Where I live, there are very few doctors that will prescribe accutane. I made my appointment, and of course they initially tried to talk me into another random cleansers/topical/antibiotic. I was prepared this time around with a dermatologist and had armed myself with a list I compiled of ALL things I had done for my acne over the last decade. I was given instructions on what had to be done prior to beginning accutane and off I went. After acquiring hormonal birth control, I was entered into IPledge, given my blood work paper, and the clock began ticking on those annoyingly pesky 30 days. Once the month elapsed, I arrived back at my dermatologist's office with my 2 negative pregnancy tests, blood work, and left with my long awaited accutane prescription!!!! Now, I should mention I am self-pay throughout this whole process. I got my bloodwork done at Quest Diagnostics and it was $200.73. My prescription for this month is 20mg twice a day so 60 capsules in total. I priced this at CVS, Walgreens, Publix, Sam's Club, and Wal-Mart. Wal-Mart was the least expensive at $519.23. When I dropped off my script, I was told I would have to wait 24 hours since they did not have it readily available. That's something for you to think about and me to keep in mind. I plan on giving them a heads up from now on to make sure I don't end up having to skip any doses. I am also still actively searching for a more affordable way to attain these meds. If it's $500 for clavaris (generic accutane), I don't want to know what brand would cost!!