Ortho Evra was the very first patch I have used and I LOVED it and I had no problems. Last year I was puzzled because for some reason I was switched from Ortho Evra to the generic brand Xulane (which I am just now using again) and I only used it onced thinking it was some kind of mistake I waited until my Doc's visit to ask for what I was prescribed at first. My doctor told me that sometimes some insurances switch you to the generic brands because it's cheaper. If this is true I really am going to miss using Ortho Evra