Licensed physicians in all 50 states · Free, discreet shipping · Compounded in a US-licensed pharmacy

Skin · All skin types

Skincare, prescribed for you.

Custom-strength creams for aging, acne, dark spots and rosacea, mixed to your skin.

  • Licensed physician review in under 24 hours
  • Formulas prepared to order in a US-licensed pharmacy
  • Free, discreet shipping and unlimited messaging
Start my visitFrom $39/mo · Verra+ $31/mo · pay over time
Patients like it here SAMPLE

What you'll pay

Online visit $99 · video $149. The visit fee is non-refundable and credited toward your first order within 30 days. Medication is billed separately. Shipping is included.

verraRx# 0084538

Skin

Custom anti-aging cream

Strength
Tretinoin 0.025% / Niacinamide 4% / Azelaic 10%
Directions
Apply a pea-sized amount to dry skin at night.
Qty
30 g pump
Prescriber
Verra network MD · Skin
COMPOUNDED TO ORDER · BUD 90 DAYS

Custom

strengths

8–12 wk

typical timeline

1

nightly step

  • $99 visit, credited to your first order
  • Licensed physicians in all 50 states
  • Verra+ members save 20%
  • Free, discreet shipping
  • Pay over time on eligible plans
  • Cancel anytime

Find your treatment

Start with your goals. Explore care options, then let a licensed clinician decide what fits your health.

Find my treatment

Skin treatments

Compare options.

TreatmentFormBest forFromDetails
Custom anti-aging creamNightly creamNightly cream$39/moTretinoin 0.025% / Niacinamide 4% / Azelaic 10%
Acne formulaNightly gelNightly gel$39/moClindamycin 1% / Tretinoin 0.025% / Niacinamide
Dark spot creamNightly creamNightly cream$49/moHydroquinone 4% / Tretinoin 0.05% / HC 1%
Rosacea creamDaily creamDaily cream$45/moIvermectin 1% / Metronidazole 1%

Conditions we help with.

Fine lines

Early signs of aging and texture.

See treatment →

Acne

Breakouts and clogged pores.

See treatment →

Dark spots & rosacea

Uneven tone and redness.

See treatment →

How it works.

  1. 01

    Tell us about you

    Answer a few health questions online. About five minutes.

  2. 02

    Meet your physician

    A licensed physician in your state reviews within 24 hours.

  3. 03

    We prepare it

    Your medication is compounded or dispensed to order.

  4. 04

    It ships to you

    Free, discreet shipping. Message your care team anytime.

Care shaped around you

A plan starts with your health, not a product.

Your clinician weighs your goals, health history and current medicines. A different treatment or an in-person visit may be the safer choice. A prescription is never guaranteed.

Our approach to safe care

What to expect.

  1. Day 1

    Complete your visit and get a physician review.

  2. Week 1

    Your medication arrives. Start as directed.

  3. Month 1

    Check in with your physician and adjust if needed.

  4. Month 3+

    Many people notice changes. Results vary.

Typical experience. Individual results vary.

From patients.

SAMPLE REVIEWS · REPLACE WITH VERIFIED PATIENTS

SAMPLE
“They started me gentle and my skin adjusted. No peeling drama.”
Patient, skin · Skin
“The visit took five minutes and the physician actually read my answers. Clear instructions, no awkwardness.”
Patient, 41 · Skin · Sample
“Price was exactly what the site said. It arrived in a plain box two days after approval.”
Patient, 36 · Skin · Sample
“I messaged a question on a Sunday and had a thoughtful answer the next morning.”
Patient, 52 · Skin · Sample

Ingredients your physician may prescribe.

Tretinoin

Used in Custom anti-aging cream

Uses and safety

Niacinamide

Used in Custom anti-aging cream

Azelaic

Used in Custom anti-aging cream

Clindamycin

Used in Acne formula

Hydroquinone

Used in Dark spot cream

HC

Used in Dark spot cream

Ivermectin

Used in Rosacea cream

Metronidazole

Used in Rosacea cream

Is it right for me?

Likely a good fit if you have

  • Ongoing skin concerns
  • Willing to use sunscreen daily
  • Patient for an 8–12 week timeline

Talk to your physician first if you have

  • Pregnancy or breastfeeding
  • Very sensitive skin or eczema
  • Using other prescription skincare

Your physician makes the final call based on your health history and answers.

