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Home / Get Tri-Luma cream prescription

Buy Tri-Luma cream with an online prescription

Time  Response time: 1-2 working days

Tri-Luma® cream is a powerful topical prescription cream for individuals with moderate to severe melasma, a common skin condition causing dark patches on the face.

  • Board-certified dermatologists
  • No expensive medication subscriptions
  • Get a Tri-Luma cream prescription for $59
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how to purchase triluma cream prescription

Table of Content:
What is Tri-Luma? | What is Tri-Luma used for? | How to buy Tri-Luma cream? | Get prescription | How is Tri-Luma different? | Tri-Luma benefits | Warnings and side effects | How to apply Tri-Luma? | FAQ


Dermatologist  Dr. Anna Chacon
Medically reviewed by:
Dr. Anna Chacon
Dermatologist

What is Tri-Luma?

Tri-Luma (also referred to as Triluma) is a prescription cream used to treat melasma, a skin condition that causes dark, discolored patches on the face, typically on the cheeks, forehead, and upper lip. It’s often triggered by sun exposure, hormonal changes, or pregnancy.

Tri-Luma combines three active ingredients:

  • Hydroquinone (4%) – a skin-lightening agent that reduces pigmentation.
  • Tretinoin (0.05%) – a retinoid that promotes skin cell turnover and helps the hydroquinone work more effectively.
  • Fluocinolone acetonide (0.01%) – a mild corticosteroid that helps reduce inflammation1.

This triple combination makes Tri-Luma more effective than using any of the ingredients alone. It’s typically used for three to four months, and should be used under the guidance of a dermatologist, as long-term use can lead to side effects like skin thinning, irritation, or rebound pigmentation.

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woman with melasma on the face putting a cream

What is Tri-Luma used for?

Tri-Luma is prescribed to reduce dark patches and discoloration on the skin. It’s commonly used for:

Melasma – dark facial patches often caused by sun exposure or hormonal changes

Age spots or sun spots – brown spots from long-term sun exposure

Hyperpigmentation Treatment

Post-inflammatory hyperpigmentation – dark marks left behind after skin irritation or injury

Skin roughness treatment

Uneven skin tone – to help create a more consistent complexion

Freckles – small brown spots from sun exposure and genetics

perioral dermatitis on face

Dark acne scars – to fade hyperpigmented marks left by acne

Why get online treatment via Miiskin?

price details

First consultation is $59 Medication refills are $30 approx.

prescription details

Free choice of pharmacy to get the best price.

urgency details

No subscriptions, order your treatment on-demand.

topicals details

You can get a customized acne formula.

*The Miiskin-affiliated dermatologists are independent healthcare providers. Miiskin does not interfer with their practice of medicine.

How to buy Triluma cream?

Do you need a prescription to buy Triluma cream?

Yes, Triluma is not available over the counter, so you need a doctor’s prescription to get it.

How to get an online prescription for Triluma cream?

Via Miiskin you can have an online consultation with a board-certified dermatologist. If you haven’t used Triluma cream in the last year and you would like to try it, they will prescribe it, if it is safe and adequate for you.

What is the Triluma cream price?

To get Triluma you need to pay for the virtual consultation which is around $59 and then buy your prescription at a pharmacy. With the Galderma Care Connect Patient Card you can get a 30 gram tube of Tri Luma for $90.

how to get triluma cream prescription
Start consultation

Getting Triluma cream is very simple with Miiskin

  1. Start a consultation via Miiskin
  2. Request your prescription for Triluma
  3. Pick up your Triluma cream at the pharmacy of your choice
Start consultation
Buy prescription medicine

Process to getting a prescription for Triluma cream online
Miiskin connects with a virtual dermatologist. They will assess your skin problem, and if they determine that Triluma is appropriate for you, they will issue your prescription, which you can then collect at a pharmacy of your preference.

How is Triluma different from other creams for hyperpigmentation?

Tri-Luma stands out from other topical treatments for hyperpigmentation in several key ways:

  • Stronger effect – It’s more potent than most over-the-counter creams because it combines three active ingredients: hydroquinone, tretinoin, and a corticosteroid.
  • Combination therapy – While many products contain just one ingredient, Tri-Luma uses a triple-action formula to target pigment, speed up skin cell turnover, and reduce inflammation—all at once.
  • Prescription-only – You can’t buy it over the counter; it’s only available with a prescription due to its strength and potential side effects.
  • Short-term use – It’s meant for limited use, usually no more than 8 weeks at a time, to avoid skin thinning or irritation.
  • Clinically proven – Tri-Luma is the only FDA-approved specifically for melasma2, which gives it a level of validation that many other products don’t have.
topical creams for face

Miiskin recommendation

We highly recommend checking with a local pharmacy that carries Tri-Luma cream and accepts the  Galderma CAREConnect™ savings card. 

You can sign up for the patient program, download the card, and visit nearby pharmacies (such as CVS, Walgreens, or Walmart) to ask about the current price before requesting your prescription. You can also get a GoodRX coupon for Tri-Luma.

