Is online tretinoin treatment legal in Texas?
Yes, and Texas is unusually clear about it. Telemedicine here is governed by Texas Occupations Code Chapter 111. Before 2017 the state effectively required a face-to-face or live-video encounter first. Senate Bill 1107 removed that: Section 111.005 now lets a physician establish a valid practitioner-patient relationship and prescribe from a written record of your history and symptoms, without a prior in-person exam and without a video call. Tretinoin cream is a non-controlled topical prescription, so it falls squarely inside what a Texas-licensed physician may prescribe this way. Vyta.co does not prescribe controlled substances through this service.