I absolutely LOVE this product. It is quite pricey even with insurance but it has made my acne disappear in three months! I'm 21 and and for the past 2 years my skin has been worse than it was when i was in my teens. Made me so self conscious it was awful all over my chin and cheeks horrible redness and tender to the touch. I couldn't cover it up most of the time with makeup even. Finally i made an appointment to see a dermatologist and he gave me this along with duac which helped with redness and swelling, while the tazorac keeps my skin shedding so i don't get pimples. The only time i had a breakout was during finals but they were gone completely in two days! now my skin is smooth and soft and acne free. I will continue to buy this product even at 40 dollars a tube.