Acne management made easy.

Microdose Accutane Program

  • Powerful medicine at a safer dose

    Isotretinoin, aka Accutane, has long been used for more severe or stubborn acne. This medication when used orally commonly causes side effects or harm at standard dosing, requiring frequent doctor visits and labs.

    With lower (micro) dosing protocols, Accutane remains very effective while less likely to cause harm and side effects.

  • Simple, affordable monitoring & meds

    Traditional Accutane management can be a real hassle and expensive with frequent trips to the doctor, lab, and pharmacy with expensive bills from each of them!

    Our program provides everything for $50-100 per month*, including the medication directly from our clinic at a discounted wholesale prices!

  • An option even for mild acne

    Generally, doctors (and insurance companies!) reserve Accutane for more severe cases of acne. Given the complexity and risks of high-dose regimens, trying the alternatives (topicals, antibiotics, etc.) makes sense.

    With micro-dosing, we can treat mild or moderate acne without the need to mess around with less effective treatments.

  • Longer term use to stay clear

    Generally, a high-dose regimen of Accutane is stopped after 4-6 months. While off, fingers are crossed that your acne doesn't flare up; if it does, you start the high dose cycle again.

    Our microdose protocol allows the medication to be continued much longer periods to ensure clear skin.

Get Started

90 Days to Better Skin

  • Our 90-day introduction program is $159 + the cost of medication (paid monthly). The intro includes an evaluation (online + in-person visit), lab work (2 panels), pregnancy tests (females), and remote support for 3 months.

  • First, you'll complete our online intake to determine whether a microdose of Accutane is right and safe for you.

    We also ask you to enroll in the iPledge program.

  • We will arrange for you to have bloodwork drawn at Quest Labs. We will review that lab work, including liver enzymes and cholesterol, to ensure Accutane is safe to take.

    After 60 days, we will arrange for the lab work to be repeated to make your body is tolerating the medication.

    Best of all, there is no additional charge for labs!

  • Our provider will examine your skin and discuss the options for micro-dose regimens of Accutane based on severity, history, and preferences.

  • Given the risk of fetal toxicity, we need to ensure females are not pregnant before starting Accutane and continue to ensure they do not become pregnant. This requires:

    • Enrollment in iPledge program

    • 2 negative pregnancy test over a period of 30 days before starting medication.

    • Contraception plan with 2 forms--primary & secondary.

    • We will also provide home pregnancy tests to be completed and reported monthly.

  • Our program offers isotretinoin (20 mg generic version) tablets at a discounted price directly from our clinic. The most common “microdose” regimens & pricing* are:

    • 20 mg twice weekly (example: Sun & Thu) = $15/mo.

    • 20 mg Mon-Friday (5 days/week) = $30/mo.

    • 20 mg everyday = $45/mo.

    If a person has more severe acne, we may recommend a higher “standard” dose regimen of 40-80 mg/day for some period of time.

    *Subject to change based on wholesale pricing.

  • While part of the program, we will check in with you remotely by email or text message. You can share photos of your progress or ask any questions without a trip to the clinic.

    We do not require in-person provider visits to the clinic for check-ups or refills. However, if you would like an additional skin exam, we offer that for $50 per visit.

  • After completing the 90-day introduction program, we offer a monthly maintenance program for just $39 per month. This provides ongoing remote support, monthly pregnancy tests (females), and access to discount medications.

    During this time we can adjust dosing and regimen based on your acne severity.

    In-person clinic visits are not required, but available for $100.

    We do require lab work (blood draw) approximately every 6 months at a cost of $20.

FAQs

  • We require patients to be aged 13 years or older. If under the age 18, we require a parent to be present at consultations.

  • Our practice does not contract with any insurance plans so will be considered out-of-network. Thus we require payment directly from the patient. We can provide receipts to be used for submission to insurance plans, but cannot offer further assistance with insurance matters.

  • Yes! We accept payments from HSA or FSA debit cards.

  • We provide a thorough initial assessment to ensure the medication is safe and likely effective for your case of acne. However, given the many variables, we cannot guarantee that every patient is a good candidate for this medication.

  • Our introduction package starts with an intake form as a preliminary screening. If we determine you are not a candidate for Accutane medications based on this information, there will be no charge applied.

    If it is determined you cannot take or tolerate Accutane after the initial clinic visit (consultation), no refunds can be provided.

  • We require payment for medication before it is picked up or shipped out. The cost will depend on your dose and regimen.

  • Yes, we can send Rx to a pharmacy of your choice if you prefer. We cannot provide assistance with insurance billing or prior authorization. As micro-dosing Accutane is considered "off label" and most insurance plans have strict criteria, most insurance plans will not approve its use.

  • iPledge is the FDA program that oversees Accutane treatment in the U.S. Accutane can cause birth defects, so patients who can get pregnant must either agree to avoid sex or use two approved birth control methods during treatment.

    All Accutane patients must enroll in iPledge and get an iPledge ID. Patients who can become pregnant must answer detailed questions online every month before they can get their medication, which must be picked up within 7 days. If medication is ordered online, the questions need to be completed quickly within 7 days to allow processing. Otherwise, patients may be locked out of the iPledge system and won't be able to get their medication for 2 weeks.

  • Yes, federal law requires all people to be enrolled in the iPledge program, male or female regardless of sexual history or activity. For females that can biologically become pregnant, monthly pregnancy testing is required regardless of contraception or reported sexual activity.

  • Regulations allow a maximum of 30-day supply of Accutane to be prescribed or dispensed.

  • With our wholesale medication program, you can pick it up at our clinic, including after-hours, or we can mail it to your house for a postage fee.

  • No. This is unnecessary, especially if taking lower doses of Accutane.

    Our 90-day introduction program requires lab (blood) work to be done twice—before starting medication and after 6-8 weeks.

    Our maintenance program requires labs to be done every 6 months if you’ve been taking Accutane consistently and tolerated. The cost of the lab panel is $20.

  • We require all new patients to start the program with a 90-day introduction. After that, patients will be eligible for the monthly maintenance program.

*The medication price will depend on your dosing/regimen and our wholesale cost, subject to change.