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A doctor must be registered in the iPledge program to prescribe Accutane, which is the program instituted by the FDA a few years back. No, you don't have to be a dermatologist to prescribe it, but not many offices are going to go through the trouble of registering and being up on the program if they don't have a lot of patients coming in regularly for the medication. This is why it is usually derms who prescribe it. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."