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Best Medisafe Alternatives in 2026: An Honest Comparison

Last reviewed: 2026-10-11

Key Takeaways

The best Medisafe alternative for most people leaving Medisafe’s two-medication paywall is a free tracker with no medication cap: MyTherapy on iOS and Android, or Pillo on Android. If ads and accounts are the problem, TOM and MedTimer are ad-free and anonymous. If the problem is that you see the reminder and swipe it away anyway, no tracker fixes that; a scheduled lock like Pause Moment is built for it.

This article synthesizes Medisafe’s own help-center and store-listing statements, dated user reviews, the developers’ published pricing, and store ratings by country. Apps are compared by their mechanism and fit, not ranked. Pricing and availability verified 2026-10-11. Not medical advice.

This guide compares Medisafe with alternatives by what each one actually does. Medisafe stays in the comparison as the anchor, not as the rejected option, and the alternatives are ordered by how closely their mechanism matches Medisafe’s, with the most different app last. Pause Moment, which publishes this site, earns no affiliate commission from any app named here. The selection and verification standards are in the editorial methodology.

Is Medisafe still free in 2026?

In the United States, Medisafe (iOS, Android) is still free for up to two medications; outside the United States it has been subscription-only since January 1, 2026. The US listing describes the app as free to download and use with Medisafe Premium as an optional subscription, and lists “unlimited medications” as a Premium feature. Medisafe’s help center states that from January 1, 2026 the app requires a monthly or annual subscription outside the US. Premium costs $4.99 per month or $39.99 per year in US dollars, with local prices varying by store.

The two-medication limit is older than the 2026 change. Users on Trustpilot quoted the in-app notice “You can manage up to 2 medications for free” in November 2024, and in March 2025 one wrote that Medisafe was “charging for notifications above 2 meds.” The January 2026 step removed the free tier for everyone outside the US. Store ratings show the reaction by country: 4.5 stars in the US store, 3.8 in Italy, 3.2 in Spain, 2.8 in France, and 2.5 in Germany as of October 2026. Whether that matters to you depends on how many medications you track and where you are.

What Medisafe still does well (and who should keep it)

Medisafe is a mature medication manager with more than 300,000 store reviews and offices in Boston and Haifa. Its strengths are breadth: a medication list with refill tracking, Medfriends who are told when a dose is missed, drug interaction warnings, more than 20 health measurements, and a dozen reminder sounds. It runs on both iPhone and Android, restores data across devices, and produces reports a clinic can read.

Medisafe Premium is the right fit for a household managing many medications, for a caregiver who needs to be notified when a parent misses a dose, and for anyone who relies on the interaction checker. At $39.99 a year, for that use case none of the free alternatives below offers the same depth. The alternatives make sense when the cap, the subscription, the ads, or the mechanism is the problem.

Free Medisafe alternatives with unlimited medications: MyTherapy and Pillo

MyTherapy (iOS, Android) is the closest like-for-like replacement. Made by smartpatient in Munich, it offers medication reminders with a taken-or-skipped log, measurements such as blood pressure and blood sugar, a symptom and mood diary, refill warnings, and a one-time code to share the plan with a doctor. Its developer states that “MyTherapy always has been and always will remain free to use.” The Play listing carries an ads flag and optional in-app purchases. It has 4.5 stars from about 242,000 reviews in the US store. Best fit: someone who wants Medisafe’s tracking depth on either platform at no cost and accepts ads.

Pillo (Android; iOS on a waitlist) describes itself as “free to use with unlimited medications,” with a persistent pill alarm that keeps ringing until acknowledged, a medication list with dose history, and refill reminders. It has 4.8 stars from about 20,000 reviews in the US store; the listing carries an ads flag, and at least one Play reviewer describes switching from Medisafe for the alarm. Best fit: Android users over the two-medication cap who want the loudest free reminder. Note that a persistent alarm is still a notification; it can be acknowledged without the pill being taken.

Medisafe alternatives without ads or an account: TOM and MedTimer

TOM (iOS, Android), from Innovation 6 in Switzerland, calls itself a “cost-free, ad-free and anonymous daily medication reminder with an integrated medicine list and log.” No account is needed. It rates 3.5 stars from about 2,800 reviews in the US store, lower than the apps above, with some reviewers reporting reminder reliability issues. Best fit: someone who wants a quiet, private list-and-log without ads and is willing to test reliability on their own phone first.

