Quick Verdict
Generic finasteride costs $10-20/month from most telehealth providers. That's the same active ingredient as brand Propecia ($80+/month) at a fraction of the cost.
Our top picks:
- • Keeps — Cheapest at $10/month (hair loss specialist)
- • Hims — Most options including topical finasteride + combos
- • Roman — Good if you want ED treatment too
Price Comparison
| Provider | Price/Month | Consult | Other Options |
|---|---|---|---|
| Keeps | $10 | Free | Minoxidil, shampoo |
| Hims | $16 | Free | Topical fin, oral min, combos |
| Roman | $17 | Free | Oral minoxidil, dutasteride |
| Happy Head | $79 | Free | Custom compounded topicals |
| Strut Health | $50+ | Free | Topical dutasteride |
| GoodRx + pharmacy | $8-15 | N/A | Need existing Rx |
Our Top Picks
Keeps — $10/month
Keeps is a hair loss specialist with the lowest finasteride pricing. Their model is simple: finasteride + minoxidil + ketoconazole shampoo. No frills, just results.
Try Keeps →Hims — $16/month
Hims offers topical finasteride (for those worried about systemic side effects), oral minoxidil, and combination chewables. More flexibility than anyone else.
Try Hims →Roman — $17/month
Roman is best if you want hair treatment plus other services (ED, weight loss, mental health) from one platform. Similar pricing to Hims.
Try Roman →What About Topical Finasteride?
Some guys worry about finasteride side effects (rare but real: 2-4% experience sexual side effects). Topical finasteride applies directly to the scalp, potentially reducing systemic absorption.
Hims offers topical finasteride spray for $30+/month. Early research suggests similar effectiveness with potentially fewer side effects, though more studies are needed.
How the Process Works
Upload Photos
Most providers ask for photos of your hairline/crown to assess your pattern and stage.
Complete Health Questionnaire
Answer questions about your medical history. Takes 5-10 minutes.
Doctor Review
Licensed physician reviews within 24 hours. No video call required.
Monthly Delivery
Finasteride ships to your door. Discreet packaging. Free shipping on most plans.
FAQ
How long until I see results?
What about side effects?
Should I add minoxidil?
Ready to Start?
Keeps offers the lowest price at $10/month. Hims has more options if you want topical finasteride or combos.