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Dear Brightly vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Dear Brightly and Twentyeight Health based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 52/100), leading on trust & safety, value, experience, product range, reputation.

52
Dear Brightly
Below Average

Direct-to-consumer prescription tretinoin serum brand offering anti-aging and hormonal acne formulations through async dermatology review.

Visit Dear Brightly
75

Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionDear BrightlyTwentyeight Health
Overall Score52/10075/100 ✓
Trust & Safety30%55/10076/100 ✓
Value25%55/10080/100 ✓
Experience20%50/10072/100 ✓
Product Range15%45/10072/100 ✓
Reputation10%50/10070/100 ✓

At a Glance

Founded20182018
HeadquartersSan Francisco, CABrooklyn, NY
Publicly tradedNoNo
Treatment categories14
Treatments listed27
Starting price$33/mo$15/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryDear BrightlyTwentyeight Health
Dermatology$33
Night Shift
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Dear Brightly

+Tretinoin-based Night Shift serum is well regarded by patients who complete treatment
+Trial pricing ($66 for 2 months) is well below typical in-office dermatology costs
+Received notable early press coverage (NYT, TechCrunch) establishing category credibility
−Very thin third-party review base (3 Trustpilot reviews) limits confidence in current service quality
−Patients report being charged for products they did not order, with difficulty obtaining refunds
−Standard customer support (email, phone messages) described as unresponsive
Read the full Dear Brightly review →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

Dear Brightly vs Twentyeight Health — FAQ

Is Dear Brightly better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 52/100), leading on trust & safety, value, experience, product range, reputation.

Is Dear Brightly or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $33/mo for Dear Brightly). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Dear Brightly and Twentyeight Health both offer?

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Both platforms treat Dermatology. Dear Brightly covers 1 treatment category total and Twentyeight Health covers 4.

Still deciding?

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