hairloss › Head-to-head comparison
Keeps vs Hims
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Keeps — 8.3/10 vs 7.8/10, higher rated
★ Our Pick
Keeps
$25/mo — only clinic with ketoconazole shampoo
8.3/10
Monthly
$25/mo
True Annual
$300/yr
Labs
✗ Extra
States
All 50
Pros
✓Only provider offering ketoconazole shampoo
✓Good physician follow-up
✓Oral and topical options
Cons
✗Slightly more expensive than Hims
VS
Hims
From $20/mo finasteride — cheapest and most recognized
7.8/10
Monthly
$20/mo
True Annual
$240/yr
Labs
✗ Extra
States
All 50
Pros
✓Cheapest finasteride available
✓Oral or topical
✓All 50 states
Cons
✗No ketoconazole shampoo
✗Generic experience
Side-by-side comparison
| Feature | Keeps | Hims |
|---|---|---|
| Monthly price | $25/mo | $20/mo |
| True annual cost | $300/yr | $240/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, topical | oral, topical |
| Editorial score | 8.3/10 | 7.8/10 |
| Trustpilot | 4.4★ | 4★ |
| State availability | All 50 states | All 50 states |
Our verdict
Keeps (8.3/10) is our pick over Hims (7.8/10) for most patients.
Hims may be a better fit if you prefer Hims's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
More comparisons
Keeps vs Strut Health
$25/mo vs $79/mo · 8.3 vs 8.6 score
Keeps vs Sesame Care
$25/mo vs $16/mo · 8.3 vs 8.3 score
Keeps vs Happy Head
$25/mo vs $79/mo · 8.3 vs 8.1 score
Keeps vs Strut Health
$25/mo vs $65/mo · 8.3 vs 8.1 score
Hims vs Strut Health
$20/mo vs $79/mo · 7.8 vs 8.6 score
Hims vs Sesame Care
$20/mo vs $16/mo · 7.8 vs 8.3 score