Not all medical grade products require a prescription. MG simply can be a product that contains higher quality usually they are 99% pure.
Some dermatologist at high end facilities can make blends for patients use, for some products. None require a script. However when a script is written they usually have recommendations where is the best place to fill. I had an issue with Obaji, so custom is mandatory or me
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Do not worry about things you can not change 
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