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Utah clears world's first autonomous prescriptions without doctors

The pilot limits Nolla Health to eight physician-approved topical treatments and starts with physician review for the first 100 prescriptions.

  • On Monday, Utah regulators authorized New York-based startup Nolla Health to allow its AI to evaluate patients and issue initial acne prescriptions without prior human review, marking a significant test of autonomous medical decision-making in the U.S.
  • The program operates through the Nolla Derm app, where patients complete a 10- to 15-minute questionnaire and facial scan; it is part of a closely watched "AI sandbox" program that allows Utah's Office of Artificial Intelligence Policy to waive regulations.
  • Nolla Health will use a phased approach, starting with two physicians approving every prescription for the first 100 patients, then loosening oversight to retrospective weekly reviews. The system must hand cases to a doctor if it cannot "confidently select a treatment."
  • Chief Executive Luis Wenus aims to make dermatological care more affordable; the app costs $4.99 per month, significantly cheaper than typical visits running between $150 and $300. This could free providers to address more complex inflammatory diseases.
  • While Nolla Health claims clinicians agree with its recommendations in more than 96 percent of cases, American Medical Association CEO John Whyte argues these tools shouldn't autonomously practice medicine. The startup plans to eventually expand beyond acne medication.
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Bizpac Review broke the news in West Palm Beach, United States on Monday, October 5, 2026.
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