A free, printable organizer
Medication list template for your next appointment
Use this blank template to collect medicine details and questions in one place. Copy information from the package or pharmacy label when you can, add what you take each item for in your own words, and ask your pharmacist or clinician about anything you cannot confirm.
The CSV contains column headings only. The template does not collect or include your medicine details. Optional page counts are separate and off until you allow them below.
Preparing for more than medicines? Use our free New Zealand doctor appointment checklist.
Optional local lookup
Look up a medicine name
Search names from the New Zealand Pharmac schedules to help copy a name from your package onto your list.
Your search is not saved or sent. The public name list is loaded from this site when you search.
Names adapted from Pharmac’s October 2026 Pharmaceutical Schedule and Hospital Medicines List under CC BY 4.0. Pharmac does not endorse DoctorAI. This is a name lookup only: a result does not confirm the exact product, ingredients, availability, funding, suitability, or safety. A missing name does not prove that a medicine is not listed. Check the full name and strength against your package with a pharmacist or clinician.
Write it down. Check it together.
Your medication list
Use a separate row for each medicine or supplement you want to discuss. FDA guidance also recommends keeping allergy, medical condition, and emergency contact details with a full medication list; add those separately if relevant.
| Name as shown on the package or label | Strength or form shown on the label | What I take it for | Directions shown on the label | Questions for my care team |
|---|---|---|---|---|
| Medicine or supplement | Strength or form | What I take it for | Directions on label | Questions for care team |
| Medicine or supplement | Strength or form | What I take it for | Directions on label | Questions for care team |
| Medicine or supplement | Strength or form | What I take it for | Directions on label | Questions for care team |
| Medicine or supplement | Strength or form | What I take it for | Directions on label | Questions for care team |
| Medicine or supplement | Strength or form | What I take it for | Directions on label | Questions for care team |
| Medicine or supplement | Strength or form | What I take it for | Directions on label | Questions for care team |
Last checked: 1 October 2026 Appointment date: ____________________
What to put on the list
The U.S. Food and Drug Administration recommends keeping a current list of medicines and sharing it with health professionals. Its patient guidance includes prescription and over-the-counter medicines, vitamins, and supplements.
- Include the medicines and supplements you use, including ones you take only sometimes.
- Copy the medicine name, strength, and directions from the label when available. Add what you take it for in your own words and write down questions if a detail is unclear.
- Update your notes when your medicines change. Do not guess at missing details; ask your pharmacist or care team to help check them.
- Take the list to your appointment or pharmacy and review it with a health professional.
This template is for organizing information and questions. It does not tell you what medicine to take or how to take it. Do not start, stop, or change a medicine based on this page.
Keep the details together
Prefer a digital list?
Start a free list by typing the label details yourself. No account is needed to use it in this browser. Choose device or session storage when the Hub opens. Photo or barcode scanning requires Pro.
Check every field against your label before saving. The scanner does not verify medicine safety or check drug interactions.
Questions about this template
Does DoctorAI check whether medicines are safe together?
This blank template does not check medicine safety. DoctorAI Pro has a separate, limited database check that can flag some known medicine clashes, duplicate ingredients, and recorded allergy matches. An absent alert does not mean medicines are safe together. Ask a pharmacist or clinician to review your full list before making treatment decisions.
Should I include vitamins or supplements?
FDA patient guidance recommends listing vitamins and supplements as well as prescription and over-the-counter medicines. Ask your care team what details they need.
Where can I learn more?
Read the FDA guide to creating and keeping a medication list and the MedlinePlus guide to keeping medicines organized. This page summarizes general organizational guidance; it is not a substitute for personal medical advice.
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Page counting is off until you allow it.