My son is finishing up month 2 of the generic version. His skin has done a complete 180. I would not have called his acne cystic most of the time, but it was bad, and the oil was unreal. He would shower and when he got home from school his face would be almost dripping and his hair looked like he hadn't showered in a week. He was 16 in May. We have tried numerous creams and pills and none of them helped. The change now, is amazing!! His only side effect so far is dry lips. He is only on 1 pill a day and it's done wonders. I can actually touch his hair when he gets up in the morning, 24 hours after the last shower and it doesn't feel oily at all.
We were very very nervous to start the treatment, but so far I am soooooooooooo glad we did.
We have a high deductible health plan and the 1 time a day 40mg pills run us $213 a month.