How much does accutane / isotretinoin cost?

A clear breakdown of what accutane / isotretinoin actually costs in 2026 — what's bundled, what isn't, and how regional pricing changes the bill.

What drives the cost of accutane / isotretinoin?

Generic vs. brand

Generic isotretinoin: $200–$500/month with insurance, $300–$600/month cash. Brand Absorica or Claravis runs higher.

iPLEDGE program (US)

Required for all US prescriptions. Monthly office visits, monthly bloodwork (lipids, liver enzymes), monthly pregnancy tests for women.

Lab work

Baseline + monthly CMP and lipid panel. Often covered by insurance; otherwise $50–$150/month.

Is accutane / isotretinoin covered by insurance?

Almost always covered for severe nodulocystic acne or moderate acne unresponsive to other treatments. Step therapy (must fail topical retinoids and oral antibiotics) is common.

Accutane / Isotretinoin cost by city

CityCompare
TurkeyAccutane / Isotretinoin in Turkey
South KoreaAccutane / Isotretinoin in Korea
BrazilAccutane / Isotretinoin in Brazil
MexicoAccutane / Isotretinoin in Mexico
ThailandAccutane / Isotretinoin in Thailand
ColombiaAccutane / Isotretinoin in Colombia
MiamiAccutane / Isotretinoin in Miami
Los AngelesAccutane / Isotretinoin in LA
New YorkAccutane / Isotretinoin in NYC
LondonAccutane / Isotretinoin in London
DubaiAccutane / Isotretinoin in Dubai
Beverly HillsAccutane / Isotretinoin in Beverly Hills
HoustonAccutane / Isotretinoin in Houston
DallasAccutane / Isotretinoin in Dallas
Frisco, TXAccutane / Isotretinoin in Frisco
AtlantaAccutane / Isotretinoin in Atlanta
ChicagoAccutane / Isotretinoin in Chicago
San FranciscoAccutane / Isotretinoin in SF
TorontoAccutane / Isotretinoin in Toronto
SydneyAccutane / Isotretinoin in Sydney

Estimates based on national average × regional multiplier. Final price depends on surgeon, technique, and case complexity.

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