Pill count form 2026

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  1. Click ‘Get Form’ to open the pill count form in the editor.
  2. Begin by entering the medication name in the designated field. This ensures clarity on which medication you are tracking.
  3. Fill in the 'Original pill count' to establish a baseline for your tracking.
  4. Indicate how many pills you take per day in the 'Pills per day' section. This is crucial for calculating expected usage.
  5. Record the 'Prescription fill date' to track when your medication was last refilled.
  6. Enter today's date in the 'Current date' field to calculate how many days have passed since your prescription was filled.
  7. Calculate and input 'Days since prescription fill date' based on the current date and prescription fill date.
  8. Use the formula provided to determine 'Expected pills taken' by multiplying 'Pills per day' by 'Days since prescription fill date'.
  9. Calculate 'Expected pills left' by subtracting 'Expected pills taken' from 'Original pill count'.
  10. Finally, enter the number of 'Actual pills left', and calculate any discrepancies using the provided formula.

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