This helps ensure you’re not caught off guard if the cost is higher than the expected $90, and allows you to plan accordingly.

What patients say about Miiskin

Very happy with this service. Quick and easy. With someone with not the greatest insurance and super busy. This was perfect. Got my prescription next day and great advice for my condition.

Marcus Liniarski,
Patient Review →

10 of 10stars

I had a great experience with Miiskin – I was able to get my prescription very quickly and their app is easy to use. It was very convenient and their team is very responsive. I highly recommend them and will likely use them in the future for other skin issues.

Susie Tse,
Patient Review →

10 of 10stars

What a technology! I was very impressed by the speed of communication with a doctor using the Miiskin app. Losing my hair has been my biggest concern, but I didn’t have the courage to reveal my bald spot to a doctor in person. Miiskin solved all my issues instantly. I just took a photo in my own room, uploaded it, and wrote about my concerns. That’s it. The best part is that without insurance, the consultation fee was much lower than any health insurance. I submitted my photo at midnight and received a prescription the very next morning. The doctor at Miiskin was very professional and empathetic, which really helped ease my emotional distress. Although I’m just at the beginning stage of my treatment and haven’t seen significant results yet, I feel reassured and supported. I will definitely upload my progress in 3 to 4 months to show my appreciation for the prescription from Miiskin.

Jiyeon Kang,
Patient Review →

10 of 10stars

My dermatologist was extremely quick, reviewed my consultation request within 2hrs and I had my Rx the next day! The Miiskin team also responds within minutes and are very polite and communicated concisely. I’ll never make a in person appointment again after experiencing this outstanding and affordable telehealth service!

Dion H,
Patient Review →

10 of 10stars

Quick response from the dermatologist — I wanted a fast turnaround for a skin concern that would be more immediate than going through health insurance, making an appointment, traveling to the doctor.

Timothy C.
Patient Review →

10 of 10stars

Triluma benefits

Tri-Luma offers several key advantages for treating hyperpigmentation, especially melasma:

Fast and noticeable results

 Many users see visible improvement in dark spots and skin tone within a few weeks.

Targets multiple causes of pigmentation

Its triple-action formula addresses excess melanin, speeds up skin renewal, and reduces inflammation.

Clinically proven

FDA-approved specifically for melasma, giving it strong clinical backing.

Reduces stubborn pigmentation

Especially effective on patches that haven’t responded well to other treatments.

Improves overall skin tone

Helps even out discoloration for a smoother, more uniform complexion.

Convenient single formula

Combines three powerful ingredients in one cream, simplifying your routine.

Provider & Prescription Information

Miiskin connects patients with independent dermatologists who provide care through their own private practices. Miiskin does not employ dermatologists and does not sell or distribute medications. Any prescriptions issued by the dermatologists can be filled at third-party pharmacies of the patient’s choice.

Warnings and precaution when using Triluma

Tri-Luma contains sulfites, which can cause severe or even life-threatening allergic reactions in people sensitive to them. It also includes hydroquinone, which may lead to a gradual blue-black darkening of the skin with prolonged use. 

If you’re pregnant, nursing, or planning to become pregnant, you should not use Tri-Luma. Its safety and effectiveness have not been well studied in individuals with darker skin tones. Because it contains fluocinolone acetonide, a topical steroid, there’s a risk of temporarily suppressing adrenal gland function (HPA axis suppression); stop use and contact your provider if you notice symptoms like fatigue or weakness. 
Avoid using products that can dry or irritate your skin, such as scrubs, exfoliants, or harsh cleansers. You should also avoid exposure to direct sunlight, sunlamps, and extreme weather conditions. If you can’t avoid sun exposure, use a broad-spectrum sunscreen with SPF 50 and wear protective clothing3.

Potential side effects of Triluma

  • Redness or irritation
  • Peeling or dryness
  • Burning or stinging sensation
  • Skin thinning (with prolonged use)
  • Acne breakouts
  • Increased sensitivity to sunlight
  • Changes in skin color (either lightening too much or uneven pigmentation)4

How to apply Tri-Luma cream

If you’ve been prescribed Tri-Luma, it’s important to use it correctly to maximize results and minimize side effects. This prescription treatment is potent, so following the proper application steps will help you achieve a more even skin tone safely and effectively. Here’s a step-by-step guide:

1. Conduct a patch test

Before using Tri-Luma on larger areas, apply a small amount to a discreet patch of skin and monitor for 24 hours to check for redness, itching, or irritation.

2. Cleanse your skin

Gently wash your face with a mild, soap-free cleanser. Pat your skin dry with a clean towel and wait a few minutes to ensure your skin is completely dry before applying the cream.

3. Apply a thin layer

Using clean fingertips, apply a thin layer of Tri-Luma only to the darkened areas of skin. Massage it in gently and avoid the eyes, mouth, nostrils, and any broken or irritated skin.

4. Use sunscreen with SPF 50

Apply a broad-spectrum sunscreen with SPF 50 every morning, even on cloudy days. Sun exposure can worsen hyperpigmentation and reduce the effectiveness of treatment.

