A digital prescription carrier and monitor system includes a pager sized carrier apparatus with an internal processor, a real-time clock/calendar, non-volatile memory, a communication port, a character display, and alert devices. Prescription data for one or more medications is stored within the carrier by a physician and downloaded by a pharmacist to fill the prescriptions called for. The carrier apparatus requires the entry of an decryption key to access prescription data within the carrier to prevent unauthorized access or tampering with the prescription data. The carrier apparatus also functions as a prescription reminder to the patient and records compliance with the prescription, since a switch must be operated to quiet an alert device activated when a scheduled medication dose is due.