Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Master List of Medicines

Master List of Medicines

Overview

List each medicine that you take. Be sure to include over-the-counter medicines, herbs, vitamins, and other natural health products.

Use this as a guide when you fill out the chart.

  • Medicine names. Include both the brand name and the generic name for all prescription medicines, even those prescribed by another doctor.
  • Doctor's name. Include the name of the doctor who prescribed the medicine. This is especially important if you see more than one doctor.
  • Pharmacy. Include the name and phone number of the pharmacy where you buy the medicine. If you use more than one pharmacy to get your medicines, make sure the pharmacist at each store knows all the medicines you are taking. The pharmacist can then check for medicine interactions.
  • Date started. This is the date you started taking the medicine. This is especially important if you have been taking a certain medicine for a long period of time.
  • Reason to take. Include a short phrase that tells why you are taking the medicine.
  • Dose (such as 2 mg, 5 mL, 1 tsp). The amount of medicine in each pill appears on the prescription label in milligrams (mg). This is called the dose, or strength. The label on liquids and shots lists the dose too. Put the amount of the medicine you take each time you take a dose. For example, if you take a 50 mg pill, you would put 50 mg in this space, not one pill. If you take two 25 mg pills at a time, you would also put 50 mg.
  • When to take. Put how often during the day you need to take the medicine, such as 3 times a day.
  • Side effects to look for. Ask your doctor or pharmacist for side effects you need to watch for while taking the medicine.

Keep this master list of medicines up to date. Review it with your doctor at each visit. At the bottom, list medicines that you're allergic to or that you've stopped for other reasons.

Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Medicine name

Doctor's name

Pharmacy

Date started













Reason to take

Dose

When to take

Side effects to look for













Allergies to medicines
Use the chart below to list all medicines, both prescription and over-the-counter, that you are allergic to.

Medicine name

Type of reaction, such as a rash or breathing difficulties























This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details