- What happened
- Nola Health said Monday its NolaDerm app can issue topical acne prescriptions to Utah adults under an agreement with the state's Office of Artificial Intelligence Policy, at a pilot price of $4.99 a month. Two physicians approve every prescription for at least the first 100 patients. Then the AI prescribes directly with weekly doctor review up to 500 patients, after which doctors audit at least 10% each month. No pills and no severe acne are covered. The waiver runs for one year. Nola's medical advisor has named flu and uncomplicated urinary tract infections as possible next steps.
- The claim
- The founder says a licensed clinician used to sign every prescription and the AI can now make that decision itself. Nola says the AI chooses among preapproved treatment protocols rather than making free form decisions.
- Austin's take
- Austin is excited, expects most cases are routine refills, and hopes it frees doctors for serious conditions. His concern is whether it raises prescription rates as it expands, and whether it lets financially motivated prescribers scale without doing the work. He thinks it's a net positive overall.
- Why it matters
- This is a template for AI making clinical decisions without a doctor signing each one. The real question is who signs off as the list of conditions grows.
- What to do
- If you're in Utah, know what the service covers and doesn't. Everyone else: watch whether flu or UTIs get added next.
- Sources
From the Tuesday, October 6 show
Utah lets an AI write acne prescriptions
AI-generated from the transcript