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Review

RxSpan MD hair loss review

RxSpan MD prices hair loss treatment by the month, with the consult, medication, supplies, shipping and support included: dutasteride capsules and spironolactone tablets at $59, minoxidil tablets at $69, a compounded topical with finasteride, minoxidil and tretinoin at $75 and a compounded capsule with biotin, finasteride and minoxidil at $85. Finasteride isn’t sold on its own.

  • Safety: Oral finasteride and minoxidil combination carries a boxed warning for fluid around the heart and worsening angina (minoxidil tablets). Read before you start

By the RxLineup editorial team · Fact-checked against provider sites and FDA labels · Updated

· How we rate

Advertiser disclosure

RxLineup earns a fee when you click a link to a provider and complete a qualifying step. Only providers that pay us appear in our rankings and reviews. Our guides also name providers that don’t pay us, so you can see the whole market.

We don’t cover every program on the market. Prices change often, so confirm the details with the provider before you enroll.

RxSpan MD logo

Rated 7.8 out of 10, Good

How we score

From $59/mo Dutasteride capsules or spironolactone tablets

Only providers that pay us appear in our rankings and reviews, and we’re paid when you sign up through our links. How we make money

Check eligibility with RxSpan MD (opens in a new tab)

on rxspanmd.com

Treatments
5, listed below
Membership
None

What we like and what to watch

Strengths

  • Consult, medication, supplies and shipping in one monthly price
  • Unlimited appointments and messaging, 24/7
  • Oral and topical options, including dutasteride
  • Displays LegitScript certification

Drawbacks

  • No finasteride on its own; it comes only in compounded blends
  • Doesn’t say whether its single-drug tablets and capsules are FDA-approved generics
  • No refund policy or state list published

Best for

Compounded oral or topical blends with round-the-clock messaging.

How RxSpan MD scores

Scored out of 10 on our five weighted criteria. The overall score, 7.8, is their weighted average. How we rate

  • Price & value 30%

  • Clinical care 25%

  • Medication options 20%

  • Transparency 15%

  • Experience 10%

What it costs

RxSpan MD pricing, checked Oct 26, 2026
Item Price
Starting price Dutasteride capsules or spironolactone tablets $59/mo
Oral finasteride Not offered
Topical finasteride and minoxidil Monthly plan with the consult, medication, supplies, shipping and support; strengths aren’t stated $75/mo
Oral finasteride and minoxidil Monthly plan with the consult, medication, supplies, shipping and support; strengths aren’t stated $85/mo
Low-dose oral minoxidil Monthly plan with the consult, medication, supplies, shipping and support; the strength isn’t stated $69/mo
Dutasteride for hair loss Monthly plan with the consult, medication, supplies, shipping and support; the strength isn’t stated $59/mo
Spironolactone for hair loss Monthly plan with the consult, medication, supplies, shipping and support; the strength isn’t stated $59/mo
Membership No separate membership. The monthly price includes the consult, medication, supplies, shipping and support None
Insurance No insurance billing listed –

– Not published by RxSpan MD.

How does that compare? See every provider’s price in our hair loss price index.

Treatments offered

Amber dropper bottle beside a pale wooden comb on warm limestone

Compounded products are prepared by licensed pharmacies and are not FDA-approved.

Safety

One of these treatments carries an FDA boxed warning, the strongest warning on a label: oral finasteride and minoxidil combination.

Oral finasteride and minoxidil combinationCompounded; not FDA-approved
Boxed warning: minoxidil tablets contain a powerful blood pressure medicine that can cause serious side effects, including fluid around the heart (pericardial effusion, sometimes progressing to tamponade) and worsening angina.
Low-dose oral minoxidilPrescribed off-label
Boxed warning: minoxidil tablets contain a powerful blood pressure medicine that can cause serious side effects, including fluid around the heart (pericardial effusion, sometimes progressing to tamponade) and worsening angina. FDA label
Topical finasteride and minoxidilCompounded; not FDA-approved
Covered by the FDA’s Apr 22, 2025 alert on compounded topical finasteride, alone or with minoxidil: 32 adverse event reports from 2019 to 2024, including erectile dysfunction, anxiety, suicidal ideation and depression, most continuing after stopping.
Dutasteride for hair lossPrescribed off-label
No boxed warning. Women who are or may be pregnant should not handle dutasteride capsules because of the risk to a male fetus. FDA label
Spironolactone for hair lossPrescribed off-label
The current Aldactone label has no boxed warning. FDA label

Not medical advice. A licensed clinician decides whether a treatment is right for you; read the full prescribing information before you start.

