Use this medication interaction checker as your personal recorder and tracker of your medications and supplements. This form helps when you need to reorder, document, and track where your medications come from. An in-depth tutorial is found in Section 2 Article 3 (video series and user guide) Titled: “Prescription Medications” that explains how vital your account of actual use is. Statistics show that prescribers can only assume that you have picked up medication and that you took the medication as prescribed. The Patient Better’s Medication Form is not a duplicate from of the pharmacy’s, but it is your documentation that you have followed the doctor’s direction and took the medication as prescribed. This form not only tracks your actual usage, use this form to incorporate all medications, supplements, and where you purchased and as a one-source documenter. If there is not a pharmacy- put the retailer of where you got the supplement such as “GNC” or “Amazon.com”. So far, this is the best communicator we have on the market to show providers your compliance and commitment to following the treatment plan.

PURPOSE

According to the Center for Disease Control and Prevention (CDC), only 50% of prescribed medication is filled [and of that] only 30% of that medication is taken properly. However, the prescriber has [no other choice] but to assume that you took the medication properly [unless otherwise specified]. This worksheet is designed to track actual usage. If you feel uncomfortable in any way with the treatment plan as the doctor ordered; by all means, use this worksheet is your tool to bring up your concerns (try a different regime or discuss possible alternatives).

TIPS FOR USE

  • Document the manufacturer and lot number tracking (for recall purposes) and save the packaging in Self-Health Manager pocket labeled “MEDS”.

  • Assign each pharmacy number on the “peach colored box” (left side of form) even if you only have one pharmacy- so that people can quickly identify your over-the-counter medication in instances when you obtain all therapies in one retail location such as Walgreen’s or Walmart.

  • Once completed, document that you have finished the medication; if left blank, it is understood that you are 1) Still taking the medication 2) Not compliant (you need a reason why you did not take it as prescribed).

Click Here to Download THE MEDICATION INTERACTION CHECKER