Dark Spot Treatment Online

Treat dark spots

Now Nurx will prescribe dark spot treatment online and deliver it to your door, including tretinoin to help reverse dark spots and hydroquinone to treat hyperpigmentation from melasma.

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24/7 access to care
Unlimited messaging with providers
Free shipping and automatic refills
24/7 access to care
Unlimited messaging with providers
Free shipping and automatic refills
24/7 access to care
Unlimited messaging with providers
Free shipping and automatic refills
24/7 access to care
Unlimited messaging with providers
Free shipping and automatic refills

How it works


Request your prescription

Answer questions about your health history and skin concerns and share a few photos in our website or app.


Our providers review

A medical provider licensed in your state will assess your skin and prescribe treatment that’s right for you, if medically appropriate.


We deliver your medication

A 3-month supply of medication arrives at your door with free shipping. Message our medical team any time with questions.

It's all in the details

  • Medication plan customized for your skin

  • Prescription medications, picked for you

  • Expert support from a real medical provider

  • Work with your medical provider to adjust your treatment until you're happy

  • One-size-fits-all (does it ever though?)

  • No science-backed ingredients

  • You're on your own

  • Buy it, try it, toss it, repeat

Dark spot treatment

Tretinoin: The generic version of Retin-A, tretinoin is the most widely prescribed retinoid that treats signs of skin aging related to sun exposure. Nurx prescribes tretinoin in three strengths. If a patient is new to retinoids they will usually start a patient on the lowest strength and, if desired, switch the patient to a stronger retinoid if the milder retinoid is well-tolerated (meaning it doesn’t cause skin flaking or irritation).

Adapalene: This less irritating retinoid (which has a non-prescription 0.1% strength version called Differin) may be prescribed to people with skin conditions such eczema, or those with very sensitive skin who experience irritation or redness when using tretinoin.

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Melasma treatment

Hydroquinone: This prescription cream is the best-studied treatment for melasma. Usually it is prescribed for no longer than 3 months, because it can have side effects with prolonged use.

Azelaic Acid: This gel reduces dark spots and skin discoloration, and is sometimes prescribed alongside hydroquinone, or after a patient has already used hydroquinone for 3 months and needs to take a break.

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Treatment options + pricing

Once you share your health history and pay for your medical consultation, a Nurx healthcare provider will evaluate your skin and determine the right retinoid treatment for you. Then we’ll send a 3-month supply to your door, and send automatic refills for 1 year (but you can put a hold on your medication delivery or cancel any time). These medications are not covered by insurance and only available with out-of-pocket pricing.

Topical Medication Out-of-Pocket Price
Tretinoin .025% $30 / month
Tretinoin .05% $30 / month
Tretinoin .1% $30 / month
Adapalene 0.3% $30 / month
Hydroquinone Cream $30 / month
Azelaic Acid 15% $30 / month

Common questions

  • How does melasma treatment with Nurx work?

    Simply answer a few questions about your symptoms or health history on the Nurx website or app, then share a few photos of your skin. There’s no appointment required and you can get started any time. Within a couple of days one of our licensed medical providers will conduct a virtual assessment by reviewing your answers and photos. They’ll create your personalized prescription treatment plan (if medically appropriate) then our pharmacy will send the medication directly to your door.

  • How much does melasma treatment through Nurx cost?

    When you submit your request for treatment you’ll pay $40 for the medical assessment, and this cost includes one year of messaging with our medical team about your treatment. Medication prices range from $50-$90 for a three-month supply, and are not covered by insurance. Shipping is always free.

  • What type of melasma treatment does Nurx prescribe?

    Nurx prescribes the same clinically proven prescription medications you would receive from an in-person dermatologist. This is evidence-backed medication, not mystery creams in fancy packaging.

  • Who can use melasma treatment from Nurx?

    Both men and women 18 and older who are not pregnant can request melasma treatment if they live in a state where Nurx operates. Your Nurx medical provider will assess whether we can safely and appropriately treat your symptoms via telehealth.


Meet your medical team

We are doctors, nurses, nurse practitioners, pharmacists, and physician assistants who are passionate about providing patient care. The Nurx medical team believes that everyone deserves access to personalized, non-judgmental healthcare, and that open and honest communication is key.

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Recommended readings

Learn the latest research and get seasonal lifestyle advice for healthy skin.

Exceptional care at every step

At Nurx, we make it easy to get the expert healthcare you deserve. From schedules to health history, everybody is different—so we provide treatment and care that’s personalized to you. Through life’s cycles, changes, and transitions, we’re here to help you make informed choices about your health.

Exceptional care at every step
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