Happy Head vs Rex MD
Rex MD scores higher overall (9.1 vs 8.8).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Rex MD
Rex MD scores 9.1/10 against 8.8 for Happy Head, ahead on access and reputation. Happy Head can still be the better fit: it is best for men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price.
Side by side
| Happy Head | Rex MD | |
|---|---|---|
| Lowest price | $18/mo ($108 every 6 months) | $18/mo (reduced price with a 6-month order) |
| Our score | 8.8/10 | 9.1/10 |
| Treatments | Hair loss | Erectile dysfunction (ED), Hair loss, Premature ejaculation (PE), Low testosterone (TRT and enclomiphene) |
| Medication in price | Included | Included |
| Drugs dispensed | FDA-approved + compounded | FDA-approved |
| Labs | Not stated | Not stated |
| Membership | None found | None found |
| Insurance | Not stated | No (Rex MD does not accept insurance) |
| States | Not published | All 50 states, per its own site (2026-10-31) |
| Cancellation | Pause, skip or cancel any time; standard (higher) pricing applies if a subscription is cancelled, paused or interrupted | Pause or cancel any time; refunds case by case |
| FDA warning letters | None found (October 31, 2026) | None found (October 31, 2026) |
| Trustpilot | 4.4/5 (1,885 reviews) | 4.7/5 (5,265 reviews) |
| Best for | Men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price. | Men who want FDA-approved generics at a low per-dose price with the consult included. |
| Prices checked | 2026-10-31 | 2026-10-31 |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Happy Head | Rex MD |
|---|---|---|
| Hair loss | $18/mo ($108 every 6 months) source, 2026-10-31 | $18/mo (reduced price with a 6-month order) source, 2026-10-31 |
Happy Head: a closer look
Dermatologist-led hair loss care: oral finasteride from $18 a month on a 6-month supply. We searched the FDA warning-letter database on October 31, 2026 and found no letter naming Happy Head.
In its favour
- Oral finasteride from $18 a month with a dermatologist consult
- Supply length and total shown with every price
- FDA-approved finasteride and dutasteride tablets
To weigh
- Best prices need a 6-month prepayment
- Compounded topicals are the headline products
- No state list published
Rex MD: a closer look
LifeMD's men's brand: generic sildenafil from $1.80 a dose and finasteride from $18 a month, consult included. We searched the FDA warning-letter database on October 31, 2026 and found no letter naming Rex MD.
In its favour
- Generic sildenafil from $1.80 a dose with the consult included
- FDA-approved generics and brands only
- Free consult and two-day shipping
To weigh
- Pages give conflicting per-dose and finasteride prices
- No monthly total published for ED packs
- A privacy class action over tracking pixels was settled in 2025
Which should you choose?
Choose Happy Head
Best for men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price. Its lowest all-in plan is $18/mo ($108 every 6 months).
Check Happy Head's priceChoose Rex MD
Best for men who want FDA-approved generics at a low per-dose price with the consult included. Its lowest all-in plan is $18/mo (reduced price with a 6-month order).
Check Rex MD's priceHappy Head vs Rex MD: questions people ask
Is Happy Head or Rex MD cheaper?
Happy Head starts lower at $18 per month versus $18 at Rex MD, comparing each program's lowest all-in plan.
Which is better, Happy Head or Rex MD?
On our published score Happy Head rates 8.8 and Rex MD rates 9.1. Happy Head is best for men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price; Rex MD is best for men who want FDA-approved generics at a low per-dose price with the consult included.
Do Happy Head and Rex MD offer the same treatments?
Happy Head: Hair loss. Rex MD: Erectile dysfunction (ED), Hair loss, Premature ejaculation (PE), Low testosterone (TRT and enclomiphene).
Does either include the medication in the price?
Happy Head: included. Rex MD: included.
Men's Health Watchdog is for information only and is not medical advice. Sildenafil, tadalafil, finasteride, oral minoxidil and testosterone are prescription drugs (testosterone is a federally controlled substance); talk to a licensed clinician about whether one is right for you and at what dose. Partner links may earn us a commission; our score never depends on it. Compare other programs.