Finasteride / Minoxidil / Tretinoin Foam, 30 mL
RxFinasteride, minoxidil and tretinoin in one topical foam: tretinoin helps the scalp absorb and activate minoxidil, so the other two work harder.
- Tretinoin boosts the enzyme that activates minoxidil in the scalp
- Finasteride blocks DHT at the follicle with low systemic exposure
- One foam, one application a day; 30 mL monthly supply
- Monthly and 3-month plans
- Starting price applies to the 3-month plan
- US-licensed pharmacies
- Pause or cancel anytime
Starting at
$189 / mo
- Physician-guided care
- Ongoing, expert support
- 100% online
- Free, discreet shipping
Disclaimer
Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
What is the finasteride / minoxidil / tretinoin foam?
(the three-ingredient foam)
Minoxidil only works once the scalp converts it to minoxidil sulfate, and some people have low levels of the enzyme that does that. Tretinoin, a vitamin A derivative, raises that enzyme's activity and improves penetration through the skin, which is why it is added to minoxidil for people who respond weakly. Finasteride completes the foam by blocking DHT, the hormone behind pattern hair loss. This 30 mL bottle is a one-month supply on the monthly plan.
Get StartedDHT blockade, growth-phase extension and an absorption booster in one foam
3-in-1
Tretinoin plus minoxidil has been reviewed as co-therapy for pattern hair loss; the triple compounded foam is prescribed off-label at your physician's discretion.
How the hair-loss foams work
Day 1
A US-licensed physician reviews your pattern of loss, history and photos and chooses the foam and strength. It ships discreetly to your door.
Weeks 1–4
Apply the foam to a dry scalp once a day, on the areas that are thinning. It takes a minute and dries quickly. Some early shedding is normal: old hairs are being replaced.
Months 2–3
Shedding slows and the scalp settles. New hairs start as fine, short growth that is easy to miss without photos, which is why we ask for them.
Months 4–6
Visible change for most responders: thicker coverage at the crown and hairline. Your physician reviews photos and decides whether to adjust the strength.
Beyond
Hair-loss treatment is maintenance: results last as long as you keep applying it. Stop, and the gains reverse over months.
Results you can see
Less sheddingThicker coverageLess shedding
usually the first change, after the initial shed
Thicker coverage
crown and hairline density over months
Loss slowed
finasteride's main job: protecting the hair you have
Confidence
the reason most members start
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
Tested for quality, backed by science
We only work with US-licensed pharmacies that prioritize strict quality control standards, so you can count on purity, potency, and safety.
- Pure: compounded to order with pharmaceutical-grade ingredients
- Potent: lab-tested to match the labeled dose
- Sterile: prepared to USP standards by LegitScript-certified pharmacies
Your plan, reviewed
Physician-reviewedDose set by a physician, adjusted at every check-in
Your reviewing physician
Scott Nass, MD
Board-certified family physician. Every hair-loss plan at Zepym Health is reviewed by a licensed physician before anything is prescribed, and adjusted with you as you go.
Meet the teamWhat the research says
The science of finasteride, minoxidil and tretinoin
A 2026 review of tretinoin and minoxidil co-therapy in androgenetic alopecia found tretinoin enhances minoxidil's absorption and activation, improving response in some people who respond poorly to minoxidil alone.
Topical finasteride and minoxidil together outperformed either alone in a 2024 study. Tretinoin raises the chance of scalp irritation and sun sensitivity, so your physician weighs that before prescribing.
Learn moreSubscribe & save
Hair care that starts with you
Our in-house physicians meet you where you are, and get you to where you want to be.
$189/ mo
Applies to the 3-month plan billed in full ($189/mo on the monthly plan)
What's included
- Personalized, physician-guided plan
- Monthly and 3-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
Personalized for you
Made for your biology
No two people age the same way, so no two treatments are exactly the same. Your plan is guided by your symptoms, your biology, and your priorities. It's a whole “you” approach to living a better, longer life.
Get StartedHow it works
Choosing how you age starts here
- 1
Physician-led
Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
2Fast, discreet shipping
Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
3100% online
Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
Disclaimer
The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Finasteride / minoxidil / tretinoin foam educational content reviewed by our physician
Scott Nass, MD
Doctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Frequently asked questions
May the source be with you.
We read the research so you don't have to. Here's what the science says.
- 1
Topical finasteride for male and female pattern hair loss: is it a safe and effective alternative?
J Cosmet Dermatol, 2022 - 2
Randomized trial of 5% versus 2% topical minoxidil and placebo in men with androgenetic alopecia.
J Am Acad Dermatol, 2002 - 3
Long-term (5-year) multinational experience with finasteride 1 mg in men with androgenetic alopecia.
Eur J Dermatol, 2002 - 4
Efficacy of combined topical minoxidil and topical finasteride compared with either alone in androgenetic alopecia.
J Cosmet Dermatol, 2024 - 5
Efficacy of topical tretinoin and topical minoxidil co-therapy in androgenetic alopecia: a review.
Skin Appendage Disord, 2026
Starting at $189 / mo
Get Started