MedTimer (Android) is open source under the MIT license and distributed on F-Droid as well as Google Play. Its summary is “medication and pill reminder with log, fully offline and privacy focused”: all data stays on the device, no internet connection is needed, and there are no ads. Version 1.25.3 shipped in September 2026, so it is actively maintained. Best fit: people for whom privacy and auditability matter more than polish, and who do not need caregiver features.

Medisafe alternative on iPhone: the Health app

iPhone owners already have a medication tracker installed. The Health app’s Medications feature, documented in Apple’s iPhone User Guide under “Track your medications in Health on iPhone,” lets you add medications, set a schedule with reminders, and log each dose as taken or skipped, at no cost and with no account beyond the phone itself. It does not replace Medisafe’s Medfriends or its reports for a clinic, and there is no Android version. Best fit: an iPhone user with a straightforward schedule who wants to stop paying and stop installing. For Android, the options above apply.

Medisafe alternative when you keep swiping the reminder away: Pause Moment

Every app above is a notification reminder with a list and a log. They differ in price, ads, and platform, but they share one mechanism: an alert you can dismiss. For most people that is fine. For the person whose morning dose fails in the half second between seeing the reminder and swiping it, a better tracker changes nothing, because the swipe comes before the thought.

Pause Moment (Android; iOS in development) is a calm, un-dismissable Android phone lock that shows your own photo and words for a timed pause. At the time you scheduled, the full screen locks for a length you set at setup (1, 2, 3, 5, or 10 minutes), showing a photo from your camera roll and a sentence you wrote. You tap “I’m Ready” to start the timer; when it ends you mark “Done” or “I skipped this time.” There is no medication list, no interaction checker, and no caregiver alert. It starts with 7 free pause days with everything unlocked; Pro is $4.99 per month, $29.99 per year, or $49.99 lifetime, ad-free at every tier.

Best fit: adults on a daily mental-health medication whose failure mode is the reflexive dismiss, and who track one or two daily doses rather than a regimen. It can run alongside a tracker: the tracker keeps the list and the history; the lock holds the one moment that keeps slipping. It is the wrong pick for a multi-medication household or anyone who needs iOS today. For the antidepressant-specific version of this comparison, see Medisafe alternative for SSRIs.

Comparison summary: which app fits which problem

If the cap or the subscription is the problem, MyTherapy or Pillo. If ads and accounts are the problem, TOM or MedTimer. If you are on iPhone, the Health app first. If the problem is the swipe itself, Pause Moment. If you manage many medications for yourself or someone else and want caregiver alerts and an interaction checker, Medisafe Premium is still the strongest option on this list.

App Mechanism Best use case Platform Pricing
Medisafe Notification tracker + Medfriends + interaction checker Multi-medication households, caregivers iOS, Android US: free (2 meds) or Premium $4.99/mo, $39.99/yr; elsewhere subscription-only
MyTherapy Notification tracker + measurements + doctor report Free like-for-like on either platform iOS, Android Free (ads; optional purchases)
Pillo Persistent alarm + list + history Unlimited meds, loud reminder, Android Android (iOS waitlist) Free, unlimited medications (ads flag)
TOM Notification reminder + list + log No ads, no account iOS, Android Free, ad-free (optional purchases)
MedTimer Open-source reminder + log, offline Privacy and auditability Android Free, no ads (MIT license)
Apple Health Built-in schedule + log iPhone, simple schedule, nothing to install iOS Included with iOS
Pause Moment Scheduled screen lock with your photo and words One daily dose you keep swiping away Android (iOS in development) 7 free pause days; then $4.99/mo, $29.99/yr or $49.99 lifetime

Pricing and availability verified 2026-10-11 via each developer’s site, Medisafe’s help center, and Google Play (US). Talk to your prescriber for medication-related decisions.

Related from Pause Moment

Where Pause Moment honestly fits

Pause Moment is the right Medisafe alternative for one specific reason: the user’s problem is the dismiss, not the list. It serves adults who see a medication reminder and swipe it before registering it, usually for one or two daily doses, and who want a pause with their own photo and words rather than a louder alert. It is Android-only today; iOS is in development.

Pause Moment locks your screen instead of buzzing for attention — because the dismiss reflex is faster than willpower.

Medisafe remains the better choice for anyone managing many medications, for caregivers who need Medfriends alerts, and for anyone who relies on an interaction checker or clinic reports. MyTherapy and Pillo are the better choice for a free tracker without a cap; TOM and MedTimer for no ads and no account; the Health app for iPhone. Pause Moment is one alternative among several, strong in a narrow lane and honest about the lanes it does not serve.