Safety and side effects

Risks depend on the medicine, dose and your health. Tell your clinician about allergies, medicines, supplements, pregnancy and past reactions. Do not share a prescription or change a dose on your own. Call 911 for trouble breathing, chest pain or another emergency.

Custom anti-aging cream: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Acne formula: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Dark spot cream: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Rosacea cream: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

What you'll pay

Online visit

Non-refundable. Credited toward your first order within 30 days.

$99
Video visit

Your clinician may require a video visit for some treatments.

$149
Treatment

Prices and supply periods are shown for each option. Medication is separate from the visit.

From $39
Discreet shipping
Included

Optional Verra+: $29/month or $249/year, billed separately. With the member discount, treatment starts at $31. Compare membership costs.

A visit does not guarantee a prescription. Check the treatment page for monthly or one-time pricing.

Plan before you start

Medication and comparison guides

All medication guides · Compare treatments

Questions, answered.

Will it irritate my skin?

Retinoids can cause dryness at first. Your formula starts gentle and can be adjusted.

How long until I see change?

Most people see changes in 8–12 weeks. Results vary.

What do custom prescription skin creams and serums cost?

The current medication price is shown on each skin treatment page. Options include a monthly plan, a 3-month plan with 15% off, or a 6-month plan with 25% off. Longer plans are billed monthly. Medication is charged only after a physician approves, and a separate visit fee may apply.

Am I eligible for a custom prescription skin cream or serum?

Eligibility depends on your skin concern, health history, and the ingredients being considered. A licensed physician in your state decides whether a custom cream or serum is appropriate. Share your current medicines, allergies, pregnancy or breastfeeding status, and past skin treatments. Some concerns need an in-person skin exam instead.

How do the custom prescription skin formulas work?

How a custom skin formula works depends on its active ingredients and your diagnosis. Ingredients may target clogged pores, inflammation, uneven pigment, or changes linked to skin aging. Results vary. A licensed physician in your state chooses treatment when appropriate, and your prescription label explains how to use it.

What can affect the pace of progress with my custom skin formula?

Your diagnosis, ingredients, skin sensitivity, and use schedule can all affect the pace of progress. Results vary. Sun exposure and other skin products may also play a role. Ask your physician for a formula-specific review plan rather than increasing the amount or frequency to try to speed things up.

What side effects should I watch for with prescription skin creams and serums?

Side effects depend on the ingredients in your skin prescription. Possible effects include dryness, peeling, redness, stinging, or changes in skin color. Some ingredients increase sun sensitivity. Ask about your specific formula. Seek emergency care for trouble breathing or swelling of the lips, tongue, or throat after using it.

Who should avoid or delay starting a custom prescription skin formula?

You should not start a skin formula if you have a known allergy to an ingredient or have not received prescribing guidance. Pregnancy, breastfeeding, damaged skin, and certain medicines may rule out some ingredients. A licensed physician in your state must review your situation before deciding whether treatment is appropriate.

How do compounded skin creams differ from brand-name prescription products?

Compounded skin medications are prepared by a licensed pharmacy for one patient and are not FDA-approved. FDA-approved brand-name products undergo review for safety, effectiveness, and quality. Compounding may address a specific patient need, but it does not establish that a custom formula is safer or more effective. Results vary.

What results are realistic for the custom skin treatment options?

A custom skin prescription may help manage the concern it was prescribed for, but it cannot promise clear, even, or younger-looking skin. Results vary. Set a specific goal with your physician for acne, dark spots, rosacea, or visible aging, and discuss how you will judge whether treatment is worthwhile.

What happens to my skin if I stop using a custom prescription cream?

What happens after stopping depends on your skin condition and the ingredients used. Some concerns may return or become more noticeable when treatment ends. Results vary. Ask your physician whether you need a maintenance plan or specific stopping instructions, especially if you are stopping because of side effects or pregnancy.

Can I combine these skin formulas with each other or other treatments?

