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I just wanted to add that because of my new insurance I had to switch from Veramyst to (generic) Flonase. It smells exactly like rose oil! I noticed right away. Luckily, the smell doesn't bother me, but for me personally Flonase certainly does not work as well as the Veramyst. I am extremely sensitive to smells - especially dust, dirt, must - and suddenly my whole house smells dirty to me! Yes, it is an older home, but A) I keep it as clean as possible and B) Never smelled anything like this until the script switch. Plus, no one else who visits ever smells the smells that I now can. Also, I am more tired now. Since the switch I have been napping every afternoon - can barely keep my eyes open. So, my deduction is that they are definitely NOT exactly the same and I don't think it is fair that it is allowed as a substitution for Veramyst. If Veramyst didn't cost so much without insurance I would just switch back and pay out of pocket. Unfortunately, even after months of trials and errors with allergy meds (I also currently take loratidine - Claritin - and occasionally Astelin) and finally finding the "perfect" mix, I've got to start all over again!