What is the best Dermatica alternative?

With Dermatica shutting down its US operations, many customers are looking for ways to continue their prescription skincare. Discover how Miiskin compares to Dermatica to see if it’s a suitable alternative.

Medically reviewed by:
Dr. Anna Chacon
Dermatologist

Article last updated October, 2026.

Is Miiskin a good alternative to Dermatica?

Yes, Miiskin is a good alternative to Dermatica for US customers who want to continue their prescription skincare after Dermatica’s closure. Unlike Dermatica’s subscription-based model, Miiskin connects users with independent, board-certified dermatologists who can prescribe customized formulas without requiring a subscription. Users can choose their dermatologist, return to the same dermatologist for future consultations and select their preferred pharmacy. New consultations cost $59–$69, with medications purchased separately.

Can I keep my current Dermatica formula?

In most cases, yes. A board-certified dermatologist on Miiskin can review your current Dermatica formula and prescribe the same or a similar combination when medically appropriate.

Before your consultation, note the active ingredients and strengths in your formula. You’ll find them on your product label or in your Dermatica account. Save this information before Dermatica’s US service closes on December 16, 2026.

Miiskin dermatologists can prescribe the same active ingredients commonly used in Dermatica formulas, including tretinoin, azelaic acid, niacinamide, hydroquinone and ivermectin. Depending on your skin, they may recommend the same formula, an adjusted combination or an FDA-approved alternative.

Customized formulas are prepared by Foothills Professional Pharmacy and shipped to your home, typically for about $48.99 per formula plus the consultation fee. There’s no subscription or automatic delivery, and most dermatologists respond within 24–48 hours.

Which Miiskin formulas can replace your Dermatica formula?

If your Dermatica formula was for…	Example formulas available through Miiskin
Acne	Tretinoin + clindamycin + niacinamide Adapalene + benzoyl peroxide + clindamycin
Anti-aging	Tretinoin + niacinamide + sodium hyaluronate Azelaic acid + tretinoin + niacinamide
Melasma and dark spots	Hydroquinone + tretinoin + kojic acid Hydroquinone + azelaic acid + tranexamic acid
Rosacea	Ivermectin + metronidazole + azelaic acid Ivermectin + niacinamide + oxymetazoline

Examples only. Your dermatologist decides which treatment, if any, is appropriate for your skin. Most formulas cost $48.99 for 30 g, including free shipping. Compounded medications are not reviewed by the FDA for safety or efficacy.

See more customized formulas and prices

What was Dermatica?

Dermatica was an online prescription skincare company known for customized topical formulas addressing acne, rosacea, melasma, hyperpigmentation and signs of skin aging.

Its US service allowed users to complete an online questionnaire, upload photographs and receive a personalized formula based on their skin concerns and medical history. These formulas could contain active ingredients such as tretinoin, azelaic acid, hydroquinone and niacinamide.

Dermatica operated through a subscription model, with prescription formulas generally delivered every two months.

However, Dermatica announced that it would discontinue its US operations on December 16, 2026. Its prescription skincare service is therefore no longer a long-term option for US customers.

Dermatica continues operating in other markets, including the UK.

Who was Dermatica best suited for?

Before announcing its US closure, Dermatica was particularly suited to people who wanted customized prescription skincare delivered automatically without a dermatologist overview.

Its subscription model appealed to users who preferred regular deliveries and ongoing formula adjustments through a centralized skincare service.

What is Miiskin?

Miiskin is an online dermatology consultation platform connecting users with independent, board-certified dermatologists licensed in their state.

Users can choose their dermatologist, submit photographs and information about their skin concerns, and receive a personalized assessment and treatment recommendations, including prescriptions when medically appropriate.

Unlike Dermatica’s service, Miiskin is not limited to customized skincare formulas for anti-aging or rosacea. Dermatologists can prescribe FDA-approved branded medications, generic medications or customized compounded treatments depending on the user’s needs.

Miiskin also allows users to choose their preferred pharmacy and does not require a monthly subscription or automatic medication deliveries.

New consultations cost $59-$69, while prescription renewal consultations cost $39. Medication costs are separate.

