Need a Nurx tretinoin refill? Try personalized tretinoin instead

Table of Content:
Can you buy Nurx’s tretinoin at any pharmacy? | What is the Nurx tretinoin cost​? | Does Nurx offer a customized tretinoin blend? | How to get a customized tretinoin formula? | What are customized formulas used for? | What ingredients can I get? | How much does a consultation cost? | How much does a customized tretinoin formula cost? | FAQ

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Is there something special about Nurx tretinoin?

Nurx offers standard generic tretinoin at various strengths, and they also offer a compounded combination formula (ReviveRx) that blends tretinoin with supportive ingredients such as azelaic acid, niacinamide, hyaluronic acid, and ceramides. So you can receive either a traditional tretinoin prescription or this multi-ingredient option based on what the provider determines is right for your skin.

Can you buy Nurx’s tretinoin at any pharmacy?

It depends. If you’re prescribed standard (generic) tretinoin through Nurx, you can fill that prescription at most pharmacies with a valid prescription, just like any other tretinoin medication. However, Nurx’s compounded combination formula can only be bought at a compounding pharmacy, such as Foothills pharmacy.

What is the Nurx tretinoin cost​?

Nurx lists tretinoin cream at around $90 for a 3-month supply (one 45 g tube), which breaks down to about $30 per month. This covers the medication itself and delivery as part of their service after an online consultation. With qualifying insurance for acne treatment, the cost can be as low as $0 for the medication portion, though the medical review/consultation fee may still apply.

Does Nurx offer a customized tretinoin blend?

Nurx offer two options, but it’s not fully open-ended “custom compounding” like a traditional compounding pharmacy. Nurx can prescribe standard generic tretinoin at different strengths, and they also provide a proprietary combination formula (ReviveRx) that blends tretinoin with other actives like azelaic acid, niacinamide, hyaluronic acid, and ceramides. While the combination formula offers multiple benefits in one product, it’s a selected from set formulation rather than fully custom-designed ingredient by ingredient for you.

What is a good alternative to Nurx’s tretinoin?

A good alternative to Nurx’s tretinoin is Miiskin’s dermatologist-prescribed, custom compounded tretinoin, because it offers personalized formulations tailored to your unique skin profile rather than just standard strength options. 

With Miiskin, an independent, board-certified dermatologist will evaluate your specific skin concerns and tolerances, then create a bespoke tretinoin prescription designed for your needs, whether that’s adjusting concentration, cream base, or combining supportive ingredients, giving you a more individualized approach to treatment. This can lead to a simplified skincare routine and better tolerability and, especially if you’ve struggled with irritation, plateaued results, or want a formulation that fits your lifestyle and skin goals.

Besides, when you request skincare treatment via Miiskin, you are not enrolled on a monthly product subscription like many telehealth services do. You just order your medication when you need it keeping your costs more predictable.

How to get a customized tretinoin formula via Miiskin?

Simply select start consultation to get started. You’ll be asked to enter your state, choose a dermatologist, and pick Foothills as your pharmacy. For new patients, the consultation fee is approximately $59 and includes a couple of prescription refills.

Most compounded formulas from Foothills are priced at $48.99, with some specialized formulations costing $58.99. Once your dermatologist prescribes your treatment, you can place your order directly through Miiskin. You’ll receive a secure payment link, and after completing payment, your medication will be shipped to you at no extra cost.

What are customized tretinoin formulas used for?

Customized tretinoin formulations may be prescribed by a licensed dermatologist as part of an individualized dermatology consultation. These formulations can combine tretinoin with other active ingredients based on a provider’s clinical judgment, patient history, and treatment goals.

In practice, providers may discuss combining tretinoin with ingredients such as niacinamide, hydroquinone or azelaic acid when evaluating concerns related to skin appearance, including texture or tone. In other cases, providers may consider formulations that include additional prescription or non-prescription ingredients such as clindamycin, spironolactone, azelaic acid, hydroquinone, or kojic acid, depending on the patient’s needs and tolerance.

The specific ingredients, strengths, and combinations used in any compounded formulation are determined by the prescribing dermatologist and prepared by a licensed compounding pharmacy.

