Which elements should be included in the medication reconciliation at intake?

• A. Include only prescriptions from the primary care physician.
• B. Compile a complete medication list including prescriptions, OTCs, and supplements.
• C. Include all prescriptions, OTCs, and supplements; note duplications or interactions.
• D. Document only newly added medications.

Answer: (C)

Medication reconciliation at intake aims to create a complete, accurate picture of what the patient is taking so the care team can spot duplications, omissions, or potentially dangerous interactions before proceeding with treatment. To do this well, gather every substance the patient uses, not just what a single clinician prescribed. Include prescriptions from all providers, over-the-counter medicines, vitamins, minerals, and any herbal or other supplements. Then compare the list across sources and with pharmacy records, and clearly note any duplications or possible interactions. This comprehensive approach helps prevent adverse events, ensures safe dosing, and supports informed decisions when adjusting therapy. Focusing only on one clinician’s prescriptions misses meds from other providers; concentrating on newly added meds ignores ongoing therapies; and leaving out OTCs and supplements can miss important interactions.