Frequently asked questions

Is Medisafe free?

Partly. In the United States, Medisafe is free to download and use, with Premium as an optional subscription; the free tier covers two medications, and unlimited medications is a Premium feature. Outside the United States, Medisafe has required a monthly or annual subscription since January 1, 2026, per its own help center.

How much does Medisafe Premium cost?

Medisafe’s help center lists Premium at $4.99 per month or $39.99 per year in US dollars, as of January 2026. Prices vary by country and store, so the figure shown in your own app store is the one that applies. Premium adds unlimited medications, unlimited Medfriends, more than 20 health measurements, and extra reminder sounds.

What does the free version of Medisafe include?

In the United States, the free version covers reminders and logging for up to two medications, with ads. Users began reporting the two-medication limit in November 2024. Anything above two medications, plus Medfriends beyond the basic allowance and the wider measurement set, sits in Premium. Outside the United States there is no free tier since January 2026.

What is the best free Medisafe alternative?

For a like-for-like tracker, MyTherapy on iOS and Android (free, per its developer, with ads) and Pillo on Android (free with unlimited medications, per its listing) are the closest. Both are notification reminders with a medication list and history, so they replace Medisafe’s core job without a medication cap.

Is there a Medisafe alternative with no ads and no account?

Yes. TOM describes itself as cost-free, ad-free and anonymous, with a medicine list and log. MedTimer is open source under the MIT license, stores everything on the device, works fully offline, and has no ads. Both are simpler than Medisafe; neither offers Medfriends or an interaction checker.

What is the best Medisafe alternative for iPhone?

The Health app built into iOS tracks medications, schedules reminders, and logs doses, at no cost and with no extra install. MyTherapy also runs on iPhone. Pause Moment, Pillo, and MedTimer are Android apps; TOM also runs on iPhone, so iPhone users should look at the Health app, MyTherapy, or TOM first.

Medisafe vs Apple Health: what is the difference?

Apple Health tracks medications, schedules reminders, and logs doses on iPhone at no cost, with no account and nothing to install. Medisafe adds Medfriends, a drug interaction checker, refill tracking, and clinic reports, and runs on Android too. For a schedule and a log on iPhone, Health covers it; for caregiver alerts or interaction checks, Medisafe does more.

Medisafe vs MyTherapy: what is the difference?

Both are notification-based medication trackers with history and sharing. Medisafe caps the free tier at two medications in the United States and is subscription-only elsewhere; MyTherapy’s developer states the app always has been and will remain free, supported by ads. Medisafe offers Medfriends and an interaction checker; MyTherapy offers measurements and a doctor report.

Medisafe vs Pillo: what is the difference?

Pillo is free with unlimited medications and a persistent alarm that keeps ringing until acknowledged, on Android only. Medisafe runs on both platforms, with the free tier capped at two medications in the United States and a paid subscription elsewhere. Pillo’s listing carries ads and states there is no paywall on core features.

Can I move my Medisafe data to another app?

Not automatically. None of the apps compared here imports Medisafe data. Export your medication list and history from Medisafe first if you want to keep it, then re-enter your medications in the new app. Running the old and new app side by side for a few days reduces the chance of a missed dose during the switch.

Is there a Medisafe alternative without a subscription?

Yes. MyTherapy, Pillo, TOM, MedTimer, and the iPhone Health app have no required subscription. Pause Moment starts with 7 free pause days, then offers one-time pricing: $49.99 for lifetime access, ad-free, or a subscription. It is a different kind of app, a calm lock for one dose, not a multi-medication tracker.

Sources

All sources accessed 2026-10-11.

Get Pause Moment on Google Play

Try Pause Moment if a calm lock with your own photo and words fits the dose you keep swiping away. Free for your first 7 pause days. Android; iOS in development. Get notified at launch.

This article is informational, not medical advice. Discuss medication schedules and adherence with your prescriber or pharmacist. Pause Moment is a calm, personal phone lock and is not a substitute for clinical care or for a medication tracker your clinician asked you to keep.

Product names on this page are trademarks of their respective owners. Pause Moment is not affiliated with, endorsed by, or sponsored by any of them. Competitor prices and features were checked against each developer’s own listing on the date shown under the title and can change without notice. Pause Moment earns no affiliate commission from any app named here. To report an error, write to support@pause-moment.com.