5. Use a moisturizer

Use a gentle, non-comedogenic moisturizer to help prevent dryness, flaking, or irritation that can occur during treatment.

6. Monitor your skin’s response

Watch for signs of excessive redness, peeling, or discomfort. If these occur, stop using the cream and consult your dermatologist for further guidance and evaluation.

7. Schedule follow-up appointments

Regularly check in with your dermatologist, especially if you’re using Tri-Luma through an online consultation, to evaluate your progress and adjust your treatment plan if needed.

Notice

Tri-Luma cream is designed for short-term use, typically for up to 8 weeks, unless otherwise directed by your dermatologist based on your skin’s response and treatment progress.

FAQ about Tri-Luma cream

If I use the Galderma CAREConnect™ card how much is the Triluma cream?

If you use the Tri‑Luma cream along with the Galderma CAREConnect™ savings card, you could pay as little as $20 for a 30 g tube if your insurance covers it without restrictions.
You need a pre-authorization from your dermatologist which may cost extra*.

If you’re paying out‑of‑pocket (cash), the program may reduce the cost to around $75 to $90 for the 30 g size. Prices vary by pharmacy, location, and whether other discounts apply.

Can I use the Galderma CAREConnect card at any pharmacy?

You cannot use the Galderma CAREConnect™ card at just any pharmacy. It must be a participating pharmacy in the CAREConnect network.

Here are your main options:

In-network pharmacies – Many major chains like CVS, Walgreens, and Walmart often accept the card, but it depends on the location.
Online partner pharmacies – Galderma also partners with select online pharmacies that can fill prescriptions and apply CAREConnect savings.

To ensure coverage, it’s best to confirm with the pharmacy or use the pharmacy locator on the Galderma CAREConnect website.

How much is Tri-Luma without the Galderma CAREConnect™ card?

Yes, via GoodRX you can also get a Tri-Luma coupon. With these coupons the price may vary between $245 – $265.

Are there other Tri-Luma coupons available?

Dr. Fernandez says that ivermectin cream (Soolantra)4 or azelaic acid (Finacea)5 are two alternatives in the treatment of rosacea according to studies. For redness, treatments like brimonidine gel or laser therapy may provide faster or more targeted results. The best option depends on your specific symptoms and skin type.

Can tretinoin and hydroquinone be compounded?

Yes. Licensed pharmacies may compound prescription creams containing tretinoin and hydroquinone, when prescribed by a licensed clinician for an individual patient.

Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy and are not FDA-approved products. Such preparations are made only when a prescriber determines there is a specific clinical need that cannot be met by an approved medication.

Can I use Tri-Luma cream for more than 8 weeks?

Tri-Luma cream is generally recommended for short-term use only (typically up to 8 weeks) because prolonged use can lead to side effects like skin thinning, irritation, and bluish-black discoloration (exogenous ochronosis). It also contains a topical steroid, which may suppress natural skin functions if overused.

What can I use after Tri-Luma cream for maintenance?

For long-term maintenance after Tri-Luma, your dermatologist may recommend safer alternatives such as tretinoin, azelaic acid, or tranexamic acid, often used alongside daily broad-spectrum sunscreen. These ingredients help maintain results and reduce the risk of pigmentation returning without the risks associated with prolonged steroid use.

What is a good alternative to Tri-Luma cream?

A good alternative to Tri-Luma cream often depends on your skin type, the severity of your pigmentation, and whether you’re looking for short-term treatment or long-term maintenance.

Common alternatives include:

  • Hydroquinone 4% – Can be used alone under medical supervision if you’re avoiding steroids or retinoids.
  • Tretinoin 0.05% – Supports cell turnover and enhances the effects of other pigmentation treatments; often used for maintenance after stronger treatments like Tri-Luma.
  • Azelaic acid (15–20%) – A gentle but effective ingredient that reduces pigmentation and inflammation; safe for long-term use and suitable for sensitive skin.
  • Tranexamic acid – Helps reduce melasma and post-inflammatory hyperpigmentation by targeting pigment production; can be combined with other treatments.
get triluma cream

Start a virtual dermatology consultation to request Tri-Luma cream

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Teledermatology Clinic Online Interested in getting a Tri Luma prescription for your melasma?
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References:
1 https://www.triluma.com/
2 https://www.galderma.com/us/news/galdermas-tri-luma-cream-only-fda-approved-treatment-melasma-now-available-pharmacies
3 https://www.triluma.com/
4 https://www.triluma.com/

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Miiskin is an online dermatology consultations platform that connects patients with independent dermatologists.

All consultations are provided by independent online dermatologists on a cash-pay-only basis. Miiskin does not practice medicine or pharmacy. Prescriptions, if applicable, are sent to third-party pharmacies, which are paid directly for any medication. Medication images on the website are for illustrative purposes only and images of people are not actual patients. Medical information on miiskin.com is for informational purposes and not medical advice. Consult a healthcare provider for any concerns.

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