Why is Miiskin a strong alternative for Dermatica users?

Miiskin is a strong alternative for Dermatica customers who want to continue their prescription skincare after the US closure, particularly those looking for more flexibility, greater control over their treatment and direct access to board-certified dermatologists.

Unlike Dermatica’s subscription-based model, Miiskin allows users to pay for consultations and medications only when needed, without recurring membership fees or automatic shipments.

Miiskin may be especially appealing to former Dermatica users who want to:

Consult an independent, board-certified dermatologist rather than a broader team of prescribing clinicians.
Choose their dermatologist and return to the same dermatologist for future consultations.
Continue using customized prescription skincare formulas when medically appropriate.
Explore FDA-approved branded or generic medications as alternatives to compounded formulas.
Access oral prescription treatments for certain skin conditions or hair loss.
Choose their preferred pharmacy instead of being tied to a specific medication supplier.
Pay for individual consultations and prescriptions without committing to a subscription.

For former Dermatica customers, Miiskin offers the flexibility to continue personalized prescription skincare while having more choice over who manages their treatment, which medications they use and where they purchase them.

Is the online consultation process similar with Dermatica and Miiskin?

Yes. Both Dermatica and Miiskin use asynchronous, photo-based consultations, allowing users to receive prescription skincare without scheduling a video appointment or visiting a dermatologist in person.

With both services, users complete an online questionnaire about their skin concerns, medical history and previous treatments, then upload photographs for clinical assessment.

However, there are some important differences in how consultations are handled:

Dermatica: Consultations were reviewed by an internal clinical team that included different types of prescribing professionals. Users could not choose a specific dermatologist, and prescribed customized formulas were supplied through a subscription.
Miiskin: Users choose an independent, board-certified dermatologist licensed in their state, who personally reviews their information and photographs. The dermatologist provides a treatment plan and may prescribe FDA-approved or customized medications when appropriate. Users can also return to the same dermatologist for future consultations.

Miiskin dermatologists typically respond within 24–48 hours, and consultations are paid for individually rather than through a subscription.

Former Dermatica customers can also share their previous formula’s ingredients and concentrations to help their chosen dermatologist assess whether a similar treatment would be appropriate.

How did Dermatica compare to Miiskin?

Swipe to compare →

Feature	Miiskin	Dermatica (closing in the US)
US availability	Available in all 50 states and accepting new patients	No longer accepting new US subscribers or personalized formula requests. US operations end 16 December 2026
Core service	Online dermatology consultations and prescriptions, with no subscription	Subscription-based prescription skincare service
Type of provider	Board-certified dermatologist you choose yourself	Dermatology team, including dermatologists and other prescribing clinicians
Process	Online consultation with photos → board-certified dermatologist reviews → treatment plan and prescription	Online consultation with photos → dermatology team reviewed → personalized topical formula
Conditions treated	Acne, rosacea, hyperpigmentation, melasma, hair loss, skin aging and other common skin conditions	Acne, hyperpigmentation, melasma, rosacea, skin aging and uneven tone
Medication options	FDA-approved generic or brand-name medications, or customized formulas	Compounded custom formulas only*
Prescription delivery	Sent to any pharmacy you choose, or delivered to your door for customized formulas	Custom formula shipped to your door about every 2 months
Pricing model	Pay per consultation: $59–$69 for a first visit, $39 for renewals	Subscription from $29.95/month, billed $59.90 every 2 months**
Ongoing support	Follow-up consultations whenever you need them, paid per visit	Check-ins and formula adjustments for active subscribers
What it means for you	Continue your prescription skincare with a board-certified dermatologist, including similar customized formulas, with no subscription	US patients need a new provider to continue their prescription treatment

*Compounded medications are not reviewed by the FDA for safety or efficacy.

**Dermatica’s US pricing for its 2-month plan before it stopped accepting new US subscribers.

Dermatica announced in September 2026 that it is permanently closing its US operations on 16 December 2026. Comparison based on information published by each service, October 2026.

What health problems could be addressed via Dermatica?

