In 2026, the majority of cruise ships do not have a dedicated, licensed pharmacist on board. Instead, the ship's Medical Center is staffed by licensed doctors and nurses who are authorized to dispense a limited range of prescription medications and "starter doses" for common ailments like ear infections, respiratory issues, or seasickness. For minor needs, the ship's onboard gift shop usually carries a small selection of over-the-counter (OTC) medicines such as Ibuprofen, Aspirin, and antacids, but these are sold at a high markup. If you have a complex chronic condition, it is a "gold standard" safety rule to bring an extra 7-to-14-day supply of your own prescription medication in its original labeled packaging. The ship's medical team is primarily equipped for stabilization and emergency care rather than functioning as a full-service pharmacy. If you run out of a vital medication, the ship's doctor may be able to write a prescription that you can fill at a local pharmacy in the next port of call, but there is no guarantee that foreign pharmacies will stock the exact brand or dosage you require.