How to Manage Medication Refills During Extended Travel

Don’t Let Your Medication Run Out While You’re Away

Imagine this: you’re on a beach in Bali, the sun is down, and you realize you’re out of your blood pressure pills. You’ve got three days left on your trip, no pharmacy nearby, and no idea how to get a refill. This isn’t rare. Medication refills during extended travel are one of the most common-and preventable-health emergencies travelers face. According to the CDC, nearly 1 in 4 international travelers with chronic conditions experience a treatment interruption, and over 20% of those end up in urgent care or the hospital. It doesn’t have to be this way.

The key isn’t luck. It’s planning. Whether you’re heading to Europe for three months or backpacking through Southeast Asia, managing your meds isn’t just about packing extra pills. It’s about understanding your insurance, knowing what’s legal abroad, and having backups ready. Here’s how to do it right.

Start Early-At Least 30 Days Before You Leave

Waiting until the week before your trip is the #1 mistake people make. Most pharmacies won’t refill a prescription until you’ve used 75-80% of your current supply. If you’re leaving in 10 days and only have 20 pills left on a 30-day script, you’re stuck. That’s why the CDC and major pharmacy chains recommend starting your refill plan 30 days before departure.

Call your pharmacy and ask: “I’m traveling for two months. Can I get a 90-day supply now?” Most insurers allow this if you’ve been stable on your medication for at least 30 days. A 90-day supply cuts your refill trips from three to one. It’s simpler, cheaper, and safer. A 2021 Kaiser Permanente study showed travelers who used 90-day supplies had 67% fewer refill-related issues.

But here’s the catch: not all medications qualify. Controlled substances like opioids, benzodiazepines, or stimulants are trickier. In 48 U.S. states, you can’t refill these more than every 28 days. That means if your last refill was on January 1, you can’t get another until January 29. Plan around that. Talk to your doctor about adjusting your prescription timing before you leave.

Use Your Insurance’s “Vacation Override”

Most major U.S. insurers-UnitedHealthcare, Aetna, Cigna, Blue Cross-have something called a “vacation override.” It lets you get an early refill if you’re traveling. You don’t need to be sick. You just need to prove you’re leaving.

Here’s how to get it:

1. Call your insurance company’s member services line. Ask: “Do you offer vacation overrides for extended travel?”
2. Give them your travel dates and destination.
3. Ask if they’ll approve an early refill or a 90-day supply.
4. Get a reference number and write it down.

According to the 2022 Express Scripts report, 92% of major insurers now offer this. But policies vary. Blue Cross Blue Shield of Michigan lets you refill up to 14 days early. UnitedHealthcare only allows 7 days. Don’t assume. Ask. And if they say no, ask to speak to a supervisor. Many pharmacists have the authority to override denials if you show proof of travel-like a flight itinerary or hotel booking.

Know What’s Legal in Your Destination (and Layovers)

This is where things get complicated. Just because your medication is legal in the U.S. doesn’t mean it’s legal in Thailand, Japan, or the UAE.

For example:

• Thailand limits opioid prescriptions to 30 days-even if you have a U.S. prescription.
• Japan bans many ADHD medications, including Adderall.
• The UAE requires a special permit for any controlled substance, even if it’s for pain.

Before you go, check the embassy website of every country you’ll visit-including layovers. The CDC’s Travel Health Notices have country-specific guides, but they’re not always up to date. A better move: email the embassy directly. Ask: “Can I bring [medication name] into your country? What documentation is required?”

Always carry:

• A copy of your original prescription (with the doctor’s signature and stamp)
• A letter from your doctor on letterhead explaining why you need the medication
• The medication in its original bottle with your name on it

Never pack meds in checked luggage. If your bag gets lost, you’re out of luck. Keep them in your carry-on.

Pack Smart-Two Containers, Two Places

Dr. Jennifer Schaefer from the American Pharmacists Association says it best: “Take your medication in two separate containers that you keep in two separate places.”

