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If you are looking into starting tretinoin treatment with the Agency, we offer you an alternative so you can make an informed decision based on your needs.
Table of Content:
Potential Ingredients included in your formula from the Agency | Agency tretinoin price | What is a good alternative? | Miiskin vs Agency: How do they compare? | Miiskin tretinoin price | How to get a prescription? | Potential Ingredients included in your formula from Miiskin | Can I get a formula for wrinkles and dark spots? | FAQ
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Does the Agency offer a customized tretinoin blend?
Yes. The Agency does not offer generic tretinoin. Instead it offers two types of customized tretinoin-based formulas:
- Future Formula – a customized formula for anti-aging
- Dark spots formula – a customized formula for melasma/hyperpigmentation
These prescriptions are issued after an online consultation and may be provided by a nurse practitioner (NP), physician assistant (PA), medical doctor (MD), or doctor of osteopathic medicine (DO).
What ingredients can be included in your customized formula from the Agency?
The Agency’s customized formulas can combine tretinoin with additional active ingredients such as tranexamic acid, dexpanthenol, azelaic acid, or niacinamide, depending on the treatment goal. What differentiates Agency’s approach is the fixed, condition-specific formulation, rather than offering generic tretinoin or fully open-ended compounding.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
What is the Agency tretinoin cost?
Agency’s customized tretinoin-based prescriptions are billed every 2 months as part of a subscription schedule rather than as a monthly charge. After the initial trial period, prices generally look like this:
- Future Formula: $80 every 2 months
- Dark Spot Formula: $80 every 2 months
If you subscribe to both prescription products you will pay $130 every 2 months.
These prices include automatic shipping every two months and your personalized prescription formula prepared based on your provider’s assessment.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
What is a good alternative to Agency’s tretinoin?
A strong alternative to Agency’s tretinoin is using Miiskin, where you can request an asynchronous consultation reviewed by a board-certified dermatologist. With Miiskin, every consultation is handled by a board-certified dermatologist rather than a nurse practitioner or physician assistant, and you can choose the dermatologist you want to work with and continue with the same provider over time.
Dermatologists in the Miiskin network can prescribe either generic tretinoin or customized compounded formulas and can send prescriptions to any pharmacy nationwide, giving you flexibility in how and where you fill your medication. In addition, Miiskin does not require a subscription, you only purchase your medication when you need it, instead of receiving automatic refills every two months, which can help reduce unnecessary costs and leftover medication.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
Miiskin vs Agency: How do they compare in their tretinoin offering?
| Feature | Agency | Miiskin |
| Provider’s credentials | NP, PA, MD, or DO (varies by provider) | Board-certified dermatologists |
| Subscription required | Yes, every 2 months | No, order medication when needed |
| Consultation price | Usually included in subscription | $59 for new consultations and $39 for prescription refills |
| Formula price | $80 – $130 for one or two formulas | $48.99 – $58.99 for one formula that targets both concerns |
| Can you get one formula for wrinkles and dark spots? | No (separate formulas for anti-aging vs dark spots) | Yes (customizable compounded formulas can target both problems) |
What is the price of a customized tretinoin formula via Miiskin?
Via Miiskin, the initial dermatologist consultation typically runs around $59, and prescription renewals are about $39 when your formula needs to be adjusted or refilled.
Most customized Foothills formulas prescribed through Miiskin, including tretinoin blends tailored to your specific skin concerns (including targeting both wrinkles and dark spots) cost about $48.99, and a few more specialized skin formulas are priced around $58.99 and you only order your medication only when you need it.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
How to get a prescription via Miiskin?
- Start an online skin consultation on the Miiskin website or app
- Answer questions about your skin concerns, medical history, and upload photos if requested
- A board-certified dermatologist in the Miiskin network reviews your information and
- If appropriate, issue a prescription.
- Choose Foothills as your preferred pharmacy if you want a customized formula
- Receive a secure payment link and have your medication shipped
- Request renewals or adjustments through follow-up consultations when needed
Can I get via Miiskin a customized formula that targets wrinkles and dark spots at the same time?
Yes! Many dermatologists can design a customized tretinoin formula that targets both wrinkles and dark spots in a single prescription. By combining tretinoin with other active ingredients such as niacinamide, azelaic acid, tranexamic acid, or kojic acid, a dermatologist can create a blend that addresses fine lines, uneven texture, discoloration, and pigmentation together. The exact combination and strengths are chosen based on your individual skin concerns, sensitivity, and treatment goals during your consultation. Customized formulas like this are particularly useful when you want a multi-benefit approach rather than using separate products for each concern.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
What ingredients are often included in tretinoin formulas prescribed by dermatologists in the Miiskin network?
Dermatologists in the Miiskin network may combine tretinoin with other active ingredients to better address specific skin concerns. Common supporting ingredients include:
- Niacinamide — helps calm inflammation and support the skin barrier
- Azelaic acid — targets redness, pigmentation, and mild acne
- Tranexamic acid — helps reduce stubborn dark spots and uneven tone
- Kojic acid — used for pigmentation and brightening
- Clindamycin — topical antibiotic for inflammatory acne
- Topical spironolactone — for hormonal acne support
- Dapsone — anti-inflammatory for acne
- Hydroquinone (short-term use) — for stronger pigment reduction
- Hyaluronic acid or moisturizing agents — to improve hydration and tolerability
The exact combination and strengths are selected by the dermatologist based on your individual skin type, concerns, and tolerance. Customized formulas are designed to provide targeted treatment while minimizing irritation.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
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