Medication Strip Packaging Services | Pre-Sorted Prescription Pouches Delivered Monthly

We recommend medication strip packaging because it directly addresses one of the most common — and preventable — barriers to safe aging in place: medication mismanagement. Research consistently shows that nearly 50% of medications for chronic conditions are not taken as prescribed, and medication non-adherence leads to approximately 125,000 preventable deaths and up to 25% of hospitalizations in older adults annually.
From an occupational therapy perspective, managing multiple pill bottles is a complex instrumental activity of daily living (IADL) that demands intact executive function, fine motor coordination, vision, and consistent routine — all of which can decline with age, neurological conditions, or caregiver fatigue. Strip packaging removes the cognitive and physical demands of sorting medications by pre-organizing doses into a sequential, time-stamped system. This reduces errors, supports caregiver confidence, and preserves the independence of the person taking the medication.
The easy-tear pouch format also addresses common physical barriers: no child-resistant caps to wrestle open, no small pills to fish out of bottles, and no confusion about which medications go together at which time of day. For caregivers managing medications remotely, the sealed and labeled pouches provide a simple, verifiable system — you can see at a glance whether today’s morning dose was taken.

How to get started with any of these services: Transfer your prescriptions by calling the pharmacy directly. They will contact your doctors for refills, verify your insurance, and coordinate a monthly delivery schedule. Most patients are fully set up within 1–2 weeks.

1. PillPack by Amazon Pharmacy
Website: pharmacy.amazon.com/pillpack
Phone: Available through Amazon Pharmacy app or pillpack.com
Coverage: Licensed in all 50 states and D.C. with fulfillment centers nationwide (does not currently ship to Hawaii or Puerto Rico)
Format: Medications sorted into tear-off pouches on a roll, printed with date, time, and contents; delivered in a recyclable dispenser box
Cost: Free packaging and monthly delivery — you only pay copays
Insurance: Accepts most plans including Medicare Part D
OTC/Vitamins: Can add vitamins and OTC medications to your pouches
Caregiver Feature: Caregivers can manage a loved one’s prescriptions from their own Amazon account
Best For: Families already comfortable with Amazon who want a tech-forward experience with app-based management and 24/7 pharmacist access

2. ExactCare Pharmacy (by AnewHealth)
Website: exactcarepharmacy.com
Phone: 1-877-355-7225
Coverage: Licensed in all 50 states and D.C.; two pharmacy locations (Ohio and Texas) serving patients nationwide
Format: “ExactPack” strip pouches sorted by day and time; each pouch describes pill size, shape, and color for visual verification
Cost: Free packaging, home delivery, and clinical services — you only pay copays
Insurance: Accepts most major plans including Medicare Part D, Medicaid, and private-pay
Clinical Support: Includes medication review by clinical pharmacists, proactive refill management, coordination with all prescribers, and a dedicated pharmacy care team
Best For: Individuals with complex medication regimens (5+ daily medications), multiple prescribers, or those transitioning from a hospital or rehab stay who need high-touch clinical pharmacy support

3. AccuPac by AccuServ Pharmacy
Website: accupacrx.com
Phone: 1-866-213-9821
Coverage: Based in Pennsylvania; ships to patients nationwide
Format: Easy-to-tear pouches on a roll, delivered in an AccuPac box, sorted by dose and time of day
Cost: Free packaging and shipping — you only pay copays
Insurance: All major insurance plans accepted
Extras: Also ships inhalers, creams, diabetes testing supplies, refrigerated items, vitamins, and OTCs in the same monthly delivery; includes mobile app for prescription management and medication reminders
Best For: Patients managing chronic conditions (kidney disease, diabetes, HIV, cancer) who benefit from a pharmacy experienced in complex and specialty medications

4. Simple Meds
Website: simplemeds.com
Phone: Available on website
Coverage: Based in Indianapolis; ships nationwide
Format: Perforated strip pouches robotically packaged and verified by camera system, labeled by day and time
Cost: Comparable to most pharmacies; works with most insurance plans including Medicare Part D with no extra fees
Extras: Monthly delivery includes a complete medication list with video links to educational information about each medication; as-needed medications (inhalers, eye drops, insulins) are packed and included separately in the same shipment
Background: Founded by the family behind Home Instead Senior Care — built specifically for the aging-in-place population
Best For: Families looking for a service designed from the ground up for seniors, with built-in medication education resources


Also Ask Your Local Pharmacy
Many independent and community pharmacies now offer strip packaging using the same pouch-on-a-roll format. If you prefer to work with a local pharmacist who knows you, call your pharmacy and ask: “Do you offer multi-dose strip packaging?” or “Do you have adherence pouch packaging?” Not all pharmacies have the equipment, but the number offering this service is growing — especially among independent pharmacies. Your local pharmacist can often provide the same packaging with the added benefit of face-to-face consultations and same-day adjustments when medications change.