Patient had hyalgan sodium hyaluronate 20mg/2ml ordered (fidia pharma mfr) injection for series of 3 weekly injections.Pharmacy accidentally dispensed synvisc one hylan fg 20 (genzyme mfr).Clinic nurse noticed dispensing error before administered to patient.Near miss due to product labeling similarities.Errors due to product labeling similarities.Hyalgan sodium hyaluronate 20mg/ml and synvisc one hylan gf 20.A #1 dose or amount: 20mg syringe ordered; frequency: weekly x3; route: intra articular.A #2 dose or amount: 48mg syringe almost administer; frequency: once; route: intra articular.Diagnosis or reason for use: #1 arthritis.Is the product compounded? no.Is the product over-the-counter? no.
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