[ Product photo: Tretinoin cream, clinical skincare, warm clean background ]
Prescription
Medical Skin Care
Tretinoin · Azelaic Acid · Physician-prescribed
Medical Skin Care

Prescription skincare.
Clinical results.

Physician-prescribed tretinoin and compounded skincare protocols. Formulated to your skin type and concerns. Shipped monthly.

from $40
/mo
Price depends on formula selected · Tretinoin from $40 · Advanced protocols available
Start Your Assessment See formulas
Physician-prescribed
Compounded to your skin
Ships monthly
Cancel anytime
What's Included

Clinical skincare
made simple.

One monthly fee covers your physician, prescription formulas, and ongoing protocol adjustments. No spa markups, no guesswork.

Rx
Physician Consultation
A licensed clinician reviews your skin concerns, history, and goals. Selects your prescription formula via telehealth — no dermatologist referral required.
Comp
Compounded Prescription Formula
Tretinoin, copper peptide, azelaic acid, and niacinamide compounded at licensed 503A pharmacies in concentrations and combinations not available OTC. Your exact formula, not a generic.
Prot
Protocol Guidance
Detailed application instructions, purging period expectations, and a timeline for results. Your provider adjusts your protocol as your skin responds over time.
AI
AI Skin Coach
Track your skin progress with photo logging. Get answers about purging, redness, and routine layering. Keeps you consistent during the early adaptation phase.
Msg
Ongoing Provider Access
Secure messaging with your care team. Questions answered within 24 hours. Concentration or formula adjustments made as your skin adapts and your goals evolve.
Ship
Monthly Shipping
Formula ships automatically each month. Discreet packaging. Skincare results require consistency — auto-ship removes the friction from the most important step.
DemaFora Health

Full medication lineup

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Tretinoin 0.02%
0/mo
Retin-A equivalent
Tretinoin Gel 0.01%
0/mo
Retin-A Micro equiv.
Tretinoin + Niacinamide
5-61/mo
Anti-aging + brightening
Star
Pick
Cashmere Cream
00/mo
copper peptide + Tretinoin combo
copper peptide Peptide 1%
7/mo
Collagen stimulation
New
Azelaic + Niacinamide
1/mo
Rosacea + pigmentation
Prescription formulas compounded to your skin type. Provider review required.
Formulas

Prescription formulas
for clinical results.

Your provider selects the right product or combination based on your skin concerns and tolerance. All compounded at licensed 503A pharmacies.

Tret Cream
Gold Standard
Tretinoin Cream
Prescription tretinoin — a topical retinoid with decades of clinical evidence for anti-aging, acne, and skin texture. Stimulates collagen, increases cell turnover, and fades hyperpigmentation. The foundation of every evidence-based skincare protocol.
$40–$62/mo your cost
Concentration matched to your skin tolerance
copper peptide
copper peptide Peptide Cream
Copper tripeptide-1 (copper peptide) stimulates collagen and elastin synthesis, promotes wound healing, and supports skin barrier repair. Used alongside tretinoin for additive anti-aging benefit or as a standalone for sensitive skin that cannot tolerate retinoids.
$60–$97/mo your cost
Standalone or combination protocol
Cashmere
Cashmere Cream Combo
Comprehensive anti-aging compound combining tretinoin, copper peptide, and barrier-supporting ingredients in a single nightly application. Designed for patients who want maximum efficacy with minimal complexity in their routine.
$100/mo your cost
All-in-one nightly treatment
Az + Nia
Azelaic Acid + Niacinamide
Compounded combination for rosacea, post-inflammatory hyperpigmentation, and sensitive skin. Azelaic acid reduces redness and acne-causing bacteria; niacinamide strengthens the barrier and evens skin tone. Prescription-strength formulation not available OTC.
$61/mo your cost
Rosacea and sensitive skin formula
The Science

Why prescription skincare
outperforms OTC.

1
Complete Your Skin Assessment
A short online questionnaire covering your skin concerns, history, current routine, and sensitivities. Takes 5 minutes. Your provider uses this to select your starting formula and concentration.
2
Physician Selects Your Formula
A licensed clinician chooses your prescription product and concentration. Tretinoin strength, copper peptide inclusion, and combination decisions are all made based on your specific skin profile.
3
Compounded Formula Ships
Your prescription ships from a licensed 503A pharmacy within 3–5 business days with application instructions. Includes guidance for the purging period so you know exactly what to expect in the first 4–8 weeks.
4
Protocol Adjusts as Your Skin Changes
Your provider adjusts concentration and formula as your skin builds tolerance and your goals evolve. Tretinoin concentration is typically increased every 3–6 months as your skin adapts.
Clinical Evidence
30+ yrs
Tretinoin is the only topical skincare ingredient with over 30 years of peer-reviewed clinical evidence for anti-aging and skin renewal
copper peptide
Stimulates collagen and elastin synthesis, reduces fine lines, and improves skin density — backed by decades of peptide research
Rx vs OTC
Prescription tretinoin contains the active retinoid molecule. OTC retinols must be converted in skin — a slow, incomplete process that reduces efficacy significantly
Skin results require consistent use over 3–6 months. A purging phase is expected in the first 4–8 weeks as cell turnover increases. Individual results vary by skin type and baseline condition.
Member Results

Real results.
Prescription-grade.

★★★★★
"I spent years on serums that did nothing. Three months of tretinoin and my skin texture is completely different. The purging phase was real but my provider told me exactly what to expect — that made all the difference."
Mia T. · Texture transformed · Tretinoin 0.05% · 3 months
★★★★★
"The Cashmere Cream is everything in one product. I'm 44 and people are asking if I've had work done. I haven't. It's just what consistent prescription tretinoin does over time."
Rachel K. · Fine lines reduced · Cashmere Cream · 6 months
★★★★★
"Rosacea made me avoid everything with active ingredients. The azelaic + niacinamide formula calmed the redness in 6 weeks. My provider gradually added low-dose tretinoin after that."
Dana W. · Rosacea calmed · Azelaic + Nia · 4 months
FAQ

Questions about
prescription skincare.

01What is the difference between tretinoin and retinol?
Tretinoin is prescription retinoic acid — the active form that works directly on skin receptors. OTC retinol must be converted by your skin into retinoic acid, a slow and incomplete process that delivers a fraction of the potency. Tretinoin is backed by 30+ years of clinical evidence. Retinol is its much weaker OTC approximation.
02Is purging normal when starting tretinoin?
Yes. A purging phase in weeks 2–8 is expected and is a sign the product is working. Accelerated cell turnover brings underlying congestion to the surface faster than normal. Your provider will prepare you for this and differentiate purging (expected, temporary) from a true reaction (rare, different pattern). Most patients clear significantly after week 8.
03How should I start tretinoin?
Your provider will recommend a starting concentration (typically 0.025% or 0.05%) and a frequency — often 2–3 nights per week to start. You apply a pea-sized amount to dry skin after cleansing. Moisturizer is applied on top. Frequency is increased as tolerance builds. Sunscreen every morning is non-negotiable while using tretinoin.
04Can I use tretinoin and copper peptide together?
Yes, and they work synergistically. copper peptide helps repair and strengthen the skin barrier — which can offset some of the irritation from tretinoin, particularly in the early weeks. The Cashmere Cream combines both in a single formulation. Your provider will guide the sequencing and layering based on your skin tolerance.

Ready for prescription
skincare that works?

Complete a short skin assessment. Your physician selects your formula and it ships within a week. No dermatologist required.

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