Hims vs. Roman vs. Keeps: What These Men's Health Platforms Actually Offer

Hims, Roman, and Keeps are three of the most visible direct-to-consumer men’s health platforms in the United States. All three offer prescription medications for hair loss and erectile dysfunction through a telehealth model. Hims and Roman have expanded into weight management and mental health. Keeps remains focused on hair loss. Understanding the differences in their clinical models, pricing, and scope helps match the platform to your specific needs.

This article describes what each platform offers based on publicly available information and should be verified against current pricing, which changes frequently.

What They All Have in Common

All three platforms use an asynchronous telehealth model for their primary offerings: you complete an intake questionnaire, upload photos (for hair loss evaluation), and a provider reviews your intake and issues a prescription if appropriate. For hair loss specifically, where the diagnosis is largely clinical and visual, asynchronous review is clinically defensible.

All three offer finasteride, minoxidil, or both for male hair loss. All three offer generic sildenafil or tadalafil for ED. None requires a blood test for hair loss or ED prescriptions (which are not controlled substances and do not have the same requirement for lab confirmation that testosterone does).

All three use legitimate licensed prescribers and licensed US pharmacies. All three have been LegitScript-certified at various points, though certification status should be verified directly.

Keeps

Keeps is the most focused of the three, it primarily serves men with hair loss and is built around finasteride and minoxidil. This specialization means its educational content, provider expertise, and onboarding experience are more specifically tailored to hair loss than the general men’s health platforms.

Pricing structure: Keeps has offered both subscription and pay-per-shipment models. Finasteride 1 mg is available at pricing competitive with generic pharmacy prices, often $20-35 per month. Minoxidil is similarly priced to pharmacy retail. The platform frequently offers promotional first-month pricing.

Clinical model: Initial intake is asynchronous. Providers can be reached through the app for questions. No blood testing is included in the hair loss offering.

What it does not offer: Keeps does not offer ED medication, testosterone replacement, weight management, or mental health services as of its core model. It is explicitly a hair loss platform.

Hims

Hims started with ED and hair loss and has expanded substantially into mental health (anxiety, depression, sleep), weight management (GLP-1 medications), and primary care. It has the broadest scope of the three platforms.

Hair loss: Offers finasteride, minoxidil, topical finasteride+minoxidil combination, and branded formulations at premium pricing. Has a wide range of formulations including oral and topical options.

ED: Offers generic sildenafil and tadalafil, daily tadalafil, and branded formulations at higher prices.

Weight management: Hims added semaglutide and other GLP-1-adjacent offerings. The regulatory status of their compounded GLP-1 products has been subject to the same FDA shortage designation changes as other compounders.

Pricing: Hims pricing is on the higher end relative to pharmacy retail for generics, but the convenience and platform experience are what many users pay for. First-month promotions can be significantly below ongoing pricing.

Clinical model: Asynchronous for hair and ED. Synchronous consultations available at additional cost. Mental health services involve synchronous video consultations with therapists or psychiatric NPs.

Roman

Roman (by Ro) similarly started with ED and hair loss and expanded into weight management, fertility, and general primary care (through Ro’s Primary Care offering, which covers broader medical needs).

Hair loss: Finasteride, minoxidil, and combination products similar to Hims in scope.

ED: Generic and branded ED medications through the same asynchronous model.

Weight management: Ro added GLP-1-based weight management through their “Body” platform. Similar compounded semaglutide offerings and associated regulatory uncertainty.

Primary care: Ro’s Primary Care is a broader telehealth service aimed at replacing some traditional primary care functions, not just hair and ED, which includes lab ordering and more longitudinal clinical relationships.

Pricing: Comparable to Hims. Roman has periodically offered more aggressive promotional pricing.

Which to Choose

For hair loss only: Keeps is the most focused option and has competitive pricing. Its narrow scope means providers likely have more consistent hair loss expertise.

For ED only: All three offer equivalent medications at similar prices. Choosing based on first-month promotional pricing is reasonable if the platform meets basic legitimacy checks.

For both hair loss and ED: Hims and Roman offer combined access to both under one subscription, which may be more convenient.

For weight management: Neither Hims nor Roman is the most evidence-based choice for GLP-1 prescribing specifically. Dedicated weight management telehealth programs with stronger clinical oversight models may be more appropriate. See How to Get Weight Loss Medication Online for a more detailed evaluation framework.

None of these three platforms is the right choice for testosterone replacement therapy, all three lack the lab-ordering, synchronous consultation, and monitoring infrastructure that TRT requires. For TRT, use a platform specifically built for hormone management. See Online TRT: How to Get Testosterone Replacement Therapy Safely Through Telehealth.