Traveling With Medication: How To Get Prescriptions Internationally [Guide]

For people who take medications regularly or have a prescription, traveling can disrupt their routine, especially when it comes to getting prescriptions while traveling internationally. Whether you forget to take your pills at the right time, run out of a prescription, or have issues with Medicare coverage outside the U.S., traveling with medication presents a unique set of challenges.

This is especially true for travelers with chronic conditions or those on short- or long-term stays who need reliable access to their prescriptions. Proper preparation helps you avoid common problems and puts you in a stronger position to handle any unexpected situations.

In this article, we’ll break down how to get prescriptions when traveling internationally, including tips for preparation, general guidelines for the most common travel situations, and advice on what to do if things go sideways.

How to get prescriptions when traveling internationally

Refilling a prescription abroad can be challenging since pharmacies often require a local prescription. Follow these steps to help you get your medication safely while navigating foreign healthcare systems:

1. Contact your healthcare provider before or during your trip to request a copy of your prescription and a letter explaining your condition and medication needs. Make sure the generic drug name is included to help with identification abroad.
2. Consult local medical professionals by visiting a healthcare provider near your destination with your prescription and letter (translated if possible) to get a valid local prescription.
3. Fill your prescription at a local pharmacy and be prepared to pay out of pocket, as most U.S. insurance won’t cover overseas pharmacy prescriptions. Availability and formulations may vary, so pharmacists can suggest alternatives if needed.
4. Consider travel membership assistance services to help locate local healthcare providers or pharmacies, and offer language support. Availability and offerings can vary; check with your provider ahead of time.

Tips for flying with medication internationally

The best way to ensure a hassle-free trip when packing your medications is to plan ahead. Here are some tips you can follow to ensure things go as smoothly as possible during your trip.

1. Discuss your trip with your doctor 

Consult your doctor to ensure you have enough medication for the entire duration of your travel. If you’re running low on medication, ask your doctor for a refill before you leave. Calculate the length of your trip, including traveling days, to make sure you’ve packed the right amount of medication.

You can also ask your doctor about:

• Generic or alternative names for your medication in case your brand isn’t available abroad
• Country-specific rules for your medication, particularly if it’s a controlled substance that may require extra documentation
• How to store your medication safely during travel, especially if it’s temperature-sensitive
• Providing a doctor’s note to make customs and security checks easier

2. Carry a copy of your prescriptions 

Obtain a written prescription from your doctor that includes the medication’s name, dosage, and your name. If possible, consider getting a letter from your doctor explaining your medical condition and the necessity of carrying the medication.

In some countries, pharmacies will only fill prescriptions issued locally. Having a copy of your prescription and a doctor’s letter can make it easier to see a local physician who can write a valid prescription in that country, so you can refill your medication if needed.

3. Research your destination 

Check the laws and regulations related to medications in your destination country. You can find this information on the U.S. Department of State’s travel advisories and country information pages, or the International Narcotics Control Board’s traveler guidelines. 

Some medications that are legal in one country might be controlled substances in another. Also, research pharmacies at your travel destination. Take note of their opening hours and locations in case you need to refill your prescription or buy over-the-counter medications.

Common categories of medications that may be restricted or prohibited include:

• Strong painkillers containing opioids
• Certain ADHD medications (e.g., those containing amphetamines)
• Anti-anxiety medications and some sleep aids
• Medications with codeine or pseudoephedrine

Using a travel checklist can help you remember important steps like verifying prescriptions and packing properly, making it easier to manage your medications while abroad.

4. Check airline and TSA guidelines

Check the specific rules for flying with medication of the airline you’re on and TSA’s regulations regarding carrying medications. 

Different airlines may have varying policies on carrying medications and medical equipment, and you might need to declare certain items at security checkpoints. Reviewing these guidelines ahead of time can help avoid delays or issues during screening.

5. Pack medications properly

Store medications in their original packaging to avoid confusion and questions. If you’re carrying liquids or gels (like syrups or creams), follow the Transportation Security Administration (TSA) guidelines for carrying liquids in your carry-on bag.

