💊 Free Tool

Build Your Medication List

Keep an up-to-date list of everything you take — prescriptions, over-the-counter, vitamins. Print it for your doctor, your pharmacist, or your next Medicare conversation. Nothing you enter here is sent anywhere; it stays private in your browser.

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Whose List Is This?

Your Name

Date of Birth

Prescription Medications

#	Medication	Dosage	Frequency	Prescribed By

Over-the-Counter, Herbal & Supplements

#	Item	Dosage	Frequency	Notes

Doctors & Providers

#	Name	Specialty	Phone	Practice / Notes

💡 Saves as a PDF — we recommend texting it to yourself so it's always with you. It also includes a quick code to bring your list back up for editing later.

💊 Your list is empty. Add your first medication below.

Saved automatically in this browser — come back anytime and your list will still be here.

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Save Your Doctors to Your List Too

Keeping track of which doctor treats what makes it easier for your other doctors to stay coordinated on your care — and gives your advisor exactly what they need to double-check that every one of them stays in-network when you review your coverage.

🩺 No providers added yet. Add your first doctor below.

Why this matters: Having a complete, current medication list makes every conversation easier — with your doctor, your pharmacist, or a PharmSurance advisor reviewing your Medicare coverage. It's the single most useful thing you can bring to any of those conversations.

Ready to Talk Through Your Options?

Print this list and bring it to your conversation — your advisor can walk through how your specific medications are treated as part of reviewing your Medicare options.

Talk to an Advisor →

Need to Add or Remove a Medication Later? Viewing this on a screen? Tap the button below. Holding a printed page? Scan the code with your phone's camera instead. ✏️ Tap Here to Edit This List