Hair Loss Treatment Cost per Year: Finasteride, Minoxidil, Combos

Below are the same sums for every drug: finasteride, oral minoxidil, dutasteride, the over-the-counter foams and the compounded combos. Each row says whether the low price needs a prepaid plan.

How much does hair loss treatment cost per year?

The yearly cost depends most on the drug. Plain oral finasteride and oral minoxidil are cheap generic tablets. Compounded sprays, gels and combo capsules cost two to four times more. A compounded product is mixed by a pharmacy to order, and it is not FDA-approved.

Two more things matter. First, the plan length: many programs price a 6- or 12-month plan lower than a monthly one. Second, the extras: a few programs add a membership or a visit fee on top. The tables flag both.

Finasteride cost per year

Oral finasteride tablets are FDA-approved for male pattern hair loss. MedlinePlus says: "Finasteride treats male pattern hair loss by blocking the body's production of a male hormone in the scalp that stops hair growth" (MedlinePlus: finasteride, read 14 November 2026).

The per-year column is the monthly price times 12, our arithmetic, except where a row gives a stated total. Lemonaid's first year counts its lower first 3-month price. Lemonaid's hair loss visit fee is not stated, so its true total may be higher.

Happy Head's page now also lists a 12-month supply below its 6-month price. Its page shows a "12-Month Supply" choice next to "Billed Every 6 Months" for the 6-month plan (Happy Head finasteride page, read 14 November 2026). Our table will add that plan at the next price read.

For the full finasteride picture, see finasteride cost.

Oral minoxidil cost per year

Oral minoxidil is an FDA-approved blood pressure tablet. Doctors prescribe it for hair loss as an off-label use, which means a use the FDA has not approved it for. Strut's page says it "may be prescribed off-label at lower doses for hair loss" (Strut oral minoxidil page, read 14 November 2026).

Dutasteride cost per year

Dutasteride is FDA-approved for an enlarged prostate, not for hair loss. Prescribing it for hair is off-label. Few programs sell the plain capsule. Our dutasteride guide covers the evidence.

Compounded combos and sprays per year

These mix two or more drugs, such as finasteride and minoxidil, in one spray, gel or capsule. The FDA says: "Currently, there is no FDA-approved topical formulation of finasteride." (FDA alert on compounded topical finasteride, read 14 November 2026).

Over-the-counter minoxidil per year

Topical minoxidil foam and solution need no prescription. Some programs sell them next to their prescription plans.

Store-brand foams can cost less. Our topical minoxidil cost guide compares them.

Hims hair cost per year

Hims sells oral finasteride from $22 a month, read 7 November 2026. Over 12 months that is the per-year figure in the finasteride table above. Its compounded spray starts at $35 a month. Hims does not state the billing terms on its hair loss page, so we could not check for a prepay discount. Our Hims hair loss cost page lists every product.

How to keep the yearly cost down

• Start with the plain generics. Finasteride tablets are the cheapest prescription option in every table.
• Prepay only for a plan you will finish. A 6- or 12-month plan cuts the monthly price, but some terms give no partial refund.
• Watch for a higher price after a first order or a first 3 months, as at Keeps and Happy Head.
• Ask if the program will send the prescription to a pharmacy you choose. Our Cost Plus Drugs guide shows that route.

Results take months. MedlinePlus says finasteride is used to treat "male pattern hair loss", and most programs plan for a full year of use. See our finasteride timeline.