States and eligibility

Where TGIC operates

TGIC serves all 50 U.S. states plus Guam for The Clear Course — the service 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 available in all 50 states plus Guam. State eligibility for Accutane® is confirmed during intake, before any payment is processed. The start path and eligibility caveats are on how to get Accutane® online.

How state matching works

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.

Teens (13–17)

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).

Conditions TGIC treats

In scope:

• Acne (mild to severe, including cystic and nodular)
• Hormonal acne (with spironolactone, birth control, or topicals)
• Rosacea
• Eczema (mild to moderate, topical management)

Out of scope:

• Psoriasis
• Severe eczema requiring biologics
• Dermatology surgical conditions (excisions, biopsies)
• Skin cancer screening and treatment
• Cosmetic procedures

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 for hormonal acne

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.

Common questions

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