9 treatments, every price all in.
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Illustration. The tube you receive may look different.
Prescription strength, built up gradually rather than started at the top. Not for use if you are pregnant, planning a pregnancy or breastfeeding. Photograph week one, because the change is slow enough to miss.
No membership required to be a patient, at any dose.
Available strengths (optional)Pick one only if you are transferring a prescription or were prescribed it before. Your provider decides the dose.
If prescribed · $100 per refill, all in
A licensed provider decides, and says so plainly if the answer is no.
Prescription only. Read the important safety information.Already a patient? Order a refill
Tap anything else that is going on and it is flagged for your provider. It is read with everything else. Nothing is added to a plan here, and nothing changes the price.
What to keep in mind while your skin adjusts.
It is not used if you are pregnant, planning a pregnancy or breastfeeding. If you become pregnant while using it, contact your provider.
Keep hair removal creams, waxing and other medicated products such as benzoyl peroxide off treated skin unless your provider says otherwise.
Use only non-medicated makeup on treated skin, wear sunscreen daily, and avoid sun lamps and tanning.
If you are using it for acne, it can look worse in the first 7 to 10 days. That is expected, and worth a photo.
Source: MedlinePlus (U.S. National Library of Medicine), Tretinoin Topical, revised December 2025.
In your own words. You add a payment method at checkout.
A provider licensed in your state. They decide, not an algorithm.
It ships from a licensed independent pharmacy, and your provider sets any follow-up.
Nothing here is required reading.
A refill is $100 and lasts about 3 months, so twelve months here is $400, which covers your medication, your provider, follow-ups and shipping. Lab tests your provider orders aren’t included in your price. They’re billed by the lab you choose, not by Panterra.
The largest providers in this category publish a $39 introductory month renewing at $149 a month. That fee buys no medication: it is billed separately and, in at least one case, is not available without an active membership. On the same medication cost, twelve months there is $2,078.
$39 plus $149 times 11 is $1,678 in fees over year one. Medication is priced identically on both sides of this comparison, so the only variable is what you are charged for being a patient.
Competitor figures were accurate to published rates at time of writing and change frequently. Verify before relying on them.
No. That is the rule the business is built on, so we can publish the entire schedule up front. Your starting price is confirmed by your provider before anything ships, and it does not move as your dose does.
Your provider sets the starting point and every change based on how you respond. Some people never move past the first step, and that is a normal outcome.
Worth asking anywhere you shop: what is the price at the highest dose I might reach? Competitors commonly publish medication prices that step up, separately from the monthly fee.
FDA has approved tretinoin creams to treat acne. The tretinoin dispensed through Panterra is an FDA-approved generic tretinoin cream, filled by a state-licensed pharmacy. Your provider prescribes it based on their clinical judgement and your intake, and can change or stop it at any time.
Not usually for tretinoin. Your provider decides whether you need labs first.
If your answers suggest something else is going on, thyroid, iron or blood sugar, your provider may want a panel before prescribing. Where a panel is clinically needed, your provider orders it. Lab tests your provider orders aren’t included in your price. They’re billed by the lab you choose, not by Panterra.
Sometimes a panel means no prescription at all. A thyroid result can be the whole answer, and that ends in a referral rather than a sale.
A provider makes the final call. Results vary and are not guaranteed.
Care through this site is currently available in Alabama, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin and Wyoming. A provider licensed in your state reviews your assessment, and some treatments are not available in every state, so the assessment asks for your state first.
Nothing renews on its own. Each refill is a new order you place. There is no membership, no exit fee, and no prepayment to reclaim.
There is nothing to cancel.
If you have placed an order and want to withdraw it before a provider approves it, message your care team in your portal or email support.
No membership required to be a patient. No separate intake or visit fee: your provider visit is included in the price. No exit fee.
Lab tests your provider orders aren’t included in your price. They’re billed by the lab you choose, not by Panterra.
A provider licensed in your state reads your intake before anything ships, and their name appears on the plan you receive.
The options here are long established in dermatology. Which one fits depends on what your provider sees in your intake, not on what is easiest to ship.
They say so plainly, and your provider sets any follow-up rather than leaving you alone.
For Tretinoin. A summary, not the complete list of risks. If you add another treatment to your plan, its own page carries its safety information.
Only a licensed provider can decide whether this treatment is appropriate for you. Do not use it if you are pregnant, planning to become pregnant or breastfeeding, if you have eczema or sunburn on the area to be treated, or if you have reacted to a retinoid before. Tell your provider about other skin products you use, especially anything drying or exfoliating.
This is a topical retinoid. It makes skin much more sensitive to sunlight: use sunscreen daily and avoid sun lamps and tanning. Severe redness, blistering, crusting or swelling means stop and contact your provider. Avoid waxing and harsh scrubs on treated skin. Keep it away from the eyes, mouth and nostrils.
Redness, peeling, dryness, stinging or warmth, and a temporary flare in the first weeks that usually settles by week eight to twelve.
Adding treatments at the same time makes it harder to tell which one is working and which one is causing a side effect. A provider will usually ask you to stage them, starting one and adding the next at a follow-up. If you add another treatment to your plan, its own safety information applies as well.
This treatment is an FDA-approved generic tretinoin cream, dispensed for you by a state-licensed pharmacy. Your provider prescribes it based on their clinical judgement and your intake, and can change or stop it at any time.
Report side effects to the FDA at 1-800-FDA-1088 or fda.gov/medwatch. In an emergency, call 911. This site does not provide medical advice; eligibility is determined by a licensed provider.
You add a payment method at checkout. If treatment is not right for you, a provider says so plainly.
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