Medical advancements, including medications to manage disease, have contributed to increased longevity. Because medical products contribute to increased longevity, medication adherence is important for the older adult population. Proper adherence not only contributes to quality of life physically, but also to decreased health care costs. Effective support systems to facilitate maintenance of medication regimens are necessary. Knowledge of the popularity of strategies employed by older adults can inform the design of support systems. In a survey of 366 adults aged 60 to 80 we found that older adults use multiple strategies, and these strategies are most effective when in their normal routine. Thus support systems should incorporate and facilitate the use of multiple strategies. Moreover, support systems are needed for adherence to medication regimens when people are outside of their routines.