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    1. Home
    2. Resources
    3. Buyer's Guides
    4. Prescription Bags and Tamper-Evident Seals: What to Use

    Buyer's Guides

    Prescription Bags and Tamper-Evident Seals: What to Use

    A bag that splits on the walk home is a dispensing error the patient blames on you. Size and seal choice are less trivial than they look.

    OMS Clinical Team

    Product Specialists

    30 July 20263 min read

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    Prescription bags are sized by height, width and gusset, quoted in that order in millimetres. The gusset is the fold at the base that lets the bag open out. Get the gusset wrong and a bag that looks big enough on paper will not take a boxed inhaler.

    How bag sizes are written

    A bag described as 215 x 75 x 50mm is 215mm tall, 75mm wide and has a 50mm gusset. The common NHS sizes run from around 215mm tall for single small boxes up to 350mm for bulky or multiple items. Most pharmacies settle on three sizes: a small for single boxes, a medium for typical multi-item prescriptions, and a large for bulk or awkward shapes.

    • Small, around 215 x 75mm, for a single box or a small bottle
    • Medium, around 250 to 280mm tall, for the majority of prescriptions
    • Large, 320 to 350mm tall, for inhalers, bulky boxes and multi-item collections

    Ordering only one size is a false economy. Small items rattling around a large bag look careless, and forcing a box into a bag that is slightly too small is how bags split.

    Paper or plastic

    Brown kraft paper has largely replaced plastic for prescription bags in UK pharmacy. It is recyclable, it takes a label cleanly, and it does not sweat in the way a sealed plastic bag can. The trade-off is wet weather. If your patients walk home, a paper bag in rain is a genuine problem, and it is worth keeping some plastic or a rain cover for that.

    What a tamper-evident seal actually proves

    A tamper-evident seal does not prevent tampering. It makes tampering visible. That distinction matters when you decide where to use one. The seal shows that the bag has been opened between the point it was sealed and the point it was handed over, which is useful for deliveries, for collections by someone other than the patient, and for anything travelling between sites.

    Uniquely numbered seals go a step further. Recording the number against the dispensing record means you can show which specific seal was on which specific bag. That is worth doing for controlled drugs, for high-value items and for anything where a dispute is plausible.

    A seal is a record, not a lock

    If nobody records the number and nobody checks it on receipt, a numbered seal gives you no more than a plain one. The value is in the recording and the checking, not the sticker.

    When a seal is worth the time

    • Deliveries to a patient home or a care home
    • Collection by a representative rather than the patient
    • Anything moving between branches or sites
    • Controlled drugs, where the audit trail matters
    • High-value items where loss in transit is a realistic risk

    For a routine over-the-counter collection where the patient is standing in front of you, a seal adds cost and time for very little. Use them where the bag leaves your sight.

    Practical points

    Seals stick better to paper than to plastic, and better to a flat surface than a fold. Apply across the closure so that opening the bag breaks the seal rather than peeling it. If you are using numbered seals, log the number at the point of sealing, not later from memory.

    Keep one size of bag in easy reach of the bagging station and the others nearby. Reaching for the wrong size because it is closer is how mixed stock ends up unbalanced.

    Frequently asked questions

    How are prescription bag sizes measured?
    By height, width and gusset in millimetres, quoted in that order. A bag described as 215 x 75 x 50mm is 215mm tall, 75mm wide with a 50mm base fold. The gusset determines whether a boxed item will actually fit.
    What does a tamper-evident seal actually do?
    It does not prevent tampering. It makes tampering visible, showing that a bag has been opened between sealing and handover. That is useful for deliveries, collections by a representative, and anything moving between sites.
    Are numbered seals worth using?
    Only if the number is recorded against the dispensing record and checked on receipt. Recorded properly they show which specific seal was on which bag, which matters for controlled drugs and high-value items. Unrecorded, a numbered seal is no better than a plain one.
    How many prescription bag sizes should a pharmacy stock?
    Three covers most needs: a small around 215mm for single boxes, a medium of 250 to 280mm for typical prescriptions, and a large of 320 to 350mm for inhalers and multi-item collections.
    Should prescription bags be paper or plastic?
    Brown kraft paper has largely replaced plastic in UK pharmacy. It is recyclable, takes a label cleanly and does not sweat. The exception is wet weather, so it is worth keeping some plastic or rain covers if patients walk home.
    All resources

    On this page

    • How bag sizes are written
    • Paper or plastic
    • What a tamper-evident seal actually proves
    • When a seal is worth the time
    • Practical points
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