[personal profile] snarp
With the caveat that I only just signed up for this, and that it's only for the US and doesn't cover all states: PocketDerm looks really cool?

You fill out a form and talk to a dermatologist online, and they periodically mail you prescription-strength acne/wrinkle goop, which is included in the $20/month subscription cost. (They'll also write prescriptions for oral stuff, which you take to a pharmacy as normal.) They formulate the creams themselves, but they typically contain Retin-A/tretinoin, which is considered The Best Skin Stuff.

It's $20/month including the cream, which is not much more than I'm currently paying for kinda-functional OTC acne cream. (I live a very sad life.) If you use a referral code (https://pocketderm.com/invite/QSMH6Q6) you get the first month free, and the referrer (me) gets a $10 credit.

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