Reversible Cap Vials — Dual Child-Resistant and Easy-Open
Reversible cap vials have a two-position cap — one side is child-resistant (push-down-and-turn), the other is easy-open (no push-down required). The pharmacist chooses which mode to dispense in and documents it on the label per state pharmacy board requirements.
They are the correct choice for patients who struggle with standard CR caps: elderly patients, arthritis patients, and anyone with limited hand or wrist strength. We stock reversible cap vials in 8 to 60 dram, clear and amber, from Jersey City, NJ.
Reversible cap vials are dual-mode pharmacy containers with a two-position cap: one side is child-resistant (push-down-and-turn, meeting CPSC 16 CFR 1700.15), and the other is easy-open (screw-top, no downward force required). The pharmacist selects the dispensing mode at the point of fill and documents the choice on the prescription label, as required by the Poison Prevention Packaging Act (PPPA), which permits non-CR dispensing when a patient or their authorized representative requests it in writing. Reversible cap vials are the standard accommodation for elderly patients, patients with arthritis, or any patient who cannot safely operate a standard child-resistant cap.
For full regulatory guidance, refer to our pharmaceutical packaging compliance guide.
Available Sizes
| Dram Size | Volume | Common Use | Case Qty |
|---|---|---|---|
| 8 dram | ~30ml | Small fills, short-term prescriptions | 1,000/case |
| 13 dram | ~48ml | Standard 30-day supply – most common reversible cap | 1,000/case |
| 16 dram | ~59ml | 30-day standard tablet dispensing | 1,000/case |
| 20 dram | ~74ml | Capsule fills, 90-day small tablet supply | 1,000/case |
| 30 dram | ~111ml | 90-day supply, amber for light-sensitive medications | 1,000/case |
| 40 dram | ~148ml | High-volume fills, cannabis dispensing | 1,000/case |
| 60 dram | ~222ml | Large-format dispensing, pink & blue color options | 500/case |
Who Uses Reversible Cap Vials
Reversible cap vials are used across retail, institutional, and specialty pharmacy settings wherever patient accessibility is a dispensing consideration. Independent retail pharmacies use them to accommodate individual patients who have requested non-CR packaging. Long-term care pharmacies, skilled nursing facility (SNF) pharmacies, and assisted living dispensaries use them as a default vial format because the majority of their patient population cannot operate standard push-down-and-turn caps. Hospice pharmacies frequently dispense in easy-open mode, with blanket patient preference documentation on file. Reversible cap vials are also used in compounding pharmacies and specialty pharmacies serving oncology, rheumatology, and neurology patient populations — all conditions associated with reduced hand strength or dexterity.
How the Two Modes Work
The reversible cap has two distinct faces. In standard orientation, the vial opens with a push-down-and-turn motion — the pharmacist must press down on the cap while rotating it counterclockwise to open. This is the child-resistant mode and meets CPSC 16 CFR 1700.15. To switch to easy-open mode, the pharmacist removes the cap, flips it to the opposite side, and replaces it. In easy-open orientation, the vial opens with a simple counterclockwise turn and no downward force is required. State pharmacy boards require the dispensing mode to be noted on the prescription label. Most boards require a notation such as "non-child-resistant container dispensed per patient request" when using easy-open mode. The patient's written request must be documented in the dispensing record.
Amber Reversible Cap Vials
13 dram amber is the most commonly ordered pharmacy vial size. Amber HDPE blocks UV light in the 290–450nm range and is required for light-sensitive medications. If your pharmacy carries one reversible cap SKU, 13 dram amber is the ideal choice.
Color Options — Institutional Color-Coding
Pink and blue reversible cap vials are available in 60 dram sizes for institutional pharmacy color-coding systems. Contact us to confirm availability before ordering.
Frequently Asked Questions
When should I use pop top vs reversible cap?
Pop top vials are ideal for standard high-volume pharmacy dispensing because they are fast to fill, cap, and label. Reversible cap vials are typically used when a patient or caregiver requests easy-open packaging or when dispensing to patients with limited hand strength.
For high-volume dispensing needs, consider pop top vials for standard high-volume dispensing .
What is a reversible cap vial?
