Hims vs Keeps vs Roman for Hair Loss: Which Telehealth Is Best in 2025?

All three of the big hair loss telehealth services — Hims, Keeps, and Roman — prescribe the same combination: oral finasteride and topical minoxidil. They source from the same FDA-approved generics. So why do their websites, prices, and onboarding feel so different? Because what you're actually buying isn't the medication. You're buying the friction reduction around it.

This guide breaks down where each service genuinely differs — and where they're essentially the same product with different marketing.

Pricing reality check

All three services price the core finasteride + minoxidil combination between $30 and $50 per month. Promotional first-month pricing usually drops to $5–10. The headline price difference between services is rarely meaningful — usually within $10/month.

Where the real cost differences emerge is in add-ons: shampoos, supplements, biotin gummies, and brand-name minoxidil foam. Hims tends to upsell harder. Keeps is the most stripped-down. Roman sits in the middle.

Hims: the broadest platform

Hims started in men's wellness more broadly — ED, sleep, weight loss, mental health, then hair. The platform feels more like a healthcare marketplace than a hair clinic. The upside: if you already use Hims for anything else, consolidating prescriptions is easy. The downside: the hair loss flow has more upsells than competitors.

• Best if: you want a single platform for multiple men's health concerns
• Watch out for: upsell flow that adds biotin, shampoos, supplements by default
• Price: ~$44/mo for the standard fin + min combo

Keeps: built for hair, end to end

Keeps was founded specifically around hair loss treatment, and it shows. The intake is shorter, the messaging is more focused, and the dashboard is purpose-built for tracking treatment progress over time. If hair is your only concern, Keeps is the cleanest experience.

• Best if: you want a focused, hair-loss-only platform
• Strength: built-in progress photo tracking is genuinely useful at the 6-month mark
• Price: similar to Hims, slightly cheaper without add-ons

Roman: clean app, fastest review

Roman has invested heavily in the app experience and prescription review turnaround. Most users get a prescribing decision within hours of submitting their intake. The platform is also positioned around broader men's health.

• Best if: you want fast prescription turnaround and a polished app
• Strength: same-day Rx review is reliable
• Price: comparable to Hims and Keeps

The honest verdict

If you have any active hair loss concern and you're not currently being treated, the right choice between these three matters less than just picking one and starting. The medication is identical; the platform differences are about polish and friction, not outcomes.

Pick Keeps if hair loss is your single concern. Pick Hims if you're consolidating multiple men's health needs. Pick Roman if app experience and turnaround speed are decisive for you. Whichever you choose, the most important thing is twice-daily minoxidil application and daily finasteride — and that's the same on all three.