HQRA+ high potency, custom compounded formula that delivers dramatic skin-lightening and powerful anti-aging benefits. It markedly reduces melanin production and significantly diminishes the appearance of fine lines and wrinkles. It contains a gold-standard combination of tretinoin, hydroquinone and hydrocortisone to reduce hyperpigmentation and evens out excessive pigmentation brought on by hormonal changes, excessive sun exposure and acne. This custom compound has a unique concentration of 7% hydroquinone and 0.1% tretinoin that can only be dispensed by a physician. Additionally, it contains kojic acid, Vitamin E and sunflower oil.