Finacea (azelaic acid) prescription available online 

If you are suffering from rosacea or acne, azelaic acid can help. Get a new prescription or refill of azelaic acid from a board-certified doctor online.*

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Fast relief with Finacea

Available as azelaic acid gel

Treat rosacea, acne, and more

*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.

About Finacea (azelaic acid)

Azelaic acid is a naturally occurring acid, which helps the skin renew itself and reduces pimple and blackhead formulation.

Azelaic acid is used to treat acne and rosacea. Azelaic acid is available only by prescription. It is available in a generic formulation as well as under different brand names, including Finacea.

Azelaic acid may be prescribed as a topical treatment in the form of azelaic acid gel. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage prescribed.

If you're prescribed azelaic acid, be sure to complete the full course of the topical treatment unless your doctor specifically tells you to stop. If you don’t complete your prescription, azelaic acid cream may not fully treat your acne or rosacea.

Azelaic acid uses

There are several FDA-approved uses for azelaic acid, but your healthcare provider may also prescribe it off-label to treat other medical conditions.

Your doctor may prescribe azelaic acid for any of the following reasons, or other reasons not listed here. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

  • Rosacea

    Azelaic acid cream is FDA-approved to treat inflammatory papules and pustules associated with mild to moderate rosacea.

  • Acne

    Azelaic acid cream is FDA-approved to treat mild to moderate inflammatory acne. Azelaic acid works by unclogging pores to prevent acne. It can also help lessen the appearance of uneven skin tone and lighten dark spots left by acne.

Azelaic acid side effects

  • The side effects associated with taking azelaic acid are typically mild. Most azelaic acid side effects are associated with skin irritation. Azelaic acid has some common side effects. Possible side effects may include:

    • Skin burning, stinging, or tingling

    • Scaly or dry skin

    • Itching or other skin irritation

    Serious side effects, which are less common but might be more severe, could include:

    • Severe burning, stinging, or warmth

    • Allergic reactions

    • Changes in skin tone

    You should call your doctor if you notice any of adverse effects, or if you develop any other new or concerning symptoms. The use of azelaic acid in young children under age 12 is not advised due to a lack of research on safety and efficacy.

How to take azelaic acid

Your pharmacist will provide you with instructions on how to take your azelaic acid prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Azelaic acid can come in different forms and doses, so be sure to follow the specific instructions on your prescription. Do not take Finacea by mouth. Topical treatment is only used on the skin.

Wash your hands before and after applying Finacea gel, and shake the foam before each use. Clean the affected area with mild soap and pat dry with a soft towel. Then, apply the topical treatment in a thin layer as directed. Avoid contact with your eyes.

What to avoid while taking azelaic acid

Azelaic acid has two drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter herbal products.

Possible drug interactions with azelaic acid include:

  • Clascoterone topical

  • Isotretinoin

Do not apply cosmetics or other skin treatments on areas you treat with Finacea unless your doctor tells you to. Avoid skin products that can cause irritation, such as harsh soaps, glycolic acid, and alcoholic cleansers.

Your doctor may also tell you to avoid spicy foods, hot drinks, alcoholic beverages, and other foods or beverages that cause skin redness.

Medication alternatives to azelaic acid

If your healthcare provider prefers to put you on another treatment altogether, they may suggest another medication for treating acne or rosacea in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

Azelaic acid prescription FAQs

  • How much does azelaic acid cost?

    Depending on your pharmacy and insurance coverage, azelaic acid gel costs around $122 or less for 50 grams. Azelaic acid is a generic medication, and brand names may cost more.

  • How can I refill my azelaic acid prescription?

    Azelaic acid is only available by prescription, so you will need to see a board-certified doctor to get a refill on your prescription. To get started, book a virtual appointment with one of our top rated board-certified doctors. After a qualifying evaluation, your prescription will be sent to your local pharmacy for pickup.

  • Who should not take azelaic acid?

    Tell your doctor if you have any of the following medical conditions to make sure azelaic acid is safe for you:

    • Asthma

    • Sensitive skin

    • If you're currently pregnant or breastfeeding

  • What should you not use with azelaic acid?

    Avoid applying cosmetics to the affected area or using other skincare products, such as salicylic acid or glycolic acid, unless directed by your doctor.

  • How long should you let azelaic acid sit?

    After applying azelaic acid, you should wait 15 minutes for the product to absorb into your skin.

  • Is it okay to use azelaic acid every day?

    Yes, it is safe to use azelaic acid every day. Be sure to use azelaic acid for topical use as prescribed by your healthcare professional.

  • What happens if I miss a dose of azelaic acid?

    If you miss a dose of azelaic acid, apply the missed dose as soon as you can, but skip the missed dose if it's almost time for your next dose. Avoid applying two doses at the same time.

  • What happens if I take too much azelaic acid?

    If you use too much azelaic acid, you may experience skin irritation. Seek medical help or call your local poison control center if you have accidentally swallowed the medicine.

3 simple steps to request your azelaic acid prescription today 

Step 1: Book an appointment

Step 1

Book an azelaic acid prescription request appointment.

Book a same day appointment from anywhere.

Step 2: Visit with a doctor on your smartphone

Step 2

Talk to your medical provider regarding your azelaic acid prescription.

Visit with a doctor on your smartphone or computer.

Step 3: pick up at local pharmacy

Step 3

Pick up your azelaic acid.

We can send prescriptions to any local pharmacy.

Azelaic acid prescription pricing details

How pricing works

To get a new or refill on your azelaic acid prescription, join our monthly membership and get discounted visits.

Paying with insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • United Healthcare

Paying without insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

Book an appointment

If we're unable to treat you, we'll provide a full refund.

Azelaic acid prescription resources


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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.