A medication list is one up-to-date record of everything a person takes, from prescriptions to vitamins and eye drops, kept by the patient or caregiver and checked by a clinician at every visit. Copy the free list, with a section for reconciling it at a visit, admission, or discharge; see a primary care review and a hospital discharge example; and check what goes in each part.
Blank medication list template
FreeMEDICATION LIST Bring this list, and your medicines, to every appointment, pharmacy visit, and hospital stay. ABOUT ME Name: [Full name] Date of birth: [Date] Phone: [Your phone number] Emergency contact: [Name, relationship, and phone] Who helps with my medicines: [Name and phone of a caregiver, or I manage my own] Health conditions: [Each ongoing condition, such as diabetes, heart failure, or asthma] Weight: [Weight and the date measured] Kidney or liver problems: [Any a clinician has told me about, or none known] Pregnant or breastfeeding: [Yes, no, or not applicable] ALLERGIES AND REACTIONS Medicine allergies: [Medicine and what happened, such as hives, swelling, or trouble breathing, or none known] Side effects that stopped a medicine: [Medicine and what happened, or none] Other allergies: [Latex, foods, contrast dye, insect stings, or none known] PRESCRIPTION MEDICINES Include inhalers, patches, injections, eye and ear drops, creams, and anything taken once a week or once a month. One line for each: name and strength; dose and when; how it's taken; what it's for; prescriber; date started 1. [Name and strength]; [How many, how often, and what time of day, or when needed]; [By mouth, inhaled, patch, injection, drops, or cream]; [What it's for, in my own words]; [Prescriber]; [Month and year started] 2. [Next prescription medicine, in the same order] OVER-THE-COUNTER MEDICINES Pain relievers, allergy, sleep, stomach, and cold medicines 1. [Name and strength]; [How much and how often]; [What it's for] VITAMINS, SUPPLEMENTS, AND HERBAL PRODUCTS 1. [Name and amount]; [How often]; [Why I take it] RECENTLY STOPPED, CHANGED, OR ON HOLD 1. [Medicine]; [Stopped, changed, or on hold, and the date]; [Why, such as a side effect or no longer needed]; [Who decided, and when to restart if on hold] MY PHARMACY AND PRESCRIBERS Pharmacy: [Name and phone] Main clinician: [Name, practice, and phone] Other prescribers: [Name, specialty, and phone, or none] LAST REVIEWED Reviewed with: [Clinician or pharmacist's name and the date] Next review: [Date, or at the next visit] CLINICIAN REVIEW: MEDICATION RECONCILIATION For the clinician or pharmacist at a visit, admission, transfer, or discharge Reason for review: [Routine visit, admission, transfer, discharge, or a new prescription] Sources used: [Patient or caregiver, the medicines themselves, pharmacy dispensing record, clinic record, specialist letter, or discharge summary, with dates] Discrepancies found: [Each difference between the sources and what the person actually takes, or none] Checks: [Duplicates, interactions, allergies, and doses for age, weight, and kidney function] Decision for each discrepancy: [Continue, change, stop, start, or hold, with the reason] Medicines on hold: [Medicine, why, and when and by whom it will be restarted] Who was told: [Patient or caregiver, pharmacy, other prescribers, and the next care setting] Updated list given: [Printed, sent to the patient portal, or both, and the date] Reviewed by: [Name, role, date]
Use it for
Each one follows the template. Use them to judge how much detail every part needs.
Family medicine clinic, medication review; she brought every bottle, with her daughter
Dolores Hughes, born March 14, 1952, age 74. Conditions: type 2 diabetes since 2011; heart failure with reduced ejection fraction, 35% on her August 2026 echocardiogram; atrial fibrillation since 2022; knee osteoarthritis. Help with medicines: her daughter, Karen Hughes, 555-0147, fills a weekly pill organizer each Sunday. Weight: 72 kg (159 lb), today. Kidney function: mildly reduced, eGFR 58 in June 2026. Allergies: penicillin, hives over the chest and arms in 1988, with no swelling or breathing trouble. Side effect that stopped a medicine: lisinopril, a dry cough in 2021.
