diff --git a/src/app/insights/medikamente/page.tsx b/src/app/insights/medikamente/page.tsx
index 0f3aefd1e..92e6149ca 100644
--- a/src/app/insights/medikamente/page.tsx
+++ b/src/app/insights/medikamente/page.tsx
@@ -8,7 +8,7 @@ import { useAuth } from "@/hooks/use-auth";
 import { useTranslations } from "@/lib/i18n/context";
 import { Badge } from "@/components/ui/badge";
 import { Button } from "@/components/ui/button";
-import { Card, CardContent, CardHeader, CardTitle } from "@/components/ui/card";
+import { Card, CardContent } from "@/components/ui/card";
 import { EmptyState } from "@/components/ui/empty-state";
 import { Progress } from "@/components/ui/progress";
 import { ComplianceHeatmap } from "@/components/charts/compliance-heatmap";
@@ -16,6 +16,7 @@ import { CoachLaunchButton } from "@/components/insights/coach-launch-button";
 import { InsightStatusCard } from "@/components/insights/insight-status-card";
 import { SubPageShell } from "@/components/insights/sub-page-shell";
 import { TherapyTimeline } from "@/components/insights/therapy-timeline";
+import { MedicationCardHeader } from "@/components/medications/MedicationCardHeader";
 
 /**
  * v1.4.25 W4 — `/insights/medikamente`.
@@ -155,31 +156,31 @@ export default function InsightsMedikamentePage() {
       >
         {medications.map((med) => {
           const medicationSummary = medicationSummaryById.get(med.id);
+          // UI-H3 — route every medication-list row (medications page
+          // + insights/medikamente) through `<MedicationCardHeader>`
+          // so the surface stays one shape: `{name} {dose}` on line 1
+          // + outline category badge on line 2. The streak chip rides
+          // the `stateBadges` slot so a strong streak still surfaces.
+          const categoryLabel =
+            med.category === "BLOOD_PRESSURE"
+              ? t("medications.categoryBloodPressure")
+              : med.category === "VITAMIN"
+                ? t("medications.categoryVitamin")
+                : t("medications.categoryOther");
+          const streakBadge =
+            med.streak > 0 ? (
+              <Badge variant="outline" className="shrink-0 text-xs">
+                {t("insights.dayStreak", { count: med.streak })}
+              </Badge>
+            ) : null;
           return (
             <Card key={med.id}>
-              <CardHeader className="pb-2">
-                {/* v1.4.27 MB7 / MA2-F8 — `min-w-0` on the title
-                    wrapper + `truncate` on the CardTitle keeps long
-                    medication names (e.g. "Semaglutid Wegovy 0.5 mg
-                    weekly") from pushing the streak badge off the
-                    card on Galaxy Fold / Pixel 5. The Pill icon
-                    + CardTitle pair shrinks to fit; the badge stays
-                    on the right at its natural width. */}
-                <div className="flex items-center justify-between gap-2">
-                  <div className="flex min-w-0 items-center gap-2">
-                    <Pill className="text-dracula-orange h-4 w-4 shrink-0" />
-                    <CardTitle className="truncate text-sm font-medium">
-                      {med.name}
-                    </CardTitle>
-                  </div>
-                  {med.streak > 0 && (
-                    <Badge variant="outline" className="shrink-0 text-xs">
-                      {t("insights.dayStreak", { count: med.streak })}
-                    </Badge>
-                  )}
-                </div>
-                <p className="text-muted-foreground text-xs">{med.dose}</p>
-              </CardHeader>
+              <MedicationCardHeader
+                name={med.name}
+                dose={med.dose}
+                categoryLabel={categoryLabel}
+                stateBadges={streakBadge}
+              />
               <CardContent className="space-y-3">
                 <div className="space-y-1.5">
                   <div className="flex justify-between text-xs">
diff --git a/src/components/targets/__tests__/target-coach-button.test.tsx b/src/components/targets/__tests__/target-coach-button.test.tsx
index 25bfd10f5..752811b1b 100644
--- a/src/components/targets/__tests__/target-coach-button.test.tsx
+++ b/src/components/targets/__tests__/target-coach-button.test.tsx
@@ -6,8 +6,8 @@ import { TargetCoachButton } from "../target-coach-button";
 
 /**
  * v1.4.25 W3e — gate test for the per-card Coach CTA. The button
- * MUST disappear when `aiEnabled` is false (Marc directive: no
- * broken-button state for users with no AI provider configured).
+ * MUST disappear when `aiEnabled` is false (the maintainer's rule:
+ * no broken-button state for users with no provider configured).
  */
 
 function render(props: Parameters<typeof TargetCoachButton>[0]) {
@@ -33,8 +33,12 @@ describe("<TargetCoachButton>", () => {
     // still surface "Ask Coach" / "Coach fragen".
     expect(html).toContain('aria-label="Ask Coach"');
     expect(html).toContain('title="Ask Coach"');
-    // No visible text label — only the chat-bubble glyph.
+    // No visible text label — only the Sparkles glyph.
     expect(html).not.toMatch(/>Ask Coach</);
+    // UI-H2 — the Coach-launch glyph is one Sparkles vocabulary
+    // across hero strip, inline pill, layout FAB and per-card icon.
+    expect(html).toMatch(/lucide-sparkles/i);
+    expect(html).not.toMatch(/lucide-message-circle/i);
   });
 
   it("lifts the tap target to the 44 px WCAG 2.5.5 floor", () => {
diff --git a/src/components/targets/target-coach-button.tsx b/src/components/targets/target-coach-button.tsx
index beb09f2a0..0f043577b 100644
--- a/src/components/targets/target-coach-button.tsx
+++ b/src/components/targets/target-coach-button.tsx
@@ -1,6 +1,6 @@
 "use client";
 
-import { MessageCircle } from "lucide-react";
+import { Sparkles } from "lucide-react";
 
 import { Button } from "@/components/ui/button";
 import { cn } from "@/lib/utils";
@@ -24,8 +24,11 @@ import type { CoachScope, CoachScopeSource } from "@/lib/ai/coach/types";
  * a status pill, range bar, consistency strip, headline number, edit
  * cog and a source link, the labelled pill dominated the visual
  * hierarchy. Dropping the label retains the affordance via the
- * chat-bubble glyph + `aria-label` while shrinking the optical weight
- