Dermatology & Skin Care
Acne Treatment Online — Same Day
Breakouts, clogged pores, blackheads, whiteheads, or persistent pimples on your face, back, or chest? A licensed provider can evaluate what you are dealing with, recommend the right treatment, and send a prescription to your pharmacy the same day. No waiting room, no dermatologist waitlist.
Start a VisitAbout this condition
🧴 Acne — what it is and why it happens
Acne vulgaris is one of the most common skin conditions in the world. Acne affects approximately 85% of adolescents and frequently persists or develops in adulthood. It occurs when hair follicles become clogged with oil (sebum) and dead skin cells, creating an environment where C. acnes — a bacterium that normally lives on healthy skin — can contribute to inflammation within clogged follicles. Acne is not caused by dirty skin or poor hygiene. While diet is not the primary cause of acne, certain dietary patterns may contribute to breakouts in some people — and it is not something you simply have to live with.
Acne affects more than just teenagers. Adults in their 20s, 30s, and 40s frequently deal with persistent or recurrent breakouts, and hormonal acne in women is especially common. Acne can appear on the face, chest, back, shoulders, and neck — anywhere with high concentrations of oil glands.
When left untreated or undertreated, acne can cause scarring and post-inflammatory hyperpigmentation that may persist long after the active breakouts resolve. There is also a real emotional toll. Research consistently links acne to increased rates of anxiety, depression, reduced self-esteem, and social withdrawal. Effective treatment matters, and getting it should not require a months-long wait to see a specialist.
What we treat in this category
Mild-to-moderate acne vulgaris including comedonal acne (blackheads and whiteheads), inflammatory acne (papules and pustules), and hormonally driven acne on the face, chest, and back. Evaluated by a licensed provider who tailors treatment to your skin type, severity, and history.
How acne forms — the four-part process:
- →Excess oil production. Sebaceous glands in the skin produce more oil than needed. Hormonal changes — during puberty, the menstrual cycle, pregnancy, or due to conditions like PCOS — are one of the major contributors to acne by increasing oil production.
- →Clogged follicles. Dead skin cells do not shed properly and mix with sebum to plug hair follicles, forming comedones (blackheads and whiteheads).
- →Bacterial involvement. Cutibacterium acnes (formerly Propionibacterium acnes) normally lives on healthy skin but can contribute to inflammation within clogged follicles.
- →Inflammation. The immune response to bacterial overgrowth creates the redness, swelling, and pain characteristic of inflammatory acne — papules, pustules, and in more severe cases, nodules and cysts.
When acne needs in-person or specialist care
Severe nodulocystic acne, rapidly progressive disease with significant scarring, signs of secondary skin infection, systemic symptoms, or acne that has not responded to multiple standard therapies requires evaluation by a dermatologist in person. Your provider will tell you clearly if that applies to you. MyPhysician360 does not prescribe isotretinoin through this service. Patients who may benefit from isotretinoin will be referred for in-person dermatology care.
Signs you may need treatment
📋 Recognizing your acne
Not all acne is the same. The type of lesions, where they appear, and how long they have been present all help your provider determine what is driving your breakouts and which treatment approach is most appropriate.
| Lesion type | What it looks like | What it means |
|---|---|---|
| Blackheads (open comedones) | Small dark spots in pores; the dark color is oxidized oil, not dirt | Non-inflammatory; clogged follicle open at the surface |
| Whiteheads (closed comedones) | Small flesh-colored or white bumps closed under the skin | Non-inflammatory; clogged follicle sealed at the surface |
| Papules | Small, raised, red or pink bumps that may be tender to touch | Inflammatory; early stage of inflammatory acne |
| Pustules | Raised red lesions with a visible white or yellow pus-filled center | Inflammatory; what most people call a "pimple" |
| Nodules | Large, deep, solid, and painful lumps beneath the skin surface | Severe inflammatory; can cause significant scarring |
| Cysts | Large, painful, pus-filled lumps deep under the skin | Most severe; high risk of scarring; may need specialist care |
| Post-inflammatory hyperpigmentation (PIH) | Dark spots or marks left after active acne resolves | Not active acne, but a common sequela; treatable |
Where acne appears matters too:
| Location | Common pattern | Clinical note |
|---|---|---|
| Face | Forehead, cheeks, chin, jawline, and nose area | Jawline and chin acne in adult women is commonly associated with hormonal acne |
| Back ("bacne") | Upper and mid-back; often inflammatory papules and pustules | Difficult to treat with topicals alone; oral therapy often more effective |
| Chest | Upper chest and décolletage | Frequently co-occurs with facial or back acne |
| Shoulders | Shoulder and upper arm area | May be worsened by friction from clothing or backpack straps |
⚠️ Skip telehealth — see a provider in person if you have:
Large, painful nodules or cysts covering a significant portion of the face or body; rapidly developing or spreading lesions; signs of skin infection (increasing warmth, swelling, or red streaks); significant scarring that is actively worsening; or any acne that has failed multiple topical and oral antibiotic courses without improvement. These presentations require in-person evaluation, and many benefit from isotretinoin, which requires specialist management.
Not sure what type of acne you have or what you need? A licensed provider can evaluate your skin and build a treatment plan today.
Start a VisitHow online care can help
💻 Acne treatment online — what works and what it cannot replace
Mild-to-moderate acne is well-suited for telehealth evaluation and treatment. A licensed provider can review your skin's history, assess the type and distribution of your acne, screen for hormonal factors, and prescribe the most appropriate treatment — all without an office visit. The key to telehealth working well for acne is the quality of the clinical intake: your provider needs a clear picture of your symptoms, what you have tried, and what has or has not worked.
For acne specifically, telehealth gets you access to many of the same prescription medications available at an in-office dermatology visit — topical retinoids, benzoyl peroxide combinations, topical and oral antibiotics, hormonal agents, and more — with a prescription sent directly to your local pharmacy if treatment is appropriate.
| What online acne care can do | What it cannot replace |
|---|---|
| Evaluate your full symptom picture, history, and prior treatments | In-person skin examination for diagnostic uncertainty |
| Classify acne severity and identify type (comedonal, inflammatory, hormonal) | Isotretinoin (Accutane) prescribing, which requires specialist oversight and iPLEDGE enrollment |
| Prescribe topical retinoids, benzoyl peroxide, topical antibiotics | Intralesional corticosteroid injections for individual cystic lesions |
| Prescribe oral doxycycline and other systemic antibiotics when appropriate | In-office procedures (chemical peels, laser, extraction) for existing scarring |
| Prescribe spironolactone or combined oral contraceptives for hormonal acne in women | Management of severe nodulocystic acne requiring escalation beyond standard therapy |
| Recommend appropriate OTC products and skincare regimen adjustments | Care for patients with suspected alternative diagnoses (e.g., rosacea, folliculitis, perioral dermatitis) |
- →⏰ No three-month wait for a dermatologist. Same-day appointments. You describe your skin today and hear from a provider today.
- →🏪 Your prescription goes to your local pharmacy. Your neighborhood pharmacy fills it. No mail-order required.
- →💰 No monthly subscription. A flat fee per visit. No required membership to access our telehealth services.
- →🩺 A real clinical evaluation. A licensed provider reviews your intake, meets with you, and makes an individualized determination. Your skin is unique, and your treatment plan should reflect that.
★★★★★ Patient review
"I had been dealing with breakouts along my jawline for over a year and kept putting off seeing someone. I did a visit with MyPhysician360 and had a prescription ready to pick up the same afternoon. My skin started clearing up within a few weeks. I wish I had done this so much sooner."
Patient, MyPhysician360
Treatment options
💊 How acne is treated
Acne treatment is individualized. The right approach depends on the severity and type of your acne, where it appears, what you have already tried, your skin type, and — for women — whether hormonal factors are involved. Your provider uses this information to build a treatment plan that makes sense for your specific situation. The most important thing to know up front: effective acne treatment takes time. Most regimens require 6 to 12 weeks before meaningful improvement is visible. Consistency is what makes treatment work.
First-line for mild acne
Topical retinoids and benzoyl peroxide, used alone or in combination, are the foundation of mild acne treatment. Topical antibiotics are added for inflammatory lesions but are always paired with benzoyl peroxide to reduce antibiotic resistance risk. Multimodal therapy — combining agents with different mechanisms — is more effective than any single agent alone.
Topical therapies (all severities)
- →Topical retinoids (tretinoin, adapalene, tazarotene, trifarotene) — The cornerstone of acne treatment. Vitamin A derivatives that unclog pores, reduce inflammation, prevent new comedone formation, and help with dark marks left after breakouts. Applied once daily in the evening. Adapalene 0.1% is available over the counter; stronger formulations require a prescription. May cause initial dryness, peeling, or irritation that typically improves with time. Tretinoin should not be applied at the same time as benzoyl peroxide.
- →Benzoyl peroxide (BP) — An over-the-counter antimicrobial agent that kills C. acnes, reduces inflammation, and is mildly comedolytic. Available in concentrations from 2.5% to 10%. No bacterial resistance to benzoyl peroxide has ever been documented, making it particularly valuable when used alongside topical antibiotics. May bleach fabrics. Lower concentrations are often equally effective and better tolerated.
- →Topical antibiotics (clindamycin, erythromycin, minocycline) — Treat acne through antibacterial and anti-inflammatory effects. Never used as monotherapy due to antibiotic resistance risk; always combined with benzoyl peroxide. Applied once or twice daily.
- →Fixed-dose combination products — Single products combining two agents improve convenience and adherence. Common combinations include clindamycin + benzoyl peroxide, adapalene + benzoyl peroxide, and tretinoin + benzoyl peroxide. Some fixed-dose combinations may be less expensive than purchasing the individual agents separately.
- →Clascoterone (topical anti-androgen) — A newer topical agent that directly blocks androgen receptors in the skin, reducing sebum production and inflammation. Available for patients 12 and older. Particularly useful for hormonal acne. High cost is a consideration; insurance coverage varies.
- →Azelaic acid — Comedolytic, antibacterial, and anti-inflammatory. Also reduces post-inflammatory hyperpigmentation, making it useful for patients with skin of color. A good alternative for patients who cannot tolerate retinoids.
- →Salicylic acid — A beta hydroxy acid available over the counter that helps unclog pores. Useful for comedonal acne and as an alternative for patients who cannot tolerate retinoids. Most effective at concentrations of 0.5% to 2%.
First-line for moderate to severe acne
Oral antibiotics are added when topical therapy alone is insufficient to control moderate-to-severe inflammatory acne. Oral antibiotics are always used alongside topical therapy — not as a replacement for it — and are limited to 3 to 4 months to reduce antibiotic resistance risk.
Oral antibiotics (moderate-to-severe inflammatory acne)
- →Doxycycline (first-line oral antibiotic) — The most commonly prescribed oral antibiotic for acne. Treats inflammation and bacterial load effectively. Available in immediate- and extended-release formulations including subantimicrobial dosing (40 mg daily) for patients who benefit from the anti-inflammatory effect without full antibiotic dosing. Taken with food to reduce gastrointestinal side effects. Avoid in pregnancy; contraindicated in children under age 9.
- →Minocycline — Similar efficacy to doxycycline with modest differences in side effect profile. Rare but notable potential adverse effects include vertigo, skin hyperpigmentation, and drug-induced lupus. Used when doxycycline is not appropriate.
- →Sarecycline — A newer, narrow-spectrum tetracycline antibiotic dosed by weight. Lower risk of gastrointestinal and photosensitivity side effects compared to doxycycline and minocycline. Higher cost may affect access.
Hormonal therapies (for women with hormonal acne)
Individualized prescribing
Hormonal therapies are appropriate only for certain patients after a licensed provider reviews your medical history, pregnancy plans, current medications, and individual risk factors. Your provider will determine whether these options are right for your specific situation.
- →Combined oral contraceptives (COCs) — Four COC formulations are FDA-approved for acne treatment in women. They work by reducing androgens that drive sebum overproduction. Most effective for jawline, chin, and lower-face acne that flares around the menstrual cycle. Typically requires 3 to 6 months before full acne benefit is seen. Appropriate for women who also desire contraception; not appropriate for women with certain cardiovascular, clotting, or cancer history contraindications.
- →Spironolactone — An aldosterone receptor antagonist with anti-androgen effects that reduces sebum production and hormonal acne activity in women. Typically prescribed at 50 to 100 mg daily; titrated based on response. Particularly effective for adult women with hormonal or treatment-resistant acne. Not FDA-approved specifically for acne but widely used off-label. Should not be used in pregnancy; reliable contraception is important during treatment. Routine potassium monitoring is not necessary in healthy young women without risk factors.
A note on isotretinoin (Accutane)
Isotretinoin is the most effective acne treatment available and is strongly recommended for severe acne, acne causing scarring or significant psychosocial burden, or acne that has failed standard oral and topical therapy. However, it requires specialist management, mandatory iPLEDGE program enrollment, and regular laboratory monitoring. MyPhysician360 does not prescribe isotretinoin through this service. Patients who may benefit from isotretinoin will be referred for in-person dermatology care.
When will I start seeing improvement?
Most topical acne treatments: 6 to 12 weeks before meaningful improvement. Some patients notice temporary irritation or an apparent increase in breakouts during the first few weeks of retinoid use as skin cell turnover accelerates — this typically resolves and is not a sign treatment is not working. Oral antibiotics: improvement often begins within 4 to 6 weeks, with full effect at 3 months. Hormonal therapies (spironolactone, COCs): typically 3 to 6 months for full benefit. Patience and consistency are the most important factors in acne treatment success.
Ready to find out which approach is right for your skin?
Start a VisitWhat to expect
🗓️ Your visit, start to finish
Here is what happens from the moment you start your visit to when you have a treatment plan in hand.
|
1
Describe your skin
Complete a short intake covering your acne type, location, severity, how long you have had it, what you have tried before, current skincare products, medications, allergies, and relevant history (hormonal factors, PCOS, family history of severe acne). About 5 to 7 minutes. |
2
Meet with your provider
You speak with a licensed provider who reviews your intake, asks follow-up questions, classifies your acne severity, screens for hormonal or other contributing factors, and makes an individualized treatment determination. This is a real clinical evaluation, not an automated form review. |
3
Receive your treatment plan
Your provider explains their recommendation, including which medications to use, how and when to apply them, what to expect in the first few weeks, and how to adjust if you experience irritation. If prescription medication is appropriate, it is sent electronically to your preferred pharmacy the same day. |
4
Follow up as needed
Most providers recommend a follow-up at 6 to 8 weeks to assess response, manage any side effects, and adjust the regimen if needed. If your acne is not improving along expected timelines, or if new nodular or cystic lesions develop, follow up sooner. |
A note on early retinoid use
Some patients notice temporary irritation or an apparent increase in breakouts during the first few weeks of retinoid use. This happens as the medication accelerates skin cell turnover and is not a sign it is not working. It typically resolves on its own. Your provider will explain how to manage any dryness or irritation during the early adjustment period.
Supporting your treatment
🏠 What to do alongside treatment
Medication addresses the underlying causes of acne. These habits support your treatment and help prevent making things worse.
- →Use your prescribed medications consistently. Skipping applications significantly reduces effectiveness. Set a routine and stick to it — most topical regimens take 8 to 12 weeks to show meaningful results.
- →Wash your face twice daily with a gentle, non-medicated, or soapless cleanser. Over-washing strips the skin barrier and can worsen oil production. Avoid harsh scrubbing.
- →Use a non-comedogenic (non-pore-clogging) moisturizer daily. Many acne treatments dry the skin; a good moisturizer prevents irritation, supports the skin barrier, and improves tolerability of treatment.
- →Wear sunscreen every day. Most topical acne treatments increase sun sensitivity. SPF 30 or higher is recommended. Choose an oil-free, non-comedogenic formula.
- →Do not pick, squeeze, or pop lesions. This drives bacteria deeper, worsens inflammation, and significantly increases the risk of scarring and hyperpigmentation.
- →Use only non-comedogenic makeup and skincare products. Look for labels that say "non-comedogenic," "oil-free," or "won't clog pores." When in doubt, less is more.
- →Change your pillowcases frequently (every 2 to 3 days) and avoid resting your face on your hands, which transfers oils and bacteria to skin.
- →If you are on oral antibiotics, take them with food and a full glass of water. Do not lie down for at least 30 minutes after taking doxycycline. This reduces gastrointestinal side effects and prevents esophageal irritation. Take the full course as directed.
- →Avoid applying products that are not part of your recommended regimen during the first several weeks. New products can cause irritation that makes it harder to assess whether your treatment is working.
What about diet and acne?
Evidence on diet and acne is limited and mixed. Some studies suggest that high-glycemic diets may worsen acne in some people. Dairy (particularly skim milk) has also been associated with acne in some research. If you notice a consistent pattern between certain foods and breakouts, that is worth discussing with your provider. However, dietary changes are not a substitute for medical treatment, and the evidence does not support eliminating food groups without a specific clinical reason.