Here’s how:

• Keep your main supply in your carry-on, in the original bottles.
• Put a second, smaller supply in a different bag-maybe your purse, backpack, or coat pocket.
• If you’re flying, declare any liquid meds over 3.4 oz at security. TSA allows medically necessary liquids if you tell them. 98% of U.S. airports accept this without issue.

Also, don’t mix pills. Keep each medication in its own container. Mixing them makes it hard to prove what they are if customs asks. And never throw away the original labels. They have your name, the drug name, dosage, and prescriber info-all critical if you need help abroad.

What If You Lose Your Meds? Here’s Your Backup Plan

People lose meds all the time. It happens. The good news? There are solutions.

If you’re in the U.S.:

• Go to any CVS, Walgreens, or Rite Aid with your prescription info. Most will give you a 3-day emergency supply if you’ve got refills left.
• Use CVS MinuteClinic. They can renew maintenance meds once per year-even if your doctor’s office is closed.
• Call your insurance. Many now have telehealth services built into their apps. You can get a virtual consult and e-prescription in under an hour.

If you’re overseas:

• Find a local pharmacy. Show them your prescription and doctor’s letter. Many countries have pharmacists who can help, even if they can’t refill your exact brand.
• Ask for the generic version. It’s often available even when the brand isn’t.
• Use telehealth services like Teladoc or Doctor on Demand. They’ve helped over 1.2 million travelers in 2022 get emergency refills.

Pro tip: Save your doctor’s contact info in your phone. If you’re stuck, they can fax or email a new prescription to a local clinic.

Time Zones? Don’t Guess-Plan

Jumping across time zones messes with your routine. Taking your pill at 8 a.m. your time might mean taking it at 3 a.m. local time. That’s a recipe for skipped doses.

The American Academy of Sleep Medicine recommends this:

• For trips under 3 time zones: Stick to your home schedule.
• For trips over 3 time zones: Keep your home schedule for the first 24-48 hours. Then slowly shift to local time.
• Never take a dose more than 3 hours early or late unless your doctor says it’s okay.

Use a pill timer app or set alarms on your phone. Even if you’re jet-lagged, don’t skip a dose. Missing one can trigger a flare-up-especially for conditions like epilepsy, diabetes, or heart disease.

What You Shouldn’t Do

Here are three big mistakes travelers make:

1. Don’t cut pills in half to stretch your supply. Many meds are time-release or coated. Cutting them changes how they work.
2. Don’t share your meds with someone else-even if they have the same condition. It’s illegal and dangerous.
3. Don’t assume your doctor will be available while you’re away. Save their number, email, and clinic address. You might need them.

Also, avoid buying meds abroad unless you have no other option. Counterfeit drugs are common in some countries. The WHO estimates 1 in 10 medical products in low-income nations are fake. Even if the packaging looks real, the active ingredient might be missing or wrong.

Final Checklist: 7 Things to Do Before You Go

• Call your pharmacy 30 days before departure to request a 90-day supply.
• Contact your insurer to confirm vacation override eligibility.
• Check embassy websites for each country you’ll visit (including layovers).
• Get a doctor’s letter and copies of your prescriptions.
• Pack meds in two separate containers in your carry-on.
• Download your insurance app and save your doctor’s contact info.
• Set phone alarms for your medication times, using your home time zone.

If you do these seven things, you’re in the top 5% of travelers when it comes to medication safety. You won’t be the one in the ER because you ran out of pills. You’ll be the one enjoying your trip-because you planned ahead.

What’s Next? The Future of Travel Medication Access

Things are getting better. By 2026, the FDA may approve cross-border digital prescriptions. The International Pharmaceutical Federation is creating a global travel medication document that will be accepted in 195 countries. And more insurers are adopting vacation overrides as standard.

But right now, the system still depends on you. You’re the one who has to call the pharmacy, check the embassy, pack the backups, and set the alarms. No app or policy can replace your planning. The good news? Once you’ve done it once, it becomes routine. And next time you travel, you won’t just survive-you’ll thrive.