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On the online pharmacy, the majority of patients had commercial insurance (71%) followed by Medicaid (12%). Limitations Data from Dermatology.com are limited. Conclusions Lower-cost medications from the online pharmacy site may improve adherence and outcomes in older adults and decrease total cost associated with AK treatment. However, the online pharmacy is underutilized by this population. J Drugs Dermatol. 2020;19(4) doi10.36849/JDD.2020.4690.Background Green route biosynthesis of silver nanoparticles using Trichoderma viride (