From her bottles and the organizer, 11 items. 1. Apixaban 5 mg, 1 tablet twice a day, for atrial fibrillation, to prevent stroke; Dr. Ada Okafor, cardiology; since 2022. 2. Metoprolol succinate extended-release 100 mg, 1 tablet each morning, for heart failure and heart rate; Dr. Okafor; since September 2026. 3. Metoprolol tartrate 50 mg, 1 tablet twice a day, “for my heart”; Dr. Erik Lindqvist, family physician; since 2022. 4. Sacubitril/valsartan 49/51 mg, 1 tablet twice a day, for heart failure; Dr. Okafor; since 2024. 5. Spironolactone 25 mg, 1 tablet each morning, for heart failure; Dr. Okafor; since 2024. 6. Furosemide 40 mg, 1 tablet each morning, for fluid; Dr. Okafor; since 2023. 7. Empagliflozin 10 mg, 1 tablet each morning, for heart failure and diabetes; Dr. Okafor; since 2024. 8. Metformin 1,000 mg, 1 tablet twice a day with meals, for diabetes; Dr. Lindqvist; since 2011. 9. Atorvastatin 40 mg, 1 tablet at bedtime, for cholesterol; Dr. Lindqvist; since 2011. 10. Naproxen sodium 220 mg, over the counter, 2 tablets twice a day most days for 3 weeks, for knee pain. 11. Vitamin D3 1,000 units, 1 capsule a day, her own choice.
Recently stopped: none written on her list. Pharmacy: Riverside Pharmacy, 555-0133. Main clinician: Dr. Erik Lindqvist, Riverside Family Medicine. Other prescribers: Dr. Ada Okafor, cardiology. Last reviewed: November 2025, at her annual visit.
Tired and lightheaded when she stands, for 6 weeks; ankles more swollen for 2 weeks. Heart rate 52 and irregular. Blood pressure 104/62 sitting, 96/58 standing. Weight up 1.5 kg in 2 weeks; mild ankle swelling; chest clear. Blood tests last week: eGFR 48, down from 58 in June; potassium 5.1 mmol/L; HbA1c 7.1%.
Reason: medication review with new dizziness and swelling. Sources: her bottles and organizer, the clinic record, Dr. Okafor’s letter of September 18, 2026, and the pharmacy’s dispensing record, phoned during the visit. Discrepancy 1, metoprolol twice: the cardiology letter switched metoprolol tartrate to succinate, but the clinic record and the pharmacy still had tartrate active with refills, so both went into the organizer. That is 200 mg of metoprolol a day instead of 100 mg, which fits the heart rate of 52 and the dizziness. Discrepancy 2, naproxen: on no record, and taken at more than the package allows. With apixaban it raises the risk of bleeding; with sacubitril/valsartan, spironolactone, and furosemide it holds fluid and strains the kidneys, which fits the swelling and the fall in eGFR. Discrepancy 3, vitamin D3: missing from the clinic record. Checks: apixaban 5 mg still right, as she is under 80, over 60 kg, and her creatinine is below the dose-reduction cut-off; metformin dose fine at eGFR 48; no other duplicates or interactions.
Metoprolol tartrate: stopped; the bottle went back to the pharmacy for disposal, and the pharmacy cancelled the refills. Metoprolol succinate 100 mg: continued. Naproxen: stopped. For her knee instead: acetaminophen 1,000 mg up to 3 times a day, and diclofenac gel to the knee up to 4 times a day. Vitamin D3: added to the record and continued. Everything else continued. Weigh each morning, and call if up 1 kg in a day or 2 kg in a week. Heart rate, blood pressure, eGFR, and potassium in 1 week. Told: Mrs. Hughes and Karen, who refilled the organizer at the visit; Riverside Pharmacy by phone; Dr. Okafor by letter with the updated list. Updated list printed, one for her wallet and one for the fridge. Reviewed by Dr. Erik Lindqvist, November 9, 2026. One week later: heart rate 68, no dizziness, weight down 1 kg, eGFR 55, potassium 4.7 mmol/L.
Medical ward, discharge day after 2 nights in hospital; checked with the ward pharmacist
Nadia Haddad, born June 2, 1984, age 42. Admitted November 3, 2026, with pneumonia in the right lower lung, low blood pressure, and kidney strain; discharged November 5. Conditions: high blood pressure since 2019; anxiety; seasonal allergies; smokes 20 cigarettes a day. Weight: 68 kg (150 lb). Kidney function: eGFR 52 on admission, 78 today; her usual is above 90. Pregnant or breastfeeding: no. Medicine allergies: none known. Other allergies: cats and tree pollen.
