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A dermatologist answers

Curology vs a dermatologist you message: a custom formula subscription or your own prescription?

Curology charges $29.95/mo for a compounded formula subscription (as of October 2026), while a $40 FutureClinic visit connects you with a doctor who can prescribe to your pharmacy and treat acne, eczema, or psoriasis.

Dr. Usama Syed, MDReviewed October 2026 · 7 min read

The short answer

Curology offers a custom compounded skincare formula on a required subscription for $29.95 a month ($59.90 per 60-day shipment as of October 2026), while FutureClinic connects you with a licensed physician (MD, DO or MBBS) for $40 for the best-fit doctor (or a chosen doctor's listed price, typically $20 to $100) with no subscription required. Curology suits patients across all 50 states and D.C., ages 13 and up, who want its compounded bottle and provider check-in bundled into recurring shipments for acne, rosacea, or skin aging. FutureClinic sends prescriptions to the pharmacy you choose, if your doctor decides it's right for you, and a dermatologist can also treat other conditions in their specialty like eczema or psoriasis.

Key facts

  • Curology's custom prescription formula costs $29.95 a month ($59.90 per 60-day shipment as of October 2026, or $359.40 a year) on a required subscription in all 50 states and D.C. for ages 13 and up, with care from a board-certified physician, physician assistant, or nurse practitioner and typical replies in 2 to 3 days.
  • On FutureClinic, you pay $40 for a visit with the best-fit doctor or a chosen doctor's listed price (typically $20 to $100), and you can return to the same doctor over time, always a physician with an MD, DO or MBBS degree whose plan includes a live-recorded Human Signature.
  • Because FutureClinic doctors sell no medicine and earn nothing extra for any prescription or test, their only incentive is to help you: they can prescribe any fitting brand or generic to the pharmacy you choose, and a dermatologist can also treat eczema or psoriasis; dermatologists who offer oral isotretinoin manage it by message, iPLEDGE included.

Curology pairs a custom compounded skincare bottle with a provider check-in on a recurring subscription for $29.95 a month ($59.90 per 60-day shipment as of October 2026), treating acne, rosacea, skin aging, and certain types of hair loss across all 50 states and D.C. for ages 13 and up. FutureClinic connects you by message with a licensed physician for a $40 visit (or a chosen doctor's listed price, typically $20 to $100), sending prescriptions to the pharmacy you choose, and a dermatologist can also treat eczema and psoriasis.

At FutureClinic, a specific physician reads your history and photos, explains their thinking, and sends a Human Signature, a live voice or video note recorded for you. No form is approved in bulk. You message the same doctor time after time, however long in between, building trust as you try treatments together, adjust a retinoid dose, swap an irritating cream, or decide when to step up or down.

Beyond your initial concern, that physician can address other problems in their specialty, meaning the dermatologist managing your breakouts can also care for eczema or psoriasis, while any additional FutureClinic doctors you consult share one medical record. Because there is no subscription required, a licensed physician (MD, DO or MBBS) can send a prescription directly to the pharmacy you choose, if your doctor decides it's right for you.

How Curology and FutureClinic compare side by side

FeatureCurologyFutureClinic
Who treats you"board-certified physician, physician assistant, or nurse practitioner"Physicians only (MD, DO or MBBS)
Price (as of Oct 2026)Custom formula $29.95/mo ($59.90/60 days); hair $44.95/mo$40 best-fit doctor, or chosen doctor's price, typically $20 to $100
Subscription required?Yes online (Walmart kit needed none)No subscription required; optional membership
Medicine sourcePersonalized Skin Solutions, Inc.; pills to local pharmacy or InnovaScriptThe pharmacy you choose, local or mail-order
Scope of careAcne, rosacea, aging, some hair loss; no eczema, psoriasis, or isotretinoinOther problems in their specialty; every FutureClinic doctor you see works from one medical record
How you reach themWebsite/app messaging; no MCP or AI app foundfutureclinic.com or your AI app
What you get backWritten plan; typical reply 2 to 3 daysPlan with Human Signature; replies typically within a few hours

Do you want Curology's formula plan, or a physician with nothing attached?

Curology fits patients who want its compounded formula and check-in bundled into recurring shipments. As of October 2026, its custom prescription formula is $29.95/mo ($59.90 per 60-day shipment) and its hair formula is $44.95/mo, after a $5.45 shipping 30-day trial (subscription required). Its anti-aging brand, Agency, costs $110 to $130 per 60-day order as of October 2026. As Glossy reported in August 2026, Curology tested a $24.97 Walmart kit with no subscription (refills $59.90/60 days or $34.95/30 days). Curology offers a 90-day refund guarantee after two photo check-ins, grants up to $400 of credit to 70 people monthly via its Access Program, and treats ages 13+ in all 50 states and D.C.

FutureClinic fits patients who wanted an expert doctor directly. Here, the doctor's only incentive is to help you: FutureClinic sells no medicine and doctors earn nothing extra for any prescription or test, so they never upsell a formula or lab panel. You never stay subscribed month after month to keep your medicine. When appropriate, your physician can order discounted lab tests and send whichever brand or generic medication fits your case, free of any house formulary, to the pharmacy you choose (including mail-order pharmacies that deliver to your home), if your doctor decides it's right for you.

Can your dermatologist also treat eczema, psoriasis, or prescribe Accutane?

Under Curology's eligibility rules, it does not treat eczema, vitiligo, psoriasis, or seborrheic dermatitis, and does not prescribe isotretinoin. On FutureClinic, a dermatologist can help with other problems in their specialty, so you can message the same doctor about eczema or psoriasis alongside your acne refills. Dermatologists who offer oral isotretinoin (Accutane) manage it by message, iPLEDGE included. FutureClinic has over 300 doctors, both generalists and specialists. Every FutureClinic doctor you see, across more than 60 specialties, works from one medical record.

