Medisafe Alternatives in 2026: Free Medication Trackers That Actually Stay Free

On January 1, 2026, Medisafe — the app a lot of people have used for a decade to manage their medications — moved to a paid subscription: $4.99/month or $39.99/year. The free tier had already been capped at 2 medications before that, and now features like interaction warnings, unlimited caregiver contacts, and custom alarm sounds sit behind the paywall. The rollout reportedly started with users outside the US, but the free-tier limits apply broadly.

If you’re on 4–6 medications, that cap isn’t a limitation — it’s a locked door. And judging by the forum threads that appeared within days of the change, a lot of people are looking for somewhere to go.

Before we get into it, full disclosure: I build one of the apps on this list (RxLog). I’ve tried to be genuinely fair to the others — a couple of them are excellent, and depending on what you need, one of them might be a better fit for you than mine. I’ll tell you which.

First, a word in Medisafe’s defense

Medisafe didn’t get worse as an app. It’s still polished, still has pharmacy integration and one of the most mature caregiver networks around. Servers, sync, and push notifications cost real money, and a subscription is an honest way to pay for that — more honest than harvesting data, frankly.

The problem is simpler: if you’ve been relying on a free tool for years and it stops being free, you need a plan. Especially when the thing it does is remind you to take medication.

The comparison

Pricing below is what each app published or was reported as of mid-2026 — subscription prices change, so treat the exact numbers as a snapshot.

App	Free tier	Paid tier	Interaction checker	Standout
Medisafe	2-medication cap	$4.99/mo · $39.99/yr	Paid	Pharmacy integration, mature caregiver network
MyTherapy	Unlimited meds, no mandatory subscription	~$2.99/mo for advanced reports	Limited	Health journal (BP/glucose/mood), monthly PDF reports, multilingual
Pillo	Unlimited meds, core features free	Some advanced features paid	Free	Safety checkers: food conflicts, allergens, nutrient depletion
MedTimer	Everything — free and open-source (MIT)	None	No	Fully offline, zero data collection, CSV export
RxLog	Unlimited meds, with ads	$0.99/mo · $7.99/yr · $19.99 lifetime	Free, works offline	Escalating alarms, offline interaction database, PDF reports

MyTherapy — the safest all-rounder

If you want the closest thing to “Medisafe, but free,” this is it. MyTherapy has been around for years, supports unlimited medications with no mandatory subscription, and adds a genuinely useful health journal — blood pressure, glucose, mood — with monthly PDF reports you can hand to your doctor. It’s multilingual and actively maintained. The free tier does push some advanced reports toward a paid upgrade, but the core med-tracking experience is complete without paying.

For most people leaving Medisafe, I’d honestly try this one first.

MedTimer — the privacy pick

MedTimer is open-source (MIT license), collects zero data, works entirely offline, and has no ads and no paid tier at all. Unlimited medications, CSV export of your history. The tradeoff is scope: it’s a reminder app, not a health platform — no interaction checking, no caregiver features, and the interface is functional rather than pretty. But if your first question about any health app is “where does my data go?”, MedTimer’s answer is the best one available: nowhere.

Pillo — the safety-checker specialist

Pillo’s angle is safety checks the others don’t do free: drug interactions, food conflicts (“avoid grapefruit”), allergen alerts, nutrient depletion warnings. It also does escalating alarms and covers nine health trackers. Core features — unlimited medications included — are free; some advanced tracking has been reported as a light paid tier. It’s actively developed and worth a look if the safety-checker angle matters to you.

RxLog — the one I build

RxLog is my app, so calibrate accordingly.

It’s free with unlimited medications. The reminder system is the part I’ve spent the most time on: escalating alarms (a missed reminder gets louder and more insistent instead of silently disappearing) are free for everyone, and there’s a battery-settings wizard because the #1 cause of “the app didn’t remind me” on Android is aggressive battery optimization killing notifications.

The interaction checker uses a built-in, curated database and works fully offline — in a hospital basement or airplane mode, it still answers. I’ll be straight about what that means: it’s a curated set covering common medications, not an exhaustive clinical database, and no app — mine included — replaces a conversation with your pharmacist.

The free version shows ads. Premium ($0.99/month, $7.99/year, or $19.99 once — the lifetime option exists specifically because I don’t love subscriptions either) adds cloud backup, PDF doctor reports, extra caregivers, advanced analytics, and removes ads. Everything essential — unlimited meds, reminders, escalating alarms, interaction checks, and sharing with one caregiver — is free.

It’s newer than everything else on this list, it has less review volume, and bugs exist (I fix them fast, but I won’t pretend they don’t happen). What you get in exchange is an app run by one person who reads every review.

RxLog on Google Play

If you’re switching: do this first

Whatever you pick, export your data from Medisafe before your access lapses. Medisafe can generate medication list reports — save one as a PDF while you still can, because re-entering a six-medication regimen with doses and schedules from memory is exactly the kind of error-prone task these apps exist to prevent. Set up the new app while the old one still works, run both for a couple of days, and only then let Medisafe go.

How I’d choose

• You want the most complete free replacement: MyTherapy.
• Privacy is non-negotiable: MedTimer.
• Free safety checkers matter most: Pillo.
• Reminders that refuse to be ignored, and interaction checks that work offline: RxLog.
• You’re happy to pay and love the pharmacy integration: staying with Medisafe is a legitimate choice too.

I wrote a broader look at this problem earlier this year — the free pill reminder apps that still exist in 2026 — if you want more options beyond this head-to-head, and a separate guide to medication tracking for caregivers if you’re managing a parent’s meds rather than your own.

If you try RxLog, leave an honest review — including the critical kind. That’s the feedback that actually makes it better.