
Azelaic Acid
THE MULTITASKER
A prescription active that works on two fronts at once: calms the redness of rosacea-prone skin and clears the acne-like papules that come with it. The rare ingredient that treats both problems in one.Rosacea · Gentle Start
Azelaic Acid · Glycolic Acid · Niacinamide.
Rosacea · Gentle Start
Azelaic Acid · Glycolic Acid · Niacinamide.
If most acne treatments have made your redness worse — and most rosacea treatments have done nothing for the breakouts — this is the prescription built for exactly that overlap.
Built with azelaic acid for redness-prone skin with acne-like papules, glycolic acid to gently resurface congested skin without triggering reactivity, and niacinamide to support the barrier and reduce visible redness — with Centella asiaticasupporting sensitive skin throughout treatment. Gentle enough for skin that reacts to almost everything else, and one of the rare prescriptions that can often be continued through pregnancy — your dermatologist will confirm what's right for you.
Common concerns:
Designed by board-certified dermatologists. Prescribed by a board-certified dermatologist on our clinical team.
plan pricing
$36.00/mo
Billed every 2 months. Cancel anytime. Skip or delay refills.
Short assessment · Reviewed within one business day
The clinical team
The Redness & Acne Formula Rx wasn't formulated by an algorithm or pulled from a generic template. Its protocol was designed by Dr. Lindsey Zubritsky, Dr. Mamina Turegano, and Dr. Jenny Liu — three board-certified dermatologists with decades of combined experience treating real patients.
Your prescription is then written by a board-certified dermatologist on our clinical team, working from the protocol they built. Dermatologist-built medicine, delivered to your door.

What's in the bottle
The Redness & Acne Formula Rx pairs prescription actives with supporting ingredients designed to calm redness and clear breakouts while keeping sensitive skin comfortable through daily treatment.
Active Ingredients

THE MULTITASKER
A prescription active that works on two fronts at once: calms the redness of rosacea-prone skin and clears the acne-like papules that come with it. The rare ingredient that treats both problems in one.
THE GENTLE RESURFACER
A low-concentration alpha-hydroxy acid that resurfaces congested skin and smooths texture — dialed low enough to refine your skin without triggering rosacea reactivity.
THE BUFFER
A form of vitamin B3 that reduces visible redness, strengthens your skin barrier, and makes prescription actives more tolerable. The reason your sensitive skin stays comfortable while the formula works.Supporting Ingredients

THE CALMER
A clinically studied botanical that soothes irritation and supports recovery. Used in dermatology for decades — the quiet ingredient that keeps the strong ones comfortable.
THE BARRIER REPAIR
Lipids that reinforce the skin barrier and lock in moisture. For reactive skin, barrier health is what makes treatment tolerable — ceramides protect the foundation.Exact concentrations are determined by your dermatology provider based on your assessment, your tolerance, and your skin's history. Compounded medications are not FDA-approved.
What to expect

The Redness & Acne Formula Rx works gradually, the way rosacea treatment is supposed to. Azelaic acid supports clearer-looking skin and calms the acne-like papules that can come with rosacea. Glycolic acid resurfaces congested skin without the harshness of stronger acids. Niacinamidereduces visible redness and supports the barrier — with Centella asiatica soothing reactivity so your skin can tolerate treatment day after day.