Here are some tips based on medication type:

• Flying with prescription medication in solid pill form: Keep pills in their original containers with clear labels. Carry a copy of your prescription or doctor’s note to ease security checks.
• Flying with liquid medication or gels: Follow TSA rules, typically limiting containers to 3.4 ounces or less and fitting them in a quart-sized clear bag. Declare medically necessary liquids at security checkpoints to avoid delays.
• Flying with refrigerated medication: Use an insulated cooler bag with ice packs to maintain proper temperature. Check your airline’s policies before flying, as many allow refrigerated medications but may require advance notice.

Packing your medications properly based on type helps ensure smoother travel and compliance with airline and security regulations.

6. Bring extra medication in case of delays

Always keep your medications in your carry-on bag rather than checked luggage, so they’re easily accessible if needed. It’s also important to bring extra medication beyond your planned dosage so you’re prepared for any unexpected trip delays or changes without running out.

7. Declare prescription medications at customs 

If required by local regulations, declare your prescription medications when you arrive at your destination’s customs checkpoint. 

Have your written prescription or a doctor’s note ready to show if requested. Being transparent and prepared with proper documentation can help you avoid delays or confiscation.

8. Note any difference in time zones

If you’re on a medication schedule, consider the time zone changes and how to adjust medication times when traveling accordingly. 

Plan ahead by calculating the time difference between your home and destination, and consult your healthcare provider if you’re unsure how to safely shift your medication times. Keeping a consistent routine can help maintain the effectiveness of your treatment and avoid missed or double doses while traveling.

9. Have insurance and emergency contact info readily available

Carry a copy of your health and senior travel insurance information and emergency contact details in case of unexpected medical issues.

Keep these documents in a waterproof pouch or digital format on your phone for quick access. It’s also useful to share emergency info with a trusted travel companion or family member so someone else can assist if needed.

10. Maintain proper medication temperatures

Some medications require specific temperature storage. Consider using insulated bags if you’re carrying medications that need to be kept cool. Consult your healthcare provider or pharmacist for any special storage instructions, and plan ahead to maintain proper conditions during your trip.

11. Translate key medical information

If you’re traveling to a country where the primary language is different from yours, consider having a translation of your prescription and medical condition to facilitate communication with healthcare professionals.

Here are some tips to make this easier:

• Use AI-powered translation tools or apps to accurately translate long lists of medications and medical terms.
• Print out or save translations offline to ensure access even without the internet.
• Carry a card with key phrases related to your condition and medications in the local language for quick reference.

What if you run out or lose your prescription medication while traveling?

In the event of an emergency situation like a medical evacuation where you don’t have access to your medication, there are several things you can try to do to resolve the situation:

• Contact your doctor: If you’ve run out of medication or lost your prescription, try to contact your prescribing doctor as soon as possible. They may be able to send a prescription to a local pharmacy near your travel destination.

• Visit a local doctor: If you’re unable to reach your home doctor or if your doctor can’t provide a prescription remotely, consider seeing a local doctor at your travel destination. Explain your situation and provide any relevant medical records or information to help them understand your medical needs.

• Use a pharmacy locator: Use online tools or apps to locate nearby pharmacies in your travel destination. Many pharmacies can help you get a new prescription from a local doctor, even if you’re not a regular patient.

• Contact the consulate or embassy: If you’re facing language barriers or struggling to find a local doctor, consider reaching out to your country’s consulate or embassy. They may be able to assist you in finding medical care and obtaining a new prescription.

• Telemedicine services: In some cases, you might be able to consult with a doctor remotely through telemedicine services. This can be particularly helpful if your condition is stable and you just need a prescription renewal.

Common legal issues when traveling with medication

Here are some issues people have run into when traveling with prescription drugs internationally:

• Country-specific medication regulations: Different countries have varying regulations regarding the importation of medications. What is legal and readily available in one country might be considered a controlled substance or require special documentation in another.

