There are bottles as well, but it’s not as common. And they’re factory-produced bottles – not like those orange ones in the US. So it’s basically the same safety as blisters, other than its easier to spill.

I’m not 100% sure, but I think most of the groundwork for this situation is from EU Directive 2001/83/EC. Medical products need to have a lot of information provided, and it just gets simpler to have boxes with blisters to meet all the requirements, and gives safety at the same time.

I can’t imagine how hectic it must be for pharmacy techs in the US. Despite requiring 5 years of school to be a pharmacist here, the job is basically being a glorified cashier… Unless the person has any questions, you simply check their ID, check in the national registry that enough time has passed since their last collection (particularly if it’s a controlled substance), collect a package from the shelf, print out a label to put on the box (containing their name, doctor, dosage, instructions), scan the label and package, collect payment, and that’s it.