⚠️ Contact your provider or seek care if:
- New or worsening nodular or cystic lesions develop, especially if painful
- Significant skin irritation, peeling, or burning does not improve after 2 to 3 weeks of use
- No improvement at all after 10 to 12 weeks of consistent treatment
- You are taking doxycycline and develop severe gastrointestinal symptoms, difficulty swallowing, or vision changes
- Women on spironolactone who experience unexpected vaginal bleeding, breast pain, or significant menstrual irregularity
- Signs of skin infection: increasing redness, warmth, swelling, red streaks, or fever
- Acne is causing significant distress, depression, or social withdrawal — these symptoms deserve attention and are a valid clinical consideration in treatment planning
Care connected to your pharmacy
🏪 Your prescription. Your pharmacy. Same day.
Pharmacies are the front door of healthcare in most communities. We built MyPhysician360 to respect that. When treatment is appropriate, your prescription goes to the pharmacy you already trust, filled by the pharmacist who already knows you.
Already at the pharmacy asking about acne treatment options? Many of our partner pharmacies have a MyPhysician360 QR code right at the counter. Start your visit from the aisle, and your prescription may be ready before you leave.
- ✓Prescription sent electronically to your pharmacy same day your visit ends
- ✓Pick up at your neighborhood pharmacy or any major chain
- ✓Home delivery available by request at many local pharmacies
- ✓No required memberships to access our telehealth services
- ✓If we cannot treat you online, you will not be charged
Frequently asked questions
❓ Questions about acne treatment online
Straight answers to what patients ask most before their first visit.
Can I get a prescription for acne through telehealth?
Yes. A licensed provider can prescribe the full range of standard acne medications through a telehealth visit, including topical retinoids (tretinoin, adapalene, tazarotene), prescription-strength benzoyl peroxide combinations, topical antibiotics (clindamycin, minocycline), oral antibiotics (doxycycline, minocycline, sarecycline), and hormonal agents (spironolactone, combined oral contraceptives) for appropriate patients. MyPhysician360 does not prescribe isotretinoin (Accutane) through this service, as it requires specialist management and iPLEDGE enrollment. If your provider determines you are a candidate, you will be referred for in-person dermatology care.
What is the difference between mild, moderate, and severe acne?
Mild acne typically involves mostly comedones (blackheads and whiteheads) and a small number of papules or pustules, with minimal or no scarring. Moderate acne involves more widespread inflammatory lesions (papules and pustules) across a larger area of the face, chest, or back. Severe acne involves nodules and cysts, widespread inflammatory lesions, significant scarring risk, or significant psychosocial impact. Mild and moderate acne are typically appropriate for telehealth management. Severe acne, particularly nodulocystic acne, often benefits from in-person specialist evaluation and may require isotretinoin.
I have tried everything over the counter and nothing works. What are my options?
Over-the-counter products contain limited concentrations of active ingredients and often do not include the most effective treatments — specifically prescription-strength topical retinoids, combination products, oral antibiotics, and hormonal therapies. If OTC products have not worked, that is exactly the situation telehealth prescribing is designed for. A provider can prescribe stronger topical retinoids, combination topical regimens, or oral medications that OTC products cannot provide. If you have already tried multiple prescription treatments without success, or if your acne includes nodules and cysts, your provider may recommend specialist evaluation for escalated care including isotretinoin.
I am a woman with hormonal acne — breakouts along my jaw and chin that get worse around my period. What can help?
Jawline and chin acne that flares cyclically is one of the most clearly hormonally driven acne patterns, and it often responds best to hormonal treatment. Spironolactone and combined oral contraceptives (COCs) are both effective options for adult women with this presentation. Spironolactone is typically prescribed at 50 to 100 mg daily and works by blocking the androgen activity that drives excess sebum production. COCs also reduce androgens and are a good option for women who also want contraception. Both options typically take 3 to 6 months to show full benefit. Your provider can evaluate which approach is appropriate based on your health history and preferences.
Is it safe to use a topical antibiotic long term?
Topical antibiotics used as monotherapy long term are not recommended because of the risk of contributing to antibiotic resistance — particularly resistance in Cutibacterium acnes. For this reason, topical antibiotics are always prescribed in combination with benzoyl peroxide, which prevents resistance from developing. The standard approach is to use oral antibiotics for the shortest effective course (typically 3 to 4 months), then transition to a maintenance regimen of topical retinoid and benzoyl peroxide — which can be used long term safely.
Why does my provider want me to use benzoyl peroxide with my antibiotic?
