Generate professional pharmacy receipts with Rx info, insurance details, and prescription items. Perfect for mockups, training, and design projects.
Create Your Pharmacy Receipt

Create professional pharmacy receipts with powerful features — no technical know-how required
Organize prescription details, copays, and pharmacy info in whatever order works best for your needs.
Watch your pharmacy receipt come together as you add medications, dosages, and insurance information.
Save as PDF for insurance claims, PNG for quick records, or JPEG for email attachments.
Include your pharmacy name, Rx numbers, and format everything to match professional prescription receipts.
Add prescription barcodes or QR codes for easy refill tracking and medication verification.
Pick from thermal print style or clean white paper to match your documentation needs.
Three simple steps to generate professional receipts
Step 1:
Choose your template
Step 2:
Customize your receipt
Step 3:
Download and use
Create receipts for any purpose
Document pharmacy purchases for health savings or flexible spending account reimbursement
Keep pharmacy receipts organized for itemized medical expense deductions
Submit pharmacy receipts for insurance reimbursement or prior authorization
Maintain a record of prescriptions filled and costs over time
Process pharmacy expenses through employer health benefit programs
Create sample receipts for pharmacy technician or staff training
Common questions about creating pharmacy receipts
Pharmacy receipts typically include the pharmacy name, patient info, Rx number, prescribing doctor, medication name and dosage, quantity, insurance copay, and total paid. Our template lets you customize all of these fields.
In most US states, prescription medications are exempt from sales tax. Our pharmacy template defaults to 0% tax, but you can adjust this based on your location and whether the items are OTC or prescription.
Yes, use the custom message section to add insurance provider name, plan details, copay amounts, and any other insurance-related information.
A pharmacy receipt is a printed or digital record of a prescription or over-the-counter purchase from a drugstore or pharmacy. Unlike standard retail receipts, pharmacy receipts often include prescription-specific details such as Rx numbers, prescribing physician information, patient name, medication names and dosages, insurance copay amounts, and National Drug Code (NDC) numbers. They serve as both a proof of purchase and a medical record reference.
Pharmacy receipts are critical for insurance reimbursement claims, Health Savings Account (HSA) or Flexible Spending Account (FSA) documentation, and tax deductions for medical expenses. Patients often need them to verify that prescriptions were filled correctly, and businesses use them for employee health benefit administration. They are also useful for tracking medication costs over time.
Pharmacy name, address, and phone number • Patient name and prescription (Rx) number • Prescribing physician name and DEA number • Medication name, strength, quantity, and NDC code • Insurance provider and copay/coinsurance amount • Date filled and number of refills remaining • Total paid and payment method
Include Rx numbers and doctor names for realistic pharmacy documentation • Set the tax rate to 0% for prescription medications, which are tax-exempt in most states • Use the custom message section for insurance details like plan name and copay • Add a barcode with a realistic Rx number format for authenticity
Yes! MakeMyReceipt is 100% free to use with no hidden costs. All features, templates, and exports are completely free - no watermarks, no subscriptions, no limits.
You can export your receipts as PNG (high-quality images), PDF (print-ready documents), or JPEG (compressed images for smaller file sizes).
Pharmacy receipt with rewards and coupons section
Drugstore receipt with manager info and product serials
Medical service receipt with procedure codes
Medical office visit receipt
Supermarket grocery shopping receipt