• Lack of documentation: Some countries require travelers to carry a doctor’s prescription or a medical certificate for certain medications. If you’re unable to provide appropriate documentation, you might face legal issues at customs.

• Quantity limits: Some countries have limits on the quantity of medications travelers can bring in. Exceeding these limits might result in confiscation, fines, or legal consequences.

• Narcotic and psychotropic medications: Certain medications, particularly those used to treat pain, anxiety, or other mental health conditions, are heavily regulated internationally.

• Expired medications: Some countries have strict rules about carrying expired medications.

• Failure to declare: Many countries require travelers to declare prescription medications upon entry. Failure to do so can result in penalties or even denial of entry.

• Language barriers: Miscommunication due to language barriers can lead to misunderstandings at customs or security checkpoints. Having medication names translated and documented can help avoid confusion.

Proactively protect your travel plans with EA+

Unexpected issues like lost luggage, delayed flights, or emergencies can disrupt your access to essential medications while traveling. That’s why it’s crucial to proactively prepare yourself on how to get prescriptions while traveling internationally or domestically.

Travel assistance programs like Emergency Assistance Plus® (EA+®) is a protection option that can complement your healthcare plans, offering support tailored to travelers with health concerns like pre-existing conditions. While EA+ doesn’t include medical or prescription costs, it provides critical help managing emergencies and logistics, including:

• Prescription replacement assistance
• Emergency medical transport
• Coordination of care after hospitalization
• 24/7 medical and travel support

With EA+, you can have peace of mind knowing you’re supported while traveling in case of an emergency.

FAQ

In addition to our preparation tips, here are some answers to frequently asked questions about traveling with medication.

Can you take medicine on a plane for international flights? 

Yes, you can bring prescription medications on airplanes when you travel. Here are some key points to keep in mind to ensure a smooth and hassle-free experience:

• Carry medications in their original labeled containers.
• Bring a copy of your prescription and a doctor’s note.
• Pack medications in your carry-on bag, not checked luggage.
• Check airline- and country-specific rules before you travel.
• Declare your medications at customs if required.

Can I bring prescription medication on a plane? 

Yes, you can take a wide range of medications on a plane, both prescription and over-the-counter (OTC), as long as you follow the guidelines and regulations set by the airline and relevant authorities. 

Common medications you can bring on a plane include:

• Chronic condition meds: blood pressure, diabetes (insulin), thyroid meds
• Allergy treatments: antihistamines, inhalers, EpiPens
• Pain relief: acetaminophen, ibuprofen, prescription painkillers
• Digestive aids: antacids, anti-nausea meds, laxatives
• Mental health medications: antidepressants, anti-anxiety meds
• Liquid and injectable meds: insulin, nebulizer solutions, injectable hormones
• Vitamins and supplements

Does travel assistance help with prescriptions while traveling?

It depends on which travel assistance provider you have. EA+ provides prescription replacement assistance. If you are an EA+ member and you have an issue with your medication while traveling, all you have to do is call one phone number, and we’ll get replacements for you as soon as possible.

Do you need a doctor’s letter for traveling with medication? 

It’s a good idea to have a doctor’s letter or prescription for prescribed medications, especially controlled substances or injectable medications. This helps avoid issues with customs and airport security. Always check airline and destination rules before you travel.

How much medication can I bring on a plane? 

Limits mainly apply to liquid medications, which are generally restricted to 3.4 ounces (100 ml) per container in carry-on bags, except for medically necessary liquids like insulin, which are allowed in larger amounts with proper documentation. 

For regular non-liquid medications such as pills, capsules, or tablets, there is no specific quantity limit as long as they are in their original packaging, clearly labeled, and accompanied by a doctor’s note or prescription if needed.

Do pills have to be in original bottles when flying? 

No, the TSA does not require pills to be in their original bottles. You can carry them in any container, but it’s helpful to keep them clearly labeled to avoid delays during security screening.