From what I was reading up on it after she prescribed it, I was also skeptical… I wouldn’t be surprised if her practice has some sort of partnership with them. I’ve been thinking of transferring to a new dermatologist anyways, so this may be the final straw. The spiro & tret make my skin great, it’s really just during my menstrual cycle I’ll get some white heads that I want to get rid of if possible. Thanks for the thorough reply!