FAQ › States and eligibility
Where TGIC operates, who can enroll, conditions covered, and how teen consent works.
TL;DR
TGIC serves all 50 U.S. states plus Guam for The Clear Course — the membership that covers topical acne treatment, hormonal acne management, rosacea, and eczema. Every patient is paired with a board-certified dermatologist licensed in their state. The dashboard, messaging, prescription delivery, and lab ordering all operate the same way nationwide.
Accutane (isotretinoin) is the one place state coverage still varies. The partner pharmacy ships isotretinoin to most states today; full 50-state coverage is rolling out. State eligibility for Accutane is confirmed during intake — before any payment is processed.
When you take the quiz, you enter the state where you'll be physically located when treatment starts. TGIC matches you to a dermatologist licensed in that state — that's the law for telemedicine in the U.S.
If you move during treatment, you can update your state in the dashboard. TGIC re-matches you to a dermatologist licensed in the new state and transitions the case file. Prescriptions ship from the partner pharmacy to your new address.
Patients age 13 and up can enroll in TGIC with a parent or guardian's consent — including Accutane care, where the parent signs off on enrollment. The quiz has a parent fork that walks both the teen and parent through the consent step, payment, and intake.
Parents stay in the loop on billing decisions and care updates; the dermatologist communicates with the teen directly in the dashboard once treatment starts, with parent visibility on key events (consent renewals, dosage changes, iPledge enrollments if relevant).
In scope:
Out of scope:
Your intake quiz routes you to the right track or flags you to in-person dermatology care if your case is out of scope.
Spironolactone is a common, well-studied option for hormonal acne in adult patients who can use it. It blocks androgen activity in the skin, reducing oil production and the cystic-jaw-and-chin pattern typical of hormonal acne.
The dermatologist evaluates whether spironolactone fits your case during intake — factoring in your medical history, other medications, blood pressure, and any planned pregnancy. Lab work (potassium) may be needed depending on dose and risk factors. Spironolactone often pairs with topicals or birth control.
Take the 2-minute quiz. A board-certified dermatologist reviews your case within 1–2 business days.
This content is general information about acne treatment and is not medical advice. Treatment decisions are made by your dermatologist after reviewing your specific case. Individual results vary.