metoprolol

Medications with confusing formulations

Jennifer Hsu's picture

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We have had several medication ADS misfills due to technicians mixing up medications with several formulations:
- Bupropion XL, SR
- Metoprolol XL, ER
- Diltiazem CD, ER, LA
- Depakote
We have medication bins that label specific formulation along with how many times a day (ie. bupropion 100 mg SR 12 hour tablet vs bupropion 150 mg XL 24 hour tablet; see attached pictures below), yet the errors still continue. Unfortunately, we dont have a robust barcode scanning method because the Rx techs are not scanning each individual tablets when filling pyxis.

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