Important disclosure: Compounded medications are not FDA-approved, and the FDA does not review compounded medications for safety, effectiveness, or quality. 

What ingredients can I get in my customized tretinoin formula?

Although the dermatologists available in the Miiskin platform can prescribe many different medication combinations, these are some of the most requested tretinoin combinations.

Customized tretinoin formulas

Tretinoin + Niacinamide

Tretinoin + Azelaic Acid

Tretinoin + Topical Spironolactone + Niacinamide

Tretinoin + Topical Clindamycin

Tretinoin + Azelaic Acid + Niacinamide

Tretinoin + Dapsone

Tretinoin + Hydroquinone + Kojic Acid + Niacinamide + Fluocinolone

Tretinoin + Hydroquinone

How much does a consultation via Miiskin cost?

A photo-based online consultation with a board-certified dermatologist through Miiskin costs $59. ​Refilling your customized tretinoin prescription via Miiskin typically costs $39. 

How much does a customized tretinoin formula cost via Miiskin?

Most customized Foothills formulas cost around $48.99 for a 30 gram tube, which can last 60–90 applications depending on how much you use. The price of the medication includes Free shipping to your doorstep.

Frequently asked questions about getting customized tretinoin formulations via Miiskin

Is the tretinoin prescribed via Miiskin exactly the same as what Nurx offers?

It depends on what you want. If you want a generic tretinoin, you can have a consultation with a dermatologist and get a prescription that can be filled at any pharmacy in the country. 

If you want a customized formula with up to 5 ingredients that is tailor-made for your skin, the Miiskin may be a better alternative. When you complete your online consultation (similar process on both Nurx and Miiskin) just choose Foothills as your preferred pharmacy so your dermatologist knows you want a customized formula.

How long does it take to receive my prescription after the consultation with Miiskin?

After completing your photo-based consultation, your treatment plan is typically ready within 1–2 business days. Once your prescription is issued, you can order your medication right on Miiskin and once payment is processed, Foothills will ship your medication.

Can my customized tretinoin prescription be changed if my skin needs evolve?

Absolutely. If your skin changes or you feel you need a different approach, you can request a follow-up consultation through Miiskin. A dermatologist can update your prescription—whether that means adjusting the tretinoin strength, modifying supporting ingredients, or making other changes to better suit your current skin needs.

What tretinoin strengths are available through Miiskin?

Miiskin dermatologists can prescribe several tretinoin strengths, including 0.025%, 0.05%, and 0.1%, based on what’s appropriate for your skin type, tolerance, and treatment goals.

Does Miiskin treat skin concerns beyond acne, aging, and pigmentation?

Yes. In addition to acne, anti-aging, and hyperpigmentation, Miiskin dermatologists can diagnose and treat a variety of skin and hair loss conditions, such as rosacea, fungal infections, herpes, rashes, and other common dermatological concerns. Your care plan is tailored to the results of your consultation.

Where are Miiskin’s customized tretinoin prescriptions filled?

Once your prescription is approved, you can order your medication right on the Miiskin platform and it will be prepared and shipped by Foothills compounding pharmacy.

 

Can I ask for certain ingredients to be added or left out of my formula?

Yes. During your Miiskin consultation, you can share any ingredient preferences or sensitivities. Your dermatologist will take these into account when creating a customized formula that fits your skin.

What should I do if I experience irritation or a reaction?

If you notice irritation or an adverse reaction, you can contact your dermatologist directly through Miiskin’s secure messaging system. They can recommend changes to your formula or suggest alternative treatments to improve comfort and results.

Can my customized tretinoin formula help with acne, hyperpigmentation and wrinkles at the same time?

Yes. A customized tretinoin formula can be designed to target acne, hyperpigmentation, and wrinkles at the same time. Tretinoin itself helps increase cell turnover, unclog pores, fade dark spots, and stimulate collagen to improve fine lines. In a personalized formula, a dermatologist may also include or adjust supporting ingredients—such as niacinamide or azelaic acid—to help calm inflammation, even skin tone, and improve tolerability, allowing one treatment to address multiple concerns based on your skin’s needs.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.