If you’re looking for Agency’s tretinoin, read this first

Table of Content:
Potential Ingredients included in your formula from the Agency | 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 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?

Feature	Agency	Miiskin
Provider’s credentials	NP, PA, MD, or DO (varies by provider)	Board-certified dermatologists
Subscription required	Yes	No, order medication when needed
Can you get one formula for wrinkles and dark spots?	There are two separate formulas one for anti-aging and one for dark spots	Yes you can get a 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

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.

Frequently asked questions about getting customized tretinoin formulations via Miiskin

What makes Miiskin different from the Agency?

Miiskin offers consultations reviewed exclusively by board-certified dermatologists and does not require a subscription. You only order medication when needed.

Does the Agency sell generic tretinoin?

No. The Agency does not offer generic tretinoin. All Agency prescriptions are customized, condition-specific tretinoin-based formulas.

Can the dermatologists in the Miiskin network prescribe generic tretinoin?

Yes. Dermatologists in the Miiskin network can prescribe generic tretinoin or customized compounded formulas, depending on what’s appropriate for your skin.

What types of tretinoin formulas does the Agency offer?

The Agency offers two main tretinoin-based prescriptions: the Future Formula for anti-aging and a Dark Spot Formula for melasma and hyperpigmentation. They are sent every two months via a subscription model.

Who prescribes tretinoin at the Agency?

Agency prescriptions may be issued by a nurse practitioner (NP), physician assistant (PA), medical doctor (MD), or doctor of osteopathic medicine (DO), depending on provider availability.

Who prescribes tretinoin via Miiskin?

Independent, board-certified dermatologists who offer care through their private practices.

Is the Agency’s tretinoin billed as a subscription?

Yes. The Agency uses a subscription model with automatic billing and shipping every two months.

Can prescriptions issued via Miiskin be sent to any pharmacy?

Yes. Dermatologists in the Miiskin network can send prescriptions to any pharmacy nationwide. If you need a compounded medication, you should choose Foothills as your preferred pharmacy and your medication will be s

Are customized tretinoin formulas FDA-approved?

No. Compounded medications are not reviewed or approved by the FDA for safety or efficacy. They are prescribed based on a dermatologist’s clinical judgment and prepared by licensed compounding pharmacies.