Do not combine custom skin formulas or add other active treatments without a physician's review. Products may contain overlapping ingredients or increase side effects when used together. Share your full routine, including acne products, retinol, acids, and planned procedures. Your physician can advise on a suitable schedule when combination treatment is appropriate.

What does the prescription skin visit include, and what is its fee?

A licensed physician in your state reviews your skin concern and health history to decide whether treatment is appropriate. The online visit fee is $99; the video visit fee is $149. The fee is non-refundable but credited toward your first medication order within 30 days. Members have online visits included.

Will my custom skin prescription require a video visit or an online visit?

Your skin visit may be online or by video. Some states or medications require a video visit, and the physician may need more information before making a decision. The online visit fee is $99, and the video visit fee is $149. A visit does not guarantee a prescription.

How are custom prescription skin creams and serums shipped?

If a physician approves your skin prescription, a partner pharmacy can prepare and ship the medication to you. Review the delivery estimate and shipping options when ordering. Expedited shipping is $20, but it does not replace medical review or pharmacy preparation time. Medication is charged only after physician approval.

How do refills work for my prescription skin cream or serum?

Refills depend on your prescription, the physician's directions, and your chosen skin treatment plan. Do not assume that monthly billing guarantees an automatic refill or continued approval. Check your order terms and ask Verra support about the refill process. A physician may need to review your care before another prescription.

How can I cancel my custom skin treatment plan?

Contact Verra support for the current cancellation process for your skin treatment plan. Ask about upcoming orders, billing dates, and any longer-plan terms before assuming future charges have stopped. The visit fee is non-refundable. Canceling a plan is separate from getting medical advice about stopping a prescription cream or serum.

Can I use insurance or an HSA/FSA card for prescription skin care?

Verra does not bill insurance for skin visits or medications. HSA/FSA cards may be usable for eligible expenses, but eligibility depends on your plan and the purpose of treatment. Check with your plan administrator before paying, especially for anti-aging care or other services that may be considered cosmetic.

In which states can I request Verra's custom prescription skin care?

Verra is available in all 50 states and Washington, DC. A licensed physician in your state decides whether a custom skin prescription is appropriate. Some states or medications require a video visit. Nationwide service availability does not mean that every formula or visit format is suitable for every patient.

How is my information handled during an online skin treatment visit?

Review Verra's privacy policy and any privacy notice before submitting skin photos or health information. These documents explain how information may be used and shared. Avoid including unrelated personal details in photos. Ask Verra support about access, storage, communication options, or privacy concerns before sending information you are unsure about.

How can Verra+ lower the cost of my prescription skin care?

Verra+ includes online visits and provides 20 percent off medications for members. Membership costs $29 monthly or $249 annually, and the member video visit fee is $49. Check the current skin medication price and membership terms before joining. Do not assume member discounts combine with longer-plan discounts.

Can I use financing for my custom prescription skin treatment order?

Check the current financing terms to see whether your skin treatment order qualifies. The minimum order is $100, with terms of 3, 6, 12, 24 months. Review the payment schedule and any lender conditions before accepting. Financing does not guarantee a prescription, and medication is charged only after a physician approves treatment.

People also ask

Often paired with.

Skin treatment online, explained

Skin care at Verra starts with a short online visit and a licensed physician in your state. We offer 4 skin options, including Custom anti-aging cream, Acne formula, Dark spot cream, Rosacea cream, each prescribed only when it's appropriate for you.

Unlike a traditional clinic, there's no waiting room and no surprise bill. You'll see prices up front, get a physician response within 24 hours, and receive your medication with free, discreet shipping. Your visit fee is credited toward your first order.

Many skin treatments are compounded, which means a licensed pharmacy prepares them for you, often combining ingredients or setting a specific strength. Compounded medications are not FDA-approved. Your physician will explain the options, what the evidence shows and what to expect.

Questions along the way? Message your care team any time. Your physician can adjust your dose, switch forms or pause treatment. Results vary from person to person, and we'll be honest about what's realistic.

Popular skin searches

Care in your state

A clinician licensed in your state reviews your visit. Eligibility depends on your history and the treatment.

Your visit pays for itself.

Five minutes online. A physician reviews it within 24 hours, and your $99 visit fee is credited in full toward your first order.

Start my visit

Skin

From $39 · visit credited

Start visit

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