Keeps vs Rex MD
Keeps is cheaper to start ($14 vs $18 per month, lowest published plans). Rex MD scores higher overall (9.1 vs 7.7).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Rex MD
Rex MD scores 9.1/10 against 7.7 for Keeps, ahead on price transparency, access and reputation. Keeps can still be the better fit: it is best for men who want plain finasteride at a low monthly price and will prepay several months.
Side by side
| Keeps | Rex MD | |
|---|---|---|
| Lowest price | $14/mo (billed every 3, 6 or 12 months) | $18/mo (reduced price with a 6-month order) |
| Our score | 7.7/10 | 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 | No | No (Rex MD does not accept insurance) |
| States | Most of the United States (no list published) | All 50 states, per its own site (2026-10-31) |
| Cancellation | Cancel in your account or by phone; shipping and consultation fees are non-refundable | Pause or cancel any time; refunds case by case |
| FDA warning letters | None found (October 31, 2026) | None found (October 31, 2026) |
| Trustpilot | 3.3/5 (287 reviews) | 4.7/5 (5,265 reviews) |
| Best for | Men who want plain finasteride at a low monthly price and will prepay several months. | 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 | Keeps | Rex MD |
|---|---|---|
| Hair loss | $14/mo (billed every 3, 6 or 12 months) source, 2026-10-31 | $18/mo (reduced price with a 6-month order) source, 2026-10-31 |
Keeps: a closer look
Hair loss only: finasteride shown at $14 a month on 3- to 12-month billing, first visit free. We searched the FDA warning-letter database on October 31, 2026 and found no letter naming Keeps.
In its favour
- Lowest finasteride price shown on a program page
- FDA-approved finasteride and OTC minoxidil
- Free shipping
To weigh
- Prices conflict between pages ($14 vs $25 for finasteride)
- No LegitScript seal found on its site
- $5 annual consult after the first year
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 Keeps
Best for men who want plain finasteride at a low monthly price and will prepay several months. Its lowest all-in plan is $14/mo (billed every 3, 6 or 12 months).
Check Keeps'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 priceKeeps vs Rex MD: questions people ask
Is Keeps or Rex MD cheaper?
Keeps starts lower at $14 per month versus $18 at Rex MD, comparing each program's lowest all-in plan.
Which is better, Keeps or Rex MD?
On our published score Keeps rates 7.7 and Rex MD rates 9.1. Keeps is best for men who want plain finasteride at a low monthly price and will prepay several months; Rex MD is best for men who want FDA-approved generics at a low per-dose price with the consult included.
Do Keeps and Rex MD offer the same treatments?
Keeps: 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?
Keeps: 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.