Rx

Nurx Dark Spots Formula

Azelaic acid 6%, kojic acid 6%, hydroquinone 4%, hydrocortisone 1%, tretinoin 0.05%

Created just for Nurx, this prescription formula pairs skin-brightening ingredients that are clinically-backed to fade hyperpigmentation, dark spots, and melasma.*

Dark spots/Melasma Icon Dark spots/Melasma
Topical cream Icon Topical cream

$30/month

Please note that Nurx Dark Spots Formula is a 3-month supply of formula in a single bottle. Medication shipped and billed quarterly. Insurance does not cover this medication. Additional costs apply, including consultation and periodic support fee. Compounded drugs are not FDA-approved or evaluated for safety, efficacy, or quality.

New_BigImage-Desktop-1230×470-melasma

A Nurx signature formula

  • Created by dermatologists just for Nurx patients
  • Includes FDA-approved hydroquinone, known for its ability to brighten skin
  • Designed with sensitive skin in mind
  • Fragrance-free, formulated without common allergens, silicone-free, and free from parabens
Find my treatment

Fade dark spots with science

A close-up of golden oil droplets, reminiscent of the rich texture of tretinoin cream, suspended in a pale liquid background.
decreases pigment

Azelaic acid

Reduces skin discoloration and dark spots caused by melasma.

Image Illustrating 'Kojic acid'
Decreases pigment

Kojic acid

Reduces the production of melanin in the skin.

Image Illustrating 'Hydrocortisone'
Anti-inflammatory

Hydrocortisone

Helps fade skin discoloration.

Close-up of a pile of white flour with a slightly textured surface, reminiscent of the fine consistency often associated with Tretinoin Cream.
decreases pigment

Hydroquinone

Reduces melanin production and fades dark spots from melasma.

A close-up of a smooth, creamy white substance, much like tretinoin cream, evenly spread with soft swirls and a shiny texture.
Retinoid

Tretinoin

Increases skin cell turnover to reduce pigmentation.

Real patient stories

Image Illustrating 'How to use Nurx Dark Spots Formula'

How to use Nurx Dark Spots Formula

Consistency is key to success with treating dark spots.

Note: This formula contains hydroquinone and is intended for short-term use (up to 3 months at a time). Your provider will guide you on when to pause this formula, transition to a different prescription, and safely resume use.

Drug facts

STEP 1

Use as part of your nighttime routine. To start, wash your face with a gentle cleanser and towel dry. 

STEP 2

Apply a pea-sized amount of Nurx Dark Spots Formula to any patches of dark spots, melasma, or hyperpigmentation and rub in gently.

STEP 3

Seal with moisturizer if you notice any dryness.

How getting Nurx Dark Spots Formula works

1

Request treatment

Complete our online dermatology consultation, which asks questions
about your health history and skin goals. You’ll have the option to request Nurx Dark Spots Formula.

2

Connect with a provider

After evaluating your consultation, a provider licensed in your state will prescribe Nurx Dark Spots Formula (if clinically appropriate).

3

Get it delivered

We’ll send a 3-month supply in one bottle straight to your doorstep and check in with you to see how it’s working. Adjust, pause, or cancel anytime.

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100%

online expert-level care

2+ million

Nurx patients served

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Why Nurx?

Affordable

Quality treatment at an attainable price

Convenient

Easy refills & shipping to your door

Personalized

Providers help you find the right treatment

Supportive

Unlimited messaging for any questions, anytime

Common questions

  • What is Nurx Dark Spots Formula? 

    Nurx Dark Spots Formula is a signature prescription cream with science-backed ingredients that help fade dark spots, melasma, and hyperpigmentation.

  • Does Nurx Dark Spots Formula require a prescription?

    Yes, Nurx Dark Spots Formula is available only through Nurx and via a prescription from a Nurx provider, who will work with you to understand your skin history and goals. If clinically appropriate, they’ll prescribe Nurx Dark Spots Formula to help treat dark spots, melasma, and hyperpigmentation. 

  • How does Nurx Dark Spots Formula differ from other products containing only hydroquinone?

    Nurx Dark Spots Formula gives you multiple ingredients, without the need for multiple products. Our formula contains additional active ingredients, such as azelaic acid and tretinoin, that are science-backed to help fade hyperpigmentation, dark spots, or melasma.

  • What precautions should I take when using Nurx Dark Spots Formula?

    Nurx Dark Spots Formula contains active ingredients that can make your skin more sensitive to the sun. It’s important to always wear SPF when using this product. 



    Those who are pregnant should not use Nurx Dark Spots Formula, and should speak to their healthcare provider about alternative treatment options.

  • Does Nurx Dark Spots Formula affect freckles?

    While the active ingredients in Nurx Dark Spots Formula may lighten and reduce the appearance of freckles, they will not eliminate freckles completely.

  • Is Nurx Dark Spots Formula intended for long-term use?

    As this formula contains hydroquinone, it is intended to be used in short-term periods of up to 3 months at a time. Your provider will guide you on when to pause this formula, transition to a different prescription, and then safely resume use.

  • What is a compounded formula?

    A compounded formula pairs multiple ingredients in one product, allowing you to get multiple clinically-backed skincare ingredients without adding steps in your routine.



    Please note that as Nurx Dark Spots Formula is a compounded formula, it is not FDA-approved. Therefore the FDA did not verify the safety, effectiveness, or quality of this compounded drug. A Nurx medical provider will help determine if Dark Spots Formula is a good fit for you.

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DR. PETER YOUNG, MEDICAL DIRECTOR

Meet your medical team

“Our Nurx formulas contain gold-standard ingredients that have been used to treat skin aging and hyperpigmentation for decades, designed by leading dermatologists with over 25 years of experience.”

Dr. Young is a board-certified dermatologist who advises the Nurx medical team on how to provide the highest quality of care for dermatology conditions through telehealth.

*Individual results may vary. Important drug safety and benefits information on Nurx Dark Spots Formula (azelaic acid 6%, kojic acid 6%, hydroquinone 4%, hydrocortisone 1%, tretinoin 0.05%), an Rx only compound drug, can be found here. Dark Spots Formula has not been FDA-approved or evaluated for safety, efficacy, or quality but can be used to minimize signs of hyperpigmentation and dark spots. It may cause side effects including stinging, irritation, swelling, and/or peeling. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

◊Services not offered in every state. Medications prescribed only if clinically appropriate, based on completion of the required consultation.

‡The information provided here is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided here for specific medical advice. If you have any questions or concerns, please talk to your provider.

Talk to our experts

Not sure if this medication is right for you?

Connect with a Nurx provider for a personalized treatment recommendation.

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.

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