Benzoyl peroxide kills C. acnes bacteria through a completely different mechanism than antibiotics, and no resistance to benzoyl peroxide has ever been documented. When benzoyl peroxide is used alongside a topical or oral antibiotic, it prevents the development of antibiotic-resistant bacteria — a clinically important goal given the broad use of antibiotics for acne. Current evidence-based guidelines strongly recommend concurrent use of benzoyl peroxide whenever an antibiotic (topical or oral) is part of the treatment plan.
My skin is getting worse after starting tretinoin. Is that normal?
It may be. Some patients notice temporary irritation or an apparent increase in breakouts in the first 2 to 4 weeks of retinoid use, as the medication accelerates skin cell turnover. Dryness, peeling, and mild redness are also common early on. These effects typically improve by weeks 4 to 6. Starting with a low concentration and applying every other night initially can help minimize early irritation. This is not a sign the treatment is not working — but if breakouts are severe or new nodular lesions are appearing, contact your provider.
Can I treat acne on my back or chest through telehealth?
Yes. Trunk acne — on the back, chest, and shoulders — can be evaluated and treated through telehealth. Topical treatments can be more difficult to apply consistently to the back, and many patients with significant back acne benefit from oral antibiotics or hormonal therapy as part of their regimen. Your provider will discuss which approach makes the most sense based on the severity and distribution of your acne.
I have dark spots left over from old pimples. Is that something that can be treated?
Yes. Post-inflammatory hyperpigmentation (PIH) — the dark marks left after acne lesions heal — is very common and is treatable. Topical retinoids help with both active acne and PIH, making them particularly valuable for this reason. Azelaic acid also has a lightening effect on hyperpigmentation. The most important step is treating active acne first, so new lesions are not continuing to create new marks. Sun protection is also critical — UV exposure significantly darkens existing PIH. If persistent hyperpigmentation is a concern, let your provider know at your visit so they can incorporate it into your treatment plan.
Can teenagers get acne treatment through MyPhysician360?
Yes. Acne treatment is available for patients aged 9 and older. Many of the most commonly prescribed topical medications are FDA-approved for adolescents at these ages. Certain medications have minimum age requirements — for example, doxycycline is not used in patients under age 9 due to tooth development concerns, and some topical retinoids are approved starting at age 12. Your provider will factor age into treatment selection. For patients under 18, parental or guardian consent may be required depending on your state.
Is this visit HSA or FSA eligible?
Yes. MyPhysician360 consultations are HSA and FSA eligible. Your visit cost is reimbursable through your Health Savings Account or Flexible Spending Account, making this accessible through your existing health benefits even without insurance.
Helpful resources
📚 Learn more
Your provider may reference these educational materials during your visit. Links go straight to the source.
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🔬 Clinical guidelines Guidelines of Care for the Management of Acne Vulgaris American Academy of Dermatology (AAD), 2024 Read the guideline → |
📖 Patient education Acne — Overview, Symptoms, Causes, and Treatment Mayo Clinic Visit Mayo Clinic → |
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🏥 Patient overview Acne: Overview and Treatment Information American Academy of Dermatology (AAD) Visit AAD → |
📊 Hormonal acne Adult Acne in Women — Hormonal Factors and Treatment American Academy of Dermatology (AAD) Visit AAD → |
Ready to get your skin under control? Let's get started.
Answer a few questions, meet with a licensed provider same day, and get a personalized acne treatment plan. No required membership. Available in most states. Your prescription, if appropriate, goes straight to your pharmacy.
HSA & FSA eligible | No required membership | No charge if we can't help
Medical disclaimer & sources: The information on this page is for general educational purposes only and does not constitute medical advice. Diagnosis and treatment of acne requires clinical evaluation by a licensed provider. Not all conditions are appropriate for telehealth management. Patients with severe nodulocystic acne, rapidly progressive disease, suspected secondary infection, or acne that has failed multiple standard therapies should seek in-person evaluation by a dermatologist. MyPhysician360 does not prescribe isotretinoin through this service; patients who may benefit will be referred for in-person dermatology care. Content on this page is informed by the MyPhysician360 Acne Clinical Protocol (April 2026) and the American Academy of Dermatology Guidelines of Care for the Management of Acne Vulgaris (2024, Reynolds et al., J Am Acad Dermatol). Antibiotic prescribing is determined by a licensed provider on a case-by-case basis based on individual clinical presentation and in accordance with antibiotic stewardship principles. MyPhysician360 services are available in most states. Services are not currently available in Mississippi or Alaska.