Who reviews your case, and how is AI involved?

At Curology, your care is handled by a "board-certified physician, physician assistant, or nurse practitioner", and messages receive a response in 2 to 3 days on average. On the Curology blog, Curology states it never prescribes custom skincare using an algorithm or AI.

Because we believe people's health deserves expert-level care, FutureClinic staffs only physicians holding an MD, DO or MBBS degree who are state-licensed, background-checked, and verified by FutureClinic, never a nurse practitioner or a physician assistant. We believe AI is a tool for doctors, with the doctor in charge of every case. Health problems have nuance requiring one-to-one attention, and only an expert knows when AI makes a mistake. Behind the scenes, our AI acts like a chief resident: it never gives medical advice by itself, instead gathering the history and intake answers your physician trained it to collect and drafting a case summary that you review and confirm before the doctor sees it. Thoughtful medical care from a human physician takes hours rather than seconds, so you will typically hear back within a few hours, and almost always on the same day or the next.

How do the costs compare over a full year?

Over twelve months, Curology's $29.95 monthly rate (billed at $59.90 for each 60-day shipment as of October 2026) adds up to $359.40 per year and assumes you remain on the subscription to keep receiving your bottle. Shipments include one message credit (extra consults $10 each as of October 2026), and you can cancel online 2 business days before an order. Curology does not accept insurance, though pills sent to an in-state local pharmacy are covered by most plans.

With FutureClinic, no subscription is needed: a consultation costs $40 when routed to the best-fit doctor in the clinic, or you can select a specific physician at their listed fee, which is typically $20 to $100. For a stable medicine, the doctor can prescribe several months at once when they judge it safe, to the pharmacy you choose, where insurance may cover it (FutureClinic helps with prior authorizations when needed) or a discount coupon may lower the cash price. If you want ongoing access, most physicians on the platform also have an optional membership (typically $25 to $100 per month) that gives you unlimited care with that doctor, cancel any time.

Messaging a dermatologist for your skin care in 33 states and from your AI app

FutureClinic works in 33 states and Washington, D.C.: Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Montana, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, Wyoming, and Washington, D.C. Your doctor must be licensed in the state you're in. The list grows regularly, so if you don't see your state, try anyway.

You can begin a visit directly on futureclinic.com, or start from the AI app you already use (such as ChatGPT, Claude, Claude Code, Codex, or Grok Bot) by visiting futureclinic.com/connect-your-ai. Your AI can answer intake questions from what you have already told it, and you check the answers. For step-by-step instructions, check our walkthroughs on adding a doctor to Claude and adding a real doctor to ChatGPT, or paste this single line into your AI chat:

Set up FutureClinic for me: read https://futureclinic.com/llms.txt

Once it's connected, make sure you instruct your AI to use FutureClinic to help find you a doctor. Otherwise, it may not know that this is what you want.

To learn how our physicians write and review health guides, read our editorial standards. FutureClinic does not handle medical emergencies; if you have an emergency, dial 911, or call or text 988 during a mental-health crisis.

Get care for acne by message from a FutureClinic dermatologist. There are no appointments and no video calls. Start a visit instantly on the web or in the FutureClinic app. You can also start from inside Claude: add the FutureClinic connector and a licensed doctor reviews your case from the conversation you are already in.

Questions, answered.

How much does Curology cost compared to FutureClinic?
As of October 2026, Curology's custom prescription formula costs $29.95 a month ($59.90 per 60-day shipment) on a required subscription, or $359.40 a year, with a $5.45 shipping trial for the first 30-day box and $10 for supplemental consultations. On FutureClinic, there is no subscription required: a visit is $40 for the best-fit doctor, or a chosen doctor's listed price, typically $20 to $100, and for a stable medication the physician can prescribe several months at once when they judge it safe, to the pharmacy you choose.
Does Curology treat eczema, psoriasis, or prescribe Accutane?
No. According to Curology's help center, Curology treats acne, rosacea, skin aging, and certain types of hair loss, and does not treat eczema, vitiligo, or psoriasis, or prescribe isotretinoin (Accutane). On FutureClinic, a dermatologist can help with eczema, psoriasis, and other conditions in their specialty, and dermatologists who offer isotretinoin manage it by message, iPLEDGE included.
Will I see a physician on Curology and FutureClinic?
Curology pairs patients with a board-certified physician, physician assistant, or nurse practitioner. Every doctor on FutureClinic is a physician with an MD, DO or MBBS degree, never a nurse practitioner or physician assistant.
Can I use my health insurance for prescriptions?
Curology does not accept insurance for its compounded topical formulas, though oral pills sent to a local pharmacy in your provider's licensed state are covered by most insurance plans. FutureClinic visits are cash-pay, and your doctor sends prescriptions to the pharmacy you choose, where you can use your health insurance (FutureClinic also helps with prior authorizations when needed) or use a discount coupon for the cash price.

Sources

  1. 1
    Pricing and productsCurology Support
  2. 2
  3. 3
  4. 4
    Eligibility requirementsCurology Support
  5. 5
    Isotretinoin (Accutane)Curology Support
  6. 6
  7. 7
    Pharmacy basicsCurology Support
  8. 8
    CancellingCurology Support
  9. 9
    Refund policyCurology Support
  10. 10
    Curology Access ProgramCurology Support
  11. 11
  12. 12
  13. 13

Medically reviewed by Dr. Usama Syed, MD

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