1. Amoxicillin-clavulanate 875/125 mg, 1 tablet twice a day with food, for pneumonia; last dose the evening of November 7, which completes 5 days of antibiotics; Dr. Grace Liu, hospitalist. 2. Albuterol (salbutamol) inhaler, 100 mcg a puff, 2 puffs with the spacer every 4 to 6 hours if needed for wheeze, cough, or a tight chest, while the lungs heal; Dr. Liu. 3. Nicotine patch 21 mg, 1 new patch each morning on a new spot of skin, to stop smoking, for 6 weeks before stepping down; with nicotine gum 2 mg, 1 piece for a strong craving, up to 10 a day; Dr. Liu.
Continue: amlodipine 5 mg, 1 tablet each morning, for blood pressure; Dr. Samir Aziz, family physician; since 2021. Sertraline 50 mg, 1 tablet each morning, for anxiety; Dr. Aziz; since 2023. Cetirizine 10 mg, over the counter, 1 tablet a day in spring and fall, for allergies. Acetaminophen 500 mg, 2 tablets every 6 hours if needed for fever or chest pain, no more than 8 tablets in 24 hours, counting any cold or flu product that contains it. On hold: lisinopril 20 mg, 1 tablet each morning, for blood pressure. Held since November 3, when her blood pressure was low and her kidneys strained with the infection. Don’t take it until the visit with Dr. Aziz on November 12. Kidney blood test on November 11, and Dr. Aziz decides then whether to restart it. Call the clinic sooner if home blood pressure is above 160/100.
Ibuprofen 400 mg, over the counter, taken for fever at home for 3 days before admission: stop. It strains the kidneys while they recover; use acetaminophen instead. Azithromycin: finished in hospital, last dose November 5; don’t take any more. Ceftriaxone by IV and heparin injections to prevent clots: hospital only, both stopped at discharge.
Pharmacy: Cedar Street Pharmacy, 555-0138. Main clinician: Dr. Samir Aziz, Eastgate Medical, 555-0119; visit November 12. Last reviewed: November 5, 2026, with Jordan Park, ward pharmacist. Next review: at the November 12 visit.
Reason: hospital discharge. Sources: the admission medication history, taken from Ms. Haddad and the pharmacy dispensing record on November 3; the inpatient orders; and the draft discharge prescription. Discrepancy 1: the draft listed lisinopril as “continue,” carried over from the admission list, though it had been held for kidney injury and low blood pressure, and her eGFR is not back to her usual. Changed to on hold, with the restart decision at the November 12 visit. Discrepancy 2: cetirizine was missing from the admission history; she remembered it during the discharge talk. Added; no interactions. Hospital-only medicines stopped as intended. Checks: no penicillin allergy; amoxicillin-clavulanate dose fine for her kidney function; no interactions among the discharge medicines.
Started: amoxicillin-clavulanate, albuterol, nicotine patch and gum. Continued: amlodipine, sertraline, cetirizine, and acetaminophen if needed. On hold: lisinopril. Stopped: ibuprofen. Told: Ms. Haddad, who showed her inhaler and spacer technique and explained the lisinopril plan back in her own words; Cedar Street Pharmacy, sent the list with the new prescriptions; Dr. Aziz, in the discharge summary, with the restart question and the November 11 blood test. Updated list printed and sent to her patient portal. Reviewed by Jordan Park, ward pharmacist, and Dr. Grace Liu, November 5, 2026.
Who the list belongs to, who to call, and the facts that change which medicines and doses are safe.
Avoid: Leaving out the caregiver. When a daughter fills the weekly organizer, she is the one who knows what the person actually swallows.
What happened with each medicine the person reacted to, so a clinician can tell a true allergy from a side effect.
Avoid: “Penicillin” with no reaction. Hives, swelling, and trouble breathing mean different things, and a vague label can rule out the best antibiotic for years.
Every prescribed medicine, one per line, in enough detail that someone who has never met the person could give it.
Avoid: “1 tablet daily” with no strength. Strengths change, and two bottles of the same medicine at different strengths are a common way doses double.
