Reviewed the same day by Texas-licensed clinicians

Acne treatment online in Texas

Breakouts that over-the-counter products haven't fixed? Upload photos and a clinician builds a plan, with prescription topical or oral options if appropriate.

Insurance or a flat cash priceYour pharmacy, your choiceIn-person care if needed: our DFW clinics, or near you
Online evaluation
Same-day review24/7 weekdays · 7 AM–9 PM CT weekends
Short answer

Can I get acne treatment online in Texas?

Yes, for adults 18 and older in Texas. Breakouts that over-the-counter products haven't fixed? Upload photos and a clinician builds a plan, with prescription topical or oral options if appropriate. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $59, or use insurance. Medicines a clinician may consider include tretinoin and doxycycline — never controlled medicines, and a prescription is never guaranteed. If you want isotretinoin, or you have deep, painful lumps or cysts that leave scars, you need an in-person visit within a few days instead, and you don't pay the online fee.

Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026

Price
$59 flat cash rate or insurance
Visit type
Online evaluation
Reviewed by
A Texas-licensed Passion Health physician, nurse practitioner or physician assistant
Turnaround
Same day · 24/7 weekdays, 7 AM–9 PM CT weekends
Insurance
BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana, Healthcare Highways
Prescriptions
Only if appropriate, sent to your pharmacy · never controlled medicines online
About the condition

What to know about acne

Acne is a common skin condition that happens when hair follicles clog with oil and dead skin cells, causing blackheads, whiteheads, pimples and sometimes deep, painful bumps. Hormones, genetics, some medicines and heavy skin products can play a role. It is most common in teens, but many adults, especially women, have acne too.

Before you start

Is online care right for you?

A good fit for online care

  • Blackheads, whiteheads, or red or pus-filled bumps on the face, chest, or back
  • Acne that hasn't improved with over-the-counter washes or creams
  • Prescription topical treatment, an oral antibiotic, or both, if appropriate
  • Ongoing acne care with a planned renewal

Book an in-person visit instead if

  • You want isotretinoin, or you have deep, painful lumps or cysts that leave scars Within days
  • Acne that started suddenly along with new facial or body hair, a deeper voice, or missed periods Within days
  • A painful, swollen lump that has pus or keeps growing (a boil or abscess) Same day
  • Redness that is spreading fast Same day
  • A rash on or around your eye Same day
  • Swelling of your face or eyelids, without trouble breathing Same day

Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.

Call 911 or go to the ER now if you have

Call 911

  • Swelling of your lips, tongue or throat, or trouble breathing or swallowing

Emergency room now

  • A rash with fever, and you feel very unwell
  • Widespread blistering or peeling skin, or sores in your mouth or eyes
  • Skin that is turning dark purple or black

Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.

How it works

How your acne visit works

  1. 1
    Answer the acne intake

    About 5 minutes, with photos if they help. Emergency and safety questions come first.

  2. 2
    A clinician reviews it the same day

    A Texas-licensed Passion Health clinician reads everything and calls or videos you if they need more.

  3. 3
    You get a plan

    If treatment is appropriate, a prescription goes to the pharmacy you choose.

  4. 4
    Follow-up is built in

    A 48-hour check-in and secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.

Your care

What to expect from your clinician

What your clinician may consider

Medicines a clinician may consider

TretinoinDoxycycline

What these medicines may cost without insurance

Example cash prices for the medicines listed above
Tretinoin cream 0.025% to 0.1%1 tube (size varies)$19.42–$45.44
Doxycycline 100 mg tablets or capsules30 tablets or capsules$11.85–$14.87

Generic prices are mail-order cash prices listed by Mark Cuban Cost Plus Drug Company on October 15, 2026, including its $5.00 pharmacy fee and $5.25 standard shipping. A shorter course costs less.

Shown so you can plan, not to point you to a pharmacy. Any Texas pharmacy can fill your prescription, and its cash price may be higher or lower. With insurance, your plan sets your cost, and a cash purchase usually doesn't count toward your deductible. If you have Medicare or Medicaid, ask the pharmacy to use your coverage first. Prices change. Passion Health doesn't sell medicine and receives nothing from any pharmacy or drugmaker. A prescription is never guaranteed.

Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.

Labs, tests and Passion Health services

  • If your clinician thinks isotretinoin may be right for you, they can refer you to a dermatologist, because it requires in-person monitoring.
Price & insurance

How much does an online acne visit cost?

Quick evaluation
$59
  • A Texas-licensed clinician reviews your intake
  • A care plan, and a prescription if appropriate
  • 48-hour check-in
  • 14 days of secure messaging

Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.

Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.

Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.

Follow-up

A 48-hour check-in message and 14 days of secure messaging. If you're not improving, we book a same-day clinic visit, or, if you're not near one of our clinics, tell you where to be seen near you.

Acne treatment usually takes 2–3 months to show clear results, so your plan includes 14 days of messaging and a planned renewal. Tretinoin and doxycycline are not prescribed in pregnancy.

Questions

Questions about acne care

How much does an online acne visit cost?

The flat cash rate is $59 for a quick evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.

Will I talk to someone, or is it just a form?

A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For acne, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.

Is a prescription guaranteed?

No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.

Can I get isotretinoin online?

No. Isotretinoin requires enrollment in the FDA's iPLEDGE safety program, regular in-person monitoring, and, for anyone who could become pregnant, monthly pregnancy tests. If your acne is severe or scarring, or hasn't responded to other treatment, your clinician can refer you to a dermatologist who prescribes it.

How long does acne treatment take to work?

Most acne treatments take 4 to 6 weeks to show improvement and 2 to 3 months or longer to clear the skin. Acne can look a little worse in the first few weeks of a retinoid. Keep following your plan, and message your clinician if dryness or irritation is hard to manage.

Can hormones cause adult acne?

Yes. Many women notice flares around their period, and acne with irregular periods or extra facial hair can be a sign of PCOS. Tell your clinician about your cycle so they can consider hormone-related causes and, if needed, recommend lab tests or a different treatment approach.

What is the best online acne treatment?

The one a clinician chooses for your skin. Mild acne usually responds to topical retinoids, benzoyl peroxide or a topical antibiotic; moderate acne may need an oral antibiotic or, for women, hormonal treatment. A Texas-licensed Passion Health clinician reviews your photos and history and prescribes only what's appropriate; isotretinoin needs in-person care.

The Texas law behind this visit

A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).

Full Texas-law summary →

AC
Medical reviewer

Dr. Anantha Chentha, MD, FACP, CHCQM-PHY ADV

Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician

Reviewed October 22, 2026

Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.

Sources: AAD · FDA

Not sure online care is right for you?

Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.

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