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I had initially purchased another brand's version of this product from a national drug store chain. They served me well for 3-4 months before the silicone tore. I spent several more months not shopping due to COVID, and when I finally returned to 2 different drug store chains, I discovered they no longer stocked the item. Found Dr. Frederick's online, and was pleased to discover that his version appears to be of higher quality --- thicker silicone. I thought I was buying 3 pair (for back-up) but was also pleased/surprised that when they say "pair", they mean a PAIR of pairs (4 spacers). I thought I was buying 6 spacers, but ended up with 12. Should last me for awhile.