I don't know what albuterol vials look like. The Asthmanephrine comes in individual vials, about 10 or 12 drops, & usually lasts for a day. There are 30 in a box, so you get about a months worth, more or less. You have to clean the atomizer every day, & it only takes about 5 minutes, but you have to follow the instructions exactly as far as the distilled water/white vinegar goes. If you don't do this, it will clog up frequently & become frustrating. It took me a few days to get the hang of this, once you do, it's no problem. I find that making a 1 to 4 water/ vinegar mix should be done in a fairly large quantity, like a qt. or so. Also, don't reuse it after you've done the cleaning, it's pretty cheap to make. also, don,t use tap or mineral water. They will clog up your atomizer pretty quick, & once it gets badly clogged, it's very difficult to clean out, & it costs about $60 with the tax. I'm a Primatene Mist user, & this new stuff works just as well (same ingredients without the CFCs). I hope this is helpful. I also used to get prescriptions for Albuterol, you know, the inhalers, but it requires a prescription, an office visit and so on. And it's gotten very expensive.