Accutane® (Isotretinoin), is an oral retinoid medication. Approved by the FDA for over 40 years, it is recognized as the market's most effective treatment for acne. Isotretinoin is a pill you take daily over a 5-6 month period to achieve permanent and significant reduction of acne symptoms, surpassing other treatments in effectiveness.

This medication is particularly recommended for those with severe or chronic acne that has not improved with other treatments, as well as for individuals whose acne leads to scarring or psychological distress.

Most people take Accutane® (Isotretinoin) for 5-6 months. Typically patients get the best, long lasting results after they reach a weight-based goal cumulative dose and have had a month without new breakouts. The best dose and decision of when to stop can be discussed with your provider as everyone is unique. For example if you choose to take a much lower dose for mild acne, you may stay on the medication for longer.

iPledge is the program implemented by the FDA to oversee the administration of Accutane® treatments across the United States. Due to the risk of birth defects caused by Accutane® in unborn children, patients capable of becoming pregnant are required to commit to either celibacy or the use of two forms of birth control during their treatment. Every individual on Accutane® or Isotretinoin will be registered with iPledge and assigned an iPledge ID. Nori providers will help you through this process.

The program mandates that patients who could conceive must answer detailed monthly questions at www.ipledgeprogram.com to be eligible to receive their medication. This questionnaire must be completed each month, and medication must be collected within 7 days of authorization (or for those receiving it by mail, the questionnaire should be completed promptly within 7 days to give the pharmacy enough time to process the order). Nori will ensure you have monthly visits that are compliant with iPLEDGE so you don’t miss any doses and continue to take Isotretinoin safely.

Accutane® (Isotretinoin) is generally safe but there are some common mild side effects as well as more serious but very rare risks of taking Accutane® (Isotretinoin). Nori providers will review your intake form and labs that screen for people who may be at high risk for side effects.

Common mild side effects that most people experience while taking a standard dose of Accutane® (Isotretinoin) include chapped lips and dry skin. Your provider will recommend a good moisturizer to help while you're on Accutane® (Isotretinoin).

Most people will need to get labs once before starting Accutane® (Isotretinoin) to make sure your liver and lipids levels are normal. The same labs will be repeated 2 months after starting treatment. Your provider will inform you of any abnormal labs which may indicate a need for closer monitoring, a lower dose or stopping Accutane® (Isotretinoin).

Nori is actively working to expand its services to all 50 states, but currently waitlisted in the states: AL, AR, CA, CT, MI, NV, SC, TX, AK, HI, NE, RI, VA.

Yes, you can join Nori if you're under 18. Your parents or legal guardian will need to fill out the consent form on the minor's behalf.

Please note: patients must be at least 12 years old to qualify for a Nori membership.

Nori memberships have a monthly cost of $109 before any applicable discounts or promotion codes. You are able to cancel your membership at any time after the initial 3-month period.

Nori does not bill directly through your insurance. However, your visits will qualify for HSA or FSA and we can provide you with the appropriate paperwork to send to your insurance, who may reimburse you. Additionally, insurance may help cover the cost of medications and labs. Please reach out directly to your insurance company with additional questions regarding what may be covered as this is highly variable depending on your plan.

No, there are no additional fees for Nori's services. All medications come with free shipping.