What’s included

  • A licensed physician reviews and approves every plan
  • Unlimited appointments and messaging with the care team, 24/7
  • Compounded topical finasteride, minoxidil and tretinoin, and an oral finasteride and minoxidil capsule
  • Minoxidil tablets, dutasteride capsules and spironolactone tablets
  • Free expedited shipping

How it works

Four steps, from the first questionnaire to refills.

Plain shipping box on a sunny front step
  1. Answer an online health questionnaire

    Your history, current medications and what you want to treat. It usually takes a few minutes.

  2. A licensed clinician reviews it

    If RxSpan MD needs more information, they’ll message you or book a visit.

  3. Treatment ships to your door

    If you are prescribed, a licensed pharmacy ships your treatment.

  4. Refills and check-ins

    Your clinician renews or adjusts the prescription over time and answers your questions.

Is RxSpan MD legit?

What RxSpan MD’s own pages show, checked on Oct 26, 2026. LegitScript and a named pharmacy are checks on who prescribes and who fills; neither rates the care.

Who prescribes
Online intake; a licensed physician reviews and approves every plan. Unlimited appointments and messaging with the care team, 24/7. Founded by Dr. John Diaz, a board-certified plastic surgeon.
LegitScript
Displays LegitScript certification, a third-party check against licensing and pharmacy rules. It isn’t a rating of the care.
Pharmacy
Doesn’t name its pharmacy on its pages.
Prices
Publishes 5 prices before you sign up.
Refunds and terms
No refund policy or state list published.
Last checked
October 26, 2026, against 5 of its own pages.

The fine print

Prices
As listed on rxspanmd.com when we checked on Oct 26, 2026. Prices change often and some are introductory, so confirm the total before you pay.
Refunds and guarantee
No refund policy or state list published
Availability
Not stated; check during intake.
LegitScript certified
Yes

Alternatives

Other highly rated hair loss providers, highest score first, and how they compare head to head.

  1. 01
    Happy Head

    Dermatologist-led care with the widest choice of pills and topicals

    Rated 8.9 out of 10, Excellent

  2. 02
    MyDrHank

    Finasteride or oral minoxidil with ongoing messaging

    Rated 8.1 out of 10, Good

  3. 03
    MangoRx

    One chewable instead of separate pills

    Rated 7.4 out of 10, Fair

  4. 04
    DudeMeds

    One daily tablet with finasteride or dutasteride and minoxidil

    Rated 6.7 out of 10, Fair

Guides to read before you choose

More on hair loss

Questions, answered

How much does RxSpan MD cost for hair loss?

On Oct 26, 2026, dutasteride and spironolactone were $59 a month, minoxidil tablets $69, the topical finasteride, minoxidil and tretinoin solution $75 and the biotin, finasteride and minoxidil capsule $85. Each price includes the consult, medication, supplies, shipping and support.

Is RxSpan MD legit?

RxSpan MD displays LegitScript certification. A licensed physician reviews and approves every plan, and the company was founded by Dr. John Diaz, a board-certified plastic surgeon. For hair loss, it prescribes topical finasteride and minoxidil, oral finasteride and minoxidil, low-dose oral minoxidil, dutasteride and spironolactone.

Does RxSpan MD take insurance?

No insurance billing listed. For hair loss, RxSpan MD’s published price is from $59/mo.

What does RxSpan MD prescribe for hair loss?

RxSpan MD offers topical finasteride and minoxidil, oral finasteride and minoxidil, low-dose oral minoxidil, dutasteride and spironolactone. A licensed clinician decides whether a treatment is right for you. Compounded products are not FDA-approved.

Can I cancel RxSpan MD?

No refund policy or state list published. We last checked RxSpan MD’s hair loss pages on October 26, 2026.

Sources (checked Oct 26, 2026)

  1. RxSpan MD: Hair loss page
  2. RxSpan MD: homepage
  3. RxSpan MD: About page
  4. RxSpan MD: Terms of service page
  5. LegitScript: certification check

RxSpan MD

7.8/10 ·  From $59/mo

Check eligibility with RxSpan MD (opens in a new tab)