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
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Price & value 30%
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Clinical care 25%
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Medication options 20%
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Transparency 15%
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Experience 10%
What it costs
| 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
- Topical finasteride and minoxidil Compounded
- Oral finasteride and minoxidil Compounded
- Low-dose oral minoxidil Compounding not stated
- Dutasteride for hair loss Compounding not stated
- Spironolactone for hair loss Compounding not stated
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.
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Answer an online health questionnaire
Your history, current medications and what you want to treat. It usually takes a few minutes.
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A licensed clinician reviews it
If RxSpan MD needs more information, they’ll message you or book a visit.
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Treatment ships to your door
If you are prescribed, a licensed pharmacy ships your treatment.
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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.
- 01Happy Head
Dermatologist-led care with the widest choice of pills and topicals
Rated 8.9 out of 10, Excellent
From $20/mo
Visit site for Happy Head (opens in a new tab) - 02MyDrHank
Finasteride or oral minoxidil with ongoing messaging
Rated 8.1 out of 10, Good
From $30/mo
Visit site for MyDrHank (opens in a new tab) - 03MangoRx
One chewable instead of separate pills
Rated 7.4 out of 10, Fair
From $90/mo
Visit site for MangoRx (opens in a new tab) - 04DudeMeds
One daily tablet with finasteride or dutasteride and minoxidil
Rated 6.7 out of 10, Fair
Price – Price not published
Visit site for DudeMeds (opens in a new tab)
Guides to read before you choose
- How much does minoxidil cost at costco and online?
- How to get a finasteride prescription online
- Finasteride 1 mg vs 5 mg: Propecia, proscar and hair loss
- Finasteride and minoxidil: together or alone?