Fine lines · texture · dullness
Fine lines and changing texture. Care that fits your routine.
Explore prescription skincare options with a licensed provider’s review. Start with your goals and experience; your provider decides the formula, strength and directions.

What a provider may consider
Real formulas from the CutisRx formulary.
Listed with their actual actives and strengths. A licensed provider decides whether any of them is appropriate, which, and the directions.

Ships in standard pharmacy packaging.
Formula card · from the CutisRx formulary
Formulas a provider may consider
Existing catalogue formulas listed for this concern, with their actives and strengths. They are not a recommendation and nothing is prescribed. Whether any is appropriate, which one, and how to use it is decided by the prescribing provider.
Niacinamide / Tretinoin 2/0.025% Cream
Cream · 30g · Topical- Niacinamide
- Tretinoin
Formulary strength: 2/0.025%
Niacinamide with tretinoin at the lowest of three catalogue retinoid strengths.
Formulary reference CUTIS_8242969 · prescription only · About this formula
Niacinamide / Tretinoin 2/0.05% Cream
Cream · 30g · Topical- Niacinamide
- Tretinoin
Formulary strength: 2/0.05%
Niacinamide with tretinoin at the middle catalogue retinoid strength.
Formulary reference CUTIS_8242968 · prescription only · About this formula
Niacinamide / Tretinoin 2/0.1% Cream
Cream · 30g · Topical- Niacinamide
- Tretinoin
Formulary strength: 2/0.1%
Niacinamide with tretinoin at the highest catalogue retinoid strength.
Formulary reference CUTIS_8242971 · prescription only · About this formula
Azelaic Acid / Niacinamide / Tretinoin 15/4/0.025% Cream
Cream · 30g / 60g · Topical- Azelaic Acid
- Niacinamide
- Tretinoin
Formulary strength: 15/4/0.025%
Azelaic acid, niacinamide and a lower-strength retinoid in one cream, listed for texture, anti-aging and pigment.
Formulary reference CUTIS_8274811 · prescription only · About this formula
Adapalene / Niacinamide 0.1/4% Cream
Cream · 30g / 60g · Topical- Adapalene
- Niacinamide
Formulary strength: 0.1/4%
A third-generation retinoid (adapalene) paired with niacinamide, listed for texture and acne.
Formulary reference CUTIS_8388802 · prescription only · About this formula
Listing does not confirm current stock or pharmacy availability. No blend has been created for you.
Worth knowing
Prescription routines start steadily.
Retinoids are the backbone. Most prescription routines for fine lines use a retinoid such as tretinoin, introduced gradually as your prescriber directs.
Strength is stepped. The catalogue lists the same niacinamide and tretinoin cream at three strengths, so a provider can choose a starting point.
Sun protection alongside. Retinoids increase sun sensitivity; daily protection usually sits alongside.
General education, reviewed for tone, not a diagnosis. Your provider will consider your own history.
How it works
From first question to pharmacy, in one order.
- 01
A few questions
Two short questions. No account, no email. Not a medical assessment.
- 02
Your plan and price
See the formulas a provider may consider, your plan options and the full price before checkout.
- 03
Checkout
Your card is authorized, not charged. The full renewal terms are shown in plain view.
- 04
Medical intake and photos
Health history, medicines, allergies and a few photos for the provider.
- 05
Provider review
A licensed provider in our network decides whether a prescription is appropriate.
- 06
Charged and shipped, if approved
Only if approved: your card is charged and a licensed pharmacy ships in standard pharmacy packaging.
Pricing
The anti-aging plan.
8-week plan
$89 every 8 weeks
$44.50 per 4 weeks, billed every 8 weeks. Includes provider review, one treatment if prescribed and USPS standard shipping. Applicable tax extra.
$109 on your first order: the plan price plus a one-time $20 provider review fee for a new treatment. Then $89 every 8 weeks until you cancel; renewals never include the review fee.
Your card is authorized at checkout and charged only if the provider approves.
Start the fit check- Licensed provider review
Of your intake and photos. A prescription only if appropriate.
- Your prescription formula, if prescribed
Prepared by a licensed pharmacy in standard pharmacy packaging.
- USPS standard shipping
UPS 2-day $10 or overnight $35 if you prefer.
- Check-ins at start, week 4 and week 8
Time-stamped photos at these points also support a refund request.

Meet our founder
Dr. Peter J. Malouf, D.O.
Protocols designed by Dr. Malouf.
- NPI-verified D.O. (NPI 1225047012)
- Texas medical license K0518
- Mohs surgery training, Texas Tech University Health Sciences Center, 1996–99
- Fort Worth Magazine Best Doctor
- Texas Monthly Super Doctor
Credentials from Dr. Malouf’s intake and the public NPI registry. Awards to be evidenced before publication.
The founder storyWho reviews your intake
Board-certified dermatologist reviews.
A licensed provider in our network reads your medical intake and photos, may ask follow-up questions, and decides whether a prescription is appropriate. If they prescribe, the formula, strength and directions are theirs. Approval is not guaranteed.
Reviewing providers: Quick Western Medical, and Knox Beasley, MD. Pharmacy: Foothills Formulary. Dr. Malouf designed the CutisRx protocols. He is not a treating provider on CutisRx: licensed providers in the network review each intake.
Questions
About anti-aging care.
Will a stronger retinoid work faster?
Not necessarily, and stronger formulas tend to be harder to tolerate. Your provider chooses a strength based on your skin and history. No result or timeline is promised.
Can I keep my current skincare?
List everything you use in the intake. Your provider may suggest pausing some products, especially other exfoliants or retinoids.
Who reviews my information?
Board-certified dermatologist reviews, by licensed providers in our telehealth network: Quick Western Medical, and Knox Beasley, MD. A licensed provider in our network reads your medical intake and photos, may ask follow-up questions, and decides whether a prescription is appropriate. If they prescribe, the formula, strength and directions are theirs. Approval is not guaranteed.
Dr. Malouf designed the CutisRx protocols. He is not a treating provider on CutisRx: licensed providers in the network review each intake.
When am I charged?
Your card is authorized at checkout and charged only if the provider approves. If the provider does not approve treatment, the authorization is released and you are not charged. Your bank controls how quickly the hold disappears.
What plans are there?
One plan: $89 every 8 weeks, which is $44.50 per 4 weeks, billed every 8 weeks, plus applicable tax. Your first order is $109: the plan price plus a one-time $20 provider review fee for a new treatment. After that it renews at $89 every 8 weeks until you cancel, with no review fee on renewals. Each renewal needs the provider’s approval. Check-ins at the start, week 4 and week 8 are part of the routine.
What is compounding?
Compounding means a licensed pharmacy prepares a medication to a prescriber’s specification, which allows combinations and strengths not sold as standard products. Compounded medications have not been approved by the FDA, and the FDA does not review them for safety, effectiveness or quality before they are dispensed. Ingredient information on this site is education only.
Refund policy, in brief
Product refunds are available only for a documented intolerance or side effect, or for use as directed shown by time-stamped photos at start, week 4 and week 8.
About compounded prescriptions. CutisRx prescriptions may be custom compounded by a licensed pharmacy. Compounded medications have not been approved by the FDA, and the FDA does not review them for safety, effectiveness or quality before they are dispensed. Ingredient information on this site is education only. Your prescriber decides whether a compounded medication is appropriate for you.
Choose your concern
$89 every 8 weeks ($44.50 per 4 weeks), plus a one-time $20 provider review fee on your first order. A licensed provider in our network decides whether treatment is appropriate.