A reversible cap vial is a pharmacy dispensing container with a dual-function cap that can be used in either child-resistant or easy-open mode. The cap is flipped to the appropriate orientation before dispensing, allowing pharmacists to support both safety and accessibility needs.
Is non-child-resistant dispensing legal?
Yes. Under the Poison Prevention Packaging Act (PPPA), pharmacies may dispense medication in non-child-resistant packaging when a patient or authorized representative submits a written request. Pharmacists should follow both federal and state-specific documentation requirements.
What is the difference between a reversible cap vial and a thumb-tab vial?
Standard reversible cap vials require the cap to be flipped between child-resistant and easy-open modes. Thumb-tab vials use a side-tab mechanism that requires less hand strength and no downward pressure, making them suitable for patients with arthritis or limited dexterity.
Do reversible cap vials meet child-resistance standards?
Yes. When used in child-resistant orientation, reversible cap vials meet CPSC 16 CFR 1700.15 and ASTM D3475 standards. In easy-open mode, they do not function as child-resistant packaging.
What colors are reversible cap vials available in?
Reversible cap vials are available in clear, amber, opaque black, white, blue, green, pink, gold, silver, and several translucent color options. Clear and amber are the most common pharmacy choices.
Can reversible cap vials be used for cannabis dispensing?
Yes. When used in child-resistant mode, reversible cap vials meet the standards referenced by many state cannabis packaging regulations and may be used in compliant cannabis dispensing environments.
When should I use thumb-tab vs standard reversible cap?
Standard reversible cap vials are appropriate for general dispensing and patients needing optional easy-open access. Thumb-tab reversible cap vials are designed specifically for elderly patients or individuals with limited hand strength.
For patients with limited hand strength, we also offer thumb-tab reversible cap vials for patients with limited hand strength .
When should I dispense in easy-open vs child-resistant mode?
Easy-open mode is generally permitted only with documented patient request, while child-resistant mode is recommended for households with children or where required by regulation.
Are reversible cap vials the same as push-turn vials?
No. Reversible cap vials can switch between child-resistant and easy-open modes, while push-turn vials are permanently child-resistant and do not offer an easy-open option.
Are reversible cap vials Script-Pro compatible?
Compatibility depends on vial dimensions and brand specifications. Contact us with your automated dispensing system details for confirmation.
For automated pharmacy systems, explore our Philips Rx Script-Pro compatible pop top line .
What is the most commonly ordered reversible cap size?
13 dram amber reversible cap vials are the most commonly stocked option for standard 30-day prescription fills.
Do you stock both clear and amber across all sizes?
Yes. Clear and amber reversible cap vials are available from 8 to 60 dram, with select color options available in larger sizes.
Also consider
If maximum child resistance is required, explore push-and-turn vials for maximum child resistance.
You may also consider Prefer brand vials as an alternative option.
Reversible Cap Vials – Overview
Reversible cap vials feature a dual-function cap that allows both push-and-turn child-resistant use and easy-open screw-top access. They help pharmacies stay compliant with safety regulations while offering convenience for patients.
Product Features
Child-Resistant Design
Push-and-turn mechanism ensures safety and compliance.
Dual-Use Cap
Flip the cap to switch between child-resistant and easy-open modes.
Odor-Proof Storage
Helps preserve contents and prevent odor leakage.
Multiple Applications
Suitable for tablets, capsules, and other pharmaceutical products.
Available Colors
Assorted Colors, Opaque Black, Clear, Blue, Red, Purple, Translucent Pink, Green, Amber, Neon Green, Opaque Pink, Opaque Blue, Opaque Green, Opaque White, Opaque Silver, and Opaque Gold.
Compliance Standards
Reversible cap vials, when oriented in child-resistant mode, meet CPSC 16 CFR 1700.15 (the federal child-resistance testing standard under the Poison Prevention Packaging Act) and ASTM D3475 (Standard Classification of Child-Resistant Packages). In easy-open mode, the cap does not meet CR standards and may only be dispensed following written patient request and pharmacist label documentation, as required under 16 CFR 1700.5.
About Brigade Packaging
Brigade Packaging provides packaging solutions worldwide, including glass, plastic, and metal containers. We supply vials, bottles, droppers, test tubes, jars, and more for pharmacies, laboratories, and businesses. Bulk ordering allows significant cost savings, making our products both high-quality and affordable.