Dermatica offered tailored prescription skincare treatments for cosmetic skin concerns, including:

Acne (from mild to more persistent forms)
Acne scars & pigmentation (post-inflammatory hyperpigmentation and uneven skin texture)
Aging skin (fine lines, loss of firmness, wrinkles)
Hyperpigmentation (dark spots, sun spots, uneven tone)
Melasma (hormonal pigmentation, often on the face)
Rosacea (redness, inflammation, visible blood vessels)
Skin glow / radiance issues (dullness, lack of brightness)

Can Miiskin treat the same skin concerns as Dermatica?

Yes. Miiskin connects users with independent, board-certified dermatologists who can treat the same skin concerns previously addressed by Dermatica, including acne, rosacea, melasma, hyperpigmentation and signs of skin aging. Dermatologists can prescribe FDA-approved medications or customized formulas when medically appropriate.

Unlike Dermatica, which primarily focused on cosmetic skin concerns, Miiskin also provides access to dermatologists who treat a broader range of skin and hair conditions, including:

Acne and acne scars – Prescription treatments for mild, moderate, persistent and hormonal acne, as well as options to improve post-acne pigmentation and skin texture.
Skin aging – Prescription treatments for fine lines, wrinkles, uneven texture and sun-damaged skin.
Hyperpigmentation and melasma – Treatments for dark spots, uneven skin tone and stubborn pigmentation.
Rosacea – Prescription treatments for redness, inflammatory bumps and recurring flare-ups.
Hair loss – Topical and oral prescription options for female and male pattern hair loss.
Eczema and psoriasis – Prescription topical treatments to help manage inflammation, itching and flare-ups.
Fungal infections – Treatments for ringworm, athlete’s foot, nail fungus and other fungal skin conditions.
Cold sores and genital herpes – Prescription antiviral medications for outbreaks and, when appropriate, suppressive treatment.
Genital warts – Prescription treatments for HPV-related skin lesions.
Other dermatologic conditions – Assessment and treatment of rashes, bacterial skin infections and other common skin concerns.

For former Dermatica customers, this means they can continue addressing their original skincare concerns through Miiskin while also having access to a wider range of dermatology treatments if their needs change.

Dermatica vs. Miiskin: How do customized formulas and home delivery compare?

Both Dermatica and Miiskin provide access to personalized prescription skincare formulas that combine multiple active ingredients to address concerns such as acne, rosacea, melasma, hyperpigmentation and skin aging. Both services also offer the convenience of having customized medications delivered directly to users’ homes.

The main difference lies in how these formulas are prescribed, purchased and delivered.

Dermatica: Customized formulas were prescribed through its clinical team and delivered directly to users through a subscription. Treatments were generally shipped every two months, with recurring payments and automatic deliveries. Users could not choose a different pharmacy.
Miiskin: Users consult an independent, board-certified dermatologist who can prescribe a customized formula based on their skin concerns. Prescriptions are prepared by Foothills Professional Pharmacy, which ships medications directly to users’ homes nationwide. Most customized formulas cost approximately $48.99, excluding the consultation fee. Unlike Dermatica, users are not required to subscribe or receive automatic shipments.

For former Dermatica customers, Miiskin offers a familiar experience: personalized prescription formulas conveniently delivered to their doorstep, with the added flexibility of purchasing medication when needed rather than following a fixed subscription schedule.

The dermatologist can also review a user’s previous Dermatica formula and determine whether a similar combination of ingredients would be appropriate.

Note: Customized compounded medications are not FDA-approved for safety or efficacy.

Could you get generic medications via Dermatica?

No. Dermatica did not dispense standard generic medications; their focus was on custom formulations only.

Can you get generic medications via Miiskin?

Yes. Depending on your dermatologist’s assessment and your preference, Miiskin can also prescribe generic medications (such as tretinoin or oral treatments), which are then filled through Foothills or any local pharmacy.

Could you get oral medications for common skin problems via Dermatica?

No. Dermatica did not offered oral prescription medications. Their services were focused exclusively on topical, personalized prescription skincare formulas.

Can you get oral medications for common skin problems via Miiskin?

Yes — via Miiskin users can get a prescription for oral medications where medically appropriate for several skin and hair concerns. Click on the banner below to view the different formulas.