What the person buys without a prescription. These are the items most often missing, and some of them interact with prescriptions.
Avoid: Asking “any other medicines?” and taking no for an answer. Ask about each group by name: pain, sleep, allergy, stomach, vitamins, and herbal products.
What changed in the last few months and why, so no one restarts a medicine that was stopped on purpose, or forgets one that was only paused.
Avoid: A hold with no restart plan. “Held” on a discharge list becomes “stopped” by accident unless it says when, and who decides.
Who to call to check the list, and how current it is.
Avoid: An undated list. A clinician can’t trust a list without knowing whether it was checked last week or 3 years ago.
The clinician’s or pharmacist’s check of the list against other sources at a visit, admission, transfer, or discharge, with a decision on every difference.
Avoid: Ticking “medications reconciled” against the chart alone. The chart is one source, not the truth: compare it with the bottles, the pharmacy record, and what the person says they take.
Over-the-counter pain relievers, vitamins, herbal products, eye drops, and weekly injections are the items most often left off, and an over-the-counter anti-inflammatory can undo a heart failure plan. Ask about each group by name.
“What it’s for” is how duplicates and leftovers show up. Two medicines for the same reason, or one with no reason anyone can name, is the place to start the review.
A brand and a generic name, two strengths, or a combination pill that contains a medicine already on the list can all mean the same drug is taken twice. Check each pair, and remove the old bottle.
A list copied from the last visit, or from the chart, repeats what was true then. Date every review, and rebuild the list from the medicines themselves at least once a year.
For clinicians: name the sources, each discrepancy, and the decision on it, and who was told. Without them, the next clinician can’t tell a deliberate change from a mistake.
Vero Scribe drafts the medication list in your template from the visit, with the patient’s consent, or from your dictation: each medicine with its dose and reason, the allergies, and what changed and why. You review and edit every section, then copy it into your record or export it to Word or PDF for the patient to keep. Vero works in 60+ languages.
Every medicine the person takes: prescriptions, over-the-counter medicines, vitamins, supplements, and herbal products, including inhalers, patches, injections, and drops. For each one, the name and strength, the dose and when it’s taken, what it’s for, who prescribed it, and when it started. Add allergies with the reaction, medicines recently stopped and why, the pharmacy, and the date the list was last reviewed.
The medication list is the person’s own record of what they take, kept up to date by them or a caregiver. Medication reconciliation is what a clinician or pharmacist does with it at a visit, admission, transfer, or discharge: compare it with the other sources, find each difference, and decide what to continue, change, stop, start, or hold. This template has both: the list, and a reconciliation section at the end.
Every time a medicine is started, stopped, or changed, by any prescriber. Bring it to every appointment and hospital stay. Once a year, or sooner for someone taking many medicines, go through it with a clinician or pharmacist with every bottle on the table, including over-the-counter products and supplements.
Gather every bottle, box, inhaler, and tube in the home, including over-the-counter products and supplements. Copy the name and strength from each label, then ask your parent, or check the label, for how they take it and what it’s for. Ask the pharmacy for a printout of what it has dispensed, and bring both to the next appointment to check them together.
Yes. Some interact with prescriptions, such as St. John’s wort with antidepressants and birth control pills, and some, such as ginkgo, are often stopped before surgery. Write the product, the amount, and how often, just like a medicine.
Yes. Copy it, or download it as a Word or text file and print it. No account needed.
A patient leaving or refusing care: the recommendation, capacity, risks in plain words, alternatives, signature or refusal to sign, and the care still given.
A patient’s authorization to release health information: who sends and receives it, what goes, sensitive records, purpose, end date, rights, and the release log.
Consent to a procedure or treatment: benefits, risks, alternatives, capacity, signatures, and the discussion note.
A parent names another adult to consent to their child’s care: dates, what it covers, health details, and signatures.
Screening questions, consent or declination, and a record of each dose: lot, expiry, site, observation, and the next dose due.
The full reconciliation workflow: compare sources, record each difference, and follow it to a decision.
Medication reviews and counselling turned into notes and care-team updates.
Visit notes, medication changes, and follow-up, drafted from the visit for your review.
Vero writes your notes and letters in the templates you choose, so you review instead of type.
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