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We have used medication pre-packaging for many years. Safety is the biggest pro. Other pros: Easy to organize for med call, great for out of camp trips.
We started with CampMeds and used them for nearly 10 years. Moved to PackMyRx last year. Very similar in many ways, except that PackMyRx will not package as needed items, which is annoying.
Cons: Expense and getting parents to take care of the registration process. Late changes are not easy and can cost $$$. Parents are not so happy with paying for this, but it has become the cost of sending their kids to camp and helping to ensure the safest method of medication administration. If someone feels they truly cannot afford it, we work with them.
Really, though, the safety aspect overrides the cons.