved evidence-based medications: oral finasteride (Propecia generic) and topical minoxidil (Rogaine generic). Finasteride works by blocking the conversion of testosterone to dihydrotestosterone (DHT), the hormone responsible for hair follicle miniaturization in male pattern baldness. Minoxidil works through a different mechanism, primarily by extending the hair growth phase.
The clinical evidence supporting both medications is robust. A NIH StatPearls review of finasteride documents 70-90% efficacy in slowing or reversing male pattern baldness. Minoxidil produces meaningful hair regrowth in 30-40% of users with continued use. The combination of both medications is the standard first-line treatment for male pattern hair loss in current dermatology guidelines.
What Keeps doesn’t treat
Keeps focuses exclusively on male pattern hair loss in adults. The platform doesn’t treat:
- Female pattern hair loss (women aren’t candidates for oral finasteride at standard doses)
- Alopecia areata (autoimmune patchy hair loss, requires different treatment)
- Telogen effluvium (stress-induced shedding, requires different approach)
- Scalp infections, fungal conditions, or inflammatory scalp disease
- Hair loss in patients under 18
- Complex hair loss requiring specialist evaluation
Patients with these presentations should see a dermatologist or trichologist in person. Keeps’ narrow focus is a feature, not a limitation — the platform doesn’t try to handle conditions outside its scope, which produces appropriate clinical care for the population it serves.
Where Keeps wins against Hims and Ro
Keeps’ focused offering produces three meaningful advantages. First, pricing is consistently among the cheapest in the DTC hair loss space — $20 for finasteride, $15 for minoxidil, $35 for the bundle. Hims often runs comparable or slightly higher pricing on the equivalent products. Ro bundles tend to include additional supplements that increase total cost.
Second, the experience is cleaner. Keeps doesn’t try to upsell GLP-1 medications, ED treatments, or mental health prescriptions during the hair loss intake. The narrow focus means patients aren’t navigating around adjacent product offerings while trying to manage their hair treatment.
Third, the auto-renewal cancellation experience is somewhat better than Hims or Ro based on documented complaints. Keeps still uses subscription auto-renewal, and patients should still set calendar reminders before quarterly shipments, but the cancellation flow has fewer documented issues than competitors. See our Hims vs Keeps head-to-head for the detailed comparison.
Where Keeps falls short
The platform’s narrow focus also limits options. Keeps doesn’t currently offer alternative hair loss treatments like dutasteride (a stronger 5-alpha reductase inhibitor sometimes used off-label for hair loss), oral minoxidil (an emerging off-label option), or PRP injections (which require in-person care).
For patients whose response to finasteride is inadequate or who experience side effects, Keeps’ formulary is a constraint. Some patients ultimately need to see a dermatologist in person for alternative options. Keeps’ pricing is also not dramatically cheaper than buying generic finasteride through GoodRx and a local pharmacy, which can run $10-25 per month for the same medication. The convenience of the auto-shipped subscription is the value-add, not dramatic cost savings.
Keeps vs Hims, Ro, and going generic
Compared to Hims, Keeps is similar in pricing for the basic medications but offers a tighter, less upsell-heavy experience. See Hims vs Keeps for the detailed numbers. Compared to Ro, Keeps is generally cheaper for the basic medications, particularly when comparing single-medication subscriptions rather than full hair kits. See Keeps vs Roman for hair loss for that comparison.
Compared to buying generic finasteride at a local pharmacy with GoodRx, Keeps is a bit more expensive but adds the convenience of automatic refills and clinician follow-up. For patients comfortable managing their own pharmacy and refill schedule, generic + GoodRx is the cheapest path. For patients who value subscription convenience, Keeps is one of the most cost-effective DTC options. Patients who want a comprehensive dermatology workup including potential biopsy or specialist evaluation should see a dermatologist in person rather than relying on any DTC platform.
Frequently Asked Questions
Is Keeps cheaper than Hims for hair loss?
Generally yes by small amounts on the basic medications. The price gap depends on which products you compare and which promotional rates are running. Both platforms have competitive pricing relative to retail.
Does Keeps prescribe dutasteride?
Keeps’ standard formulary includes finasteride, not dutasteride. Patients seeking dutasteride for hair loss generally need to see a dermatologist in person, since the medication is FDA-approved for benign prostatic hyperplasia rather than hair loss specifically.
How long does it take to see results from Keeps medications?
Finasteride typically takes 3-6 months to show measurable hair improvement and 6-12 months to reach maximum effect. Minoxidil produces visible regrowth in some users within 3-4 months. Both medications require continued use to maintain effect.
What happens if I have side effects?
Keeps clinicians can adjust dosing or discontinue medication based on patient feedback. Common finasteride side effects include decreased libido and sexual function, typically reversible with discontinuation. Patients with persistent side effects should see a dermatologist or urologist in person for further evaluation.
Can women use Keeps?
Keeps focuses on men’s hair loss treatment. Women with hair loss should look at platforms specifically serving female pattern hair loss, including Hers, which prescribes appropriate options like topical minoxidil 2% and off-label spironolactone.
The bottom line on Keeps
Keeps is the most focused DTC hair loss platform in the US, with consistently competitive pricing on the two evidence-based medications for male pattern baldness. The narrow focus produces a cleaner experience without upsells to adjacent products. For uncomplicated male pattern hair loss in adults, Keeps is one of the most cost-effective subscription options. For complex hair loss, female pattern hair loss, or patients seeking dutasteride or PRP, in-person dermatology remains the appropriate path. Keeps does what it does well; it just doesn’t try to do anything else.