The Redness & Acne Formula Rx is a gentle prescription for the rosacea-acne overlap — skin that's red, sensitive, and breaking out at the same time. Azelaic acid does both jobs at once, and it's gentle enough for skin that reacts to almost everything else. It's also one of the rare prescriptions that can often be continued through pregnancy and nursing — your dermatologist will confirm what's right for you.
Experiencing ongoing facial redness, flushing, or sensitivity
Dealing with acne-like papules or pustules alongside the redness
Finding that most acne treatments (benzoyl peroxide, salicylic acid, retinoids) flare your skin
Pregnant, nursing, or trying to conceive and looking for a prescription you may be able to continue — confirmed during your assessment
Ready to start a daily prescription rosacea treatment, as confirmed during your assessment
Experiencing severe or persistent rosacea flare-ups — The Advanced Redness Solutionᴿˣ is built for that
Looking for fast same-day relief from visible redness — The Redness Control Formulaᴿˣ is built for daytime flushing support
Dealing primarily with acne and no rosacea component — The Acne Solutionᴿˣ may be the cleaner fit
Already on prescription rosacea treatment that's working — talk to a board-certified dermatologist before stacking
On other topical or oral antibiotics — your assessment will determine whether the combination is appropriate
Every acne product made my redness worse, and nothing for rosacea touched the breakouts. This is the first thing that treated both at once. Twelve weeks in, my skin is calmer and clearer than it's been in years.
Rachel B.
My skin reacts to everything — I'd basically given up on actives. This one tingled a little the first week, then nothing but steady improvement. The flushing is way down and the little bumps along my chin are gone.
Dana M.
I had to stop my retinoid when I got pregnant and my skin fell apart. Being able to stay on a real prescription through pregnancy and nursing has been such a relief. My redness stayed under control the whole time.
Sofia L.
Realistic timeline
Rosacea treatment is patient work. The redness didn't show up overnight, and it won't go away overnight. Here's what most people experience with consistent daily use.
Results vary. Timelines depend on your starting skin, your formula strength, and how consistently you apply your treatment.

Weeks 1–2
Weeks 3–6
Weeks 7–12
Beyond 12 weeks
Results vary. Timelines depend on your starting skin, your formula strength, and how consistently you apply your treatment.
Three steps. No appointments. Reviewed by a board-certified dermatologist within one business day.
Take our skin assessment. Share your concerns, your skin's history, what you've tried before, and a few photos. The more we know, the better the formula.




Your case is reviewed within one business day, and your prescription is written by a board-certified dermatologist on our clinical team.

Your formula is compounded by a licensed pharmacy and shipped to your door — usually within a week. Your dermatologist stays with you, adjusting your formula as your skin responds.

Both — specifically, the overlap. Azelaic acid is one of the few prescription actives commonly used for redness-prone skin with acne-like papules at the same time. If your skin is mostly red and flushing without breakouts, The Redness Control Formulaᴿˣ may be a better fit. If it's mostly acne without a rosacea component, The Acne Solutionᴿˣ may be cleaner. Take the assessment and a board-certified dermatologist on your care team will route you to the right one.
Azelaic acid is one of the few prescription rosacea and acne actives considered safe during pregnancy and nursing — it's commonly prescribed during pregnancy when retinoids, benzoyl peroxide, and most other prescription treatments are off the table. That said, every pregnancy is different, and a board-certified dermatologist on your care team will confirm appropriateness based on your specific situation during the assessment.
If your rosacea is mild to moderate — ongoing redness, flushing, and acne-like papules, but not frequent severe flare-ups — this is built for you. If your rosacea is persistent, severe, or hasn't responded to standard treatment, a board-certified dermatologist on your care team may route you to The Advanced Redness Solutionᴿˣ, which uses ivermectin, metronidazole, and azelaic acid together for stronger control. Your assessment determines which tier fits.
Most of your routine can stay. Gentle cleansers, fragrance-free moisturizers, and broad-spectrum SPF all pair well with The Redness & Acne Formulaᴿˣ. What you should pause: topical retinoids, additional acids at high concentrations, benzoyl peroxide, and any product that's been flaring your skin. A board-certified dermatologist on your care team will review your current products during your assessment and tell you exactly what to keep, drop, and add.
Most people start noticing a real shift between weeks 4 and 8 with consistent daily use. Weeks 1–2 are the adjustment period. Weeks 3–6, the acne-like papules slow down and the redness softens. Weeks 6–12, persistent redness looks meaningfully reduced and flares are less frequent. Rosacea treatment is steady, not dramatic — and consistency is what holds the results.
Rosacea triggers vary by person, but the common ones are: sun exposure, heat (hot showers, hot drinks, saunas), spicy food, alcohol (especially red wine), stress, and certain skincare ingredients (fragrance, alcohol-based toners, harsh exfoliants). A board-certified dermatologist on your care team can help you identify your specific triggers and build a routine around them. The medication does the medical work — trigger avoidance amplifies it.
The Redness & Acne Formula Rx is built for the overlap — ongoing redness with acne-like breakouts, treated gently enough for sensitive skin. If your rosacea skews more severe, or the symptom you most want to address is visible daytime flushing, there's a formula built for that too.