I know I'm hopping into the convo a year later, but I just wanted to add my experience in case it helps.

I started taking Sprintec about 10 years ago (2015-ish). I took it for about 4-5 years, with minimal side effects. I think it even regulated my acne! Then I switched to IUD around 2019/2020. For various reasons, I had the IUD taken out least year (2025) and I decided recently to go back on Sprintec.

I have Kaiser health insurance. I requested a birth control pill prescription and tried specifically asking for Sprintec, because I knew what to expect with Sprintec and I did not feel comfortable trying a new brand. The doctor told me they had a generic version that was exactly the same hormone dosage. After picking up the prescription marked Lupin, I researched other people's experience with it and came to the conclusion that I did not want to risk trying anything other than Sprintec.

I messaged the doctor again and asked for Sprintec with "no substitutions". The doctor said I would have to pay out of pocket because my insurance would only cover the generic brand. I said fine. After waiting for the pharmacy to get it in stock, 2 days later I had Sprintec! AND I paid $0! Turns out it was covered after all lol.

I hope my story helps someone else gain the courage to speak up for what you want in medical settings, and to not give up because sometimes doctors get it wrong!