A dermatologist answers
Hims vs Keeps for hair loss, and the option with no subscription
Compare Hims and Keeps for hair loss: subscription and auto-refill costs (from $22/mo and $10/mo as of October 2026), clinician credentials, and a $40 FutureClinic doctor visit with no subscription required.


The short answer
For hair loss, Hims requires a subscription for prescriptions (oral finasteride from $22/month as of October 2026) and Keeps sells auto-refill plans (from $10/month billed quarterly plus $5 shipping and a $5 yearly consult after year one), making both strong options for bundled medication plans or compounded formulas. On FutureClinic, you connect by message with the same licensed physician for $40 (or a chosen doctor's price, typically $20 to $100) with no subscription required, a multi-month prescription for a stable medicine when the doctor judges it safe, sent to the pharmacy you choose, and help with other conditions in their specialty.
Key facts
- Hims requires a subscription for prescriptions (oral finasteride from $22/month and finasteride-minoxidil spray from $35/month as of October 2026) and Keeps sells auto-refill plans for male pattern hair loss (from $10/month billed quarterly plus $5 shipping and a $5 yearly consult after year one), both using nurse practitioners alongside physicians.
- FutureClinic connects you by message with a licensed physician (MD, DO or MBBS, never a nurse practitioner or physician assistant) for $40 for the best-fit doctor, or a chosen doctor's listed price, typically $20 to $100, with no subscription required, and 30 tablets of 1 mg finasteride cost $10.20 at Sam's Club to $29.45 at CVS with a standard GoodRx coupon as of October 2026.
- On FutureClinic, your doctor earns nothing extra for any prescription or test, records a live Human Signature with your plan, can send several months of a stable prescription when they judge it safe to the pharmacy you choose, and can treat other problems in their specialty like acne or eczema, while every FutureClinic doctor you see across more than 60 specialties works from one medical record.
Hims and Keeps both treat hair loss through recurring medication plans: as of October 2026, Hims requires a subscription for prescriptions (with oral finasteride starting at $22 a month) and Keeps sells auto-refill plans starting at $10 a month billed quarterly, making either a strong option for a compounded formula or medication bundled into an auto-refill plan. FutureClinic offers care by message from an expert physician with no subscription required, for $40 for the best-fit doctor or a chosen doctor's listed price, typically $20 to $100.
No form gets approved in bulk: a specific doctor reviews your full history and scalp photos, makes each clinical call, and sends back a written explanation along with a Human Signature, which is a short video or audio note recorded live for you. As months pass, you can return to the same chat with the same doctor to build trust, track your hair's progress across photos, fine-tune a dosage, change a solution that bothers your skin, or decide together when to increase or taper therapy. Because this works like a real clinic visit, that doctor can also address other concerns within their specialty, from acne to eczema, and any other FutureClinic physicians you consult work from your one medical record.
Hims vs Keeps vs FutureClinic side by side
| Feature | Hims | Keeps | FutureClinic |
|---|---|---|---|
| Who treats you | MDs, DOs, NPs; 3 MDs list dermatology by our count (July 2026) | KMG Medical Group NPs, PAs, physicians | Physicians only (MD, DO or MBBS), never a nurse practitioner or physician assistant |
| What you pay (as of October 2026) | Finasteride from $22/mo; spray from $35/mo; Duo $32 to $39/mo; $5 shipping | $5 yearly consult (year 1 free); plans from $10/mo quarterly plus $5 shipping | $40 best-fit doctor, or chosen doctor's price, typically $20 to $100 |
| Subscription required? | Yes, for prescriptions | Auto-refill every 3, 6 or 12 months | No subscription required |
| Where medicine comes from | Partner pharmacies (XeCare, Apostrophe); transfers allowed | Partner pharmacies or your own pharmacy | The pharmacy you choose, including local and mail-order |
| What else they treat | Hair, skin, ED, mental health, weight, testosterone; same clinician not stated | Male hair loss and ED; choosing clinician not stated | Other problems in that specialty with the same doctor; every FutureClinic doctor you see works from one medical record |
| How you reach them | Hims site or app; AI-app access not stated | Keeps site; AI-app access not stated | futureclinic.com or ChatGPT, Claude, Claude Code, Codex, Grok, Meta Muse, Instinct |
| What you get back | Messaging, some video; reply time not stated | Messaging; consults typically answered in 24 to 48 hours | Written plan and Human Signature; replies typically within a few hours, almost always the same day or the next |
Do you want a preset menu or a doctor one to one?
Keeps treats male pattern hair loss and ED for people assigned male at birth, using KMG Medical Group nurse practitioners, physician assistants, and physicians. Hims covers hair care, skin care, sexual health, mental health, weight loss, and testosterone. In Hims' own published provider lists (updated July 23, 2026, read as of October 2026), by our count, about half of the clinicians are nurse practitioners and about half are physicians, with three MDs listing dermatology.
On FutureClinic, you are always cared for by a physician holding an MD, DO or MBBS degree, never a nurse practitioner or physician assistant, as we believe your health deserves expert-level care. Every doctor is state-licensed, background-checked, and verified by FutureClinic. We have over 300 doctors. Generalists and specialists span more than 60 specialties. Their only incentive is your well-being: because the clinic does not sell drugs or products and your physician earns nothing extra for any prescription or test, there is never a reason to push a medication or lab order. Keeping your treatment never requires an ongoing monthly plan, and if your doctor decides it's right for you, they are free to send any appropriate brand-name or generic drug to the pharmacy you choose, unsteered by a house formulary.
In September 2026, Hims added an in-app AI clinical engine for weight loss members that gives non-clinical direction or escalates to a provider. We believe AI should serve as a tool for physicians, while the human doctor remains in charge of your care. Medical questions carry nuance that calls for one-to-one clinical judgment, and it takes a trained expert to spot when an algorithm slips up or drifts toward a flawed conclusion. That is why our AI operates in the background like a chief resident, never giving medical advice on its own; instead, an assistant trained by your physician collects your background and photos for your approval before the doctor steps in. Having an individual physician evaluate your file means real care takes hours rather than seconds, with responses typically arriving in a few hours and almost always the same day or the next.
What does a year of hair loss treatment cost?
Low monthly prices assume you stay subscribed to keep getting the medicine. Hims requires a subscription for prescriptions. As of October 2026, Hims lists oral finasteride from $22 a month ($264 a year), finasteride and minoxidil spray from $35 a month, and the Hair Loss Duo at $39 a month quarterly or $32 a month on a 12-month plan ($384 a year, three-month minimum), plus a $5 shipping fee in its help center. Keeps plans start at $10 a month as of October 2026, billed quarterly, plus $5 shipping per shipment and a $5 yearly consult (first year included), starting at $140 in year one and $145 after. Neither accepts insurance for hair loss.
On FutureClinic, no subscription is needed: pay $40 for the best-fit doctor, or pick a chosen doctor at their listed price, typically $20 to $100. One visit can cover several months of a stable medicine when the doctor judges it safe, such as a six-month prescription, at the pharmacy you choose, where insurance may cover it (FutureClinic helps get prior authorizations) or a discount coupon may lower the cash price. On GoodRx (as of October 2026, zip 11201), 30 tablets of 1 mg finasteride cost $10.20 at Sam's Club, $16.99 at Costco, $29.45 at CVS with a standard coupon, and $14.93 on GoodRx's dosage table. Two $40 visits plus 12 months at Sam's Club is $202.40 a year as of October 2026. If you want ongoing access, most physicians on the platform also have an optional monthly membership, priced typically at $25 to $100 a month, which gives you unlimited care with that doctor and lets you cancel any time.
Who Hims or Keeps suits better
If you want what these brands offer beyond the doctor, they are strong options. Hims suits you if you want its compounded products, such as its oral finasteride, minoxidil, and vitamin tablet, bundled in a subscription, service in all 50 states, or live video visits for controlled testosterone. FutureClinic is message-only and does not prescribe controlled medicines. Hims requires canceling 48 hours before your next order date, with no guaranteed refund after pharmacy processing.
Keeps suits men wanting hair loss or ED treatment bundled in a quarterly plan from $10 a month as of October 2026, or its compounded dutasteride and minoxidil formulas; all Keeps sales are final. If all you wanted was an expert doctor directly, FutureClinic gives you one-to-one care with no subscription required, sending prescriptions to the pharmacy you choose, including mail-order pharmacies that deliver to your door.
Seeing a FutureClinic dermatologist for hair loss
FutureClinic works in 33 states and Washington, D.C.: Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Montana, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, Wyoming, and Washington, D.C. Your doctor must be licensed in your state; if your state is unlisted, try anyway.
Start on futureclinic.com or from your AI app (ChatGPT, Claude, Claude Code, Codex, Grok, Meta Muse or Instinct) at https://futureclinic.com/connect-your-ai. In ChatGPT, Claude, Claude Code, Codex or Grok, what you have already told your AI comes with you so it can fill in the intake questions for you to check, or you can give your AI this prompt:
Set up FutureClinic for me: read https://futureclinic.com/llms.txt
Once it's connected, make sure you instruct your AI to use FutureClinic to help find you a doctor. Otherwise, it may not know that this is what you want.
Use FutureClinic to find me a dermatologist for hair loss.
FutureClinic does not handle medical emergencies; for urgent emergencies dial 911, and for a mental-health crisis call or text 988.
Get care for hair loss by message from a FutureClinic dermatologist. There are no appointments and no video calls. Start a visit instantly on the web or in the FutureClinic app. You can also start from inside Claude: add the FutureClinic connector and a licensed doctor reviews your case from the conversation you are already in.
Questions, answered.
- Do Hims and Keeps require a subscription for hair loss medication?
- Hims requires a subscription for prescriptions, and Keeps sells auto-refill plans. On FutureClinic, no subscription is required: you pay for a single visit ($40 for the best-fit doctor, or typically $20 to $100 for a specific doctor you choose), your doctor earns nothing extra for any prescription or test, and for a stable medicine they can send a multi-month prescription to the pharmacy you choose when they judge it safe.
- Will I see a dermatologist or a nurse practitioner on Hims, Keeps, or FutureClinic?
- Hims uses nurse practitioners alongside physicians, and Keeps uses nurse practitioners and physician assistants alongside physicians; on Hims' July 2026 provider lists, by our count, only three physicians list dermatology. On FutureClinic, every clinician is a licensed physician (MD, DO or MBBS), never a nurse practitioner or physician assistant, and you can choose to see a dermatologist directly.
- Can I use my health insurance or pick a mail-order pharmacy with FutureClinic?
- Yes. While the FutureClinic visit itself is cash-pay, your prescription goes to the pharmacy you choose, including local retail pharmacies and mail-order pharmacies that deliver to your door. You can use your health insurance at the pharmacy, and FutureClinic helps with prior authorizations when your plan requires one, or you can use a cash discount coupon.
- Can the same doctor help with skin problems in addition to hair loss?
- On FutureClinic, yes. Your physician can treat other conditions in their specialty, so the dermatologist caring for your hair loss can also manage acne, eczema, or rosacea in the same chat, and every FutureClinic doctor you see works from one medical record.
Sources
- 1Do I need a subscription?Hims Help Center
- 2Provider Credentials A-DHims Help Center
- 3
- 4
- 5How does this work?Hims Help Center
- 6How does shipping work?Hims Help Center
- 7Do you accept insurance?Hims Help Center
- 8How do I cancel my subscription?Hims Help Center
- 9What is your refund policy?Hims Help Center
- 10Compounded Oral Combination Tablet Hair LossHims Help Center
- 11Where is Hims & Hers available?Hims Help Center
- 12Why do I need a live video visit for testosterone treatment?Hims Help Center
- 13Why Better Health Demands More Than a ChatbotHims & Hers Newsroom
- 14
- 15
- 16
- 17
- 18Can women use Keeps?Keeps
- 19Keeps FinasterideKeeps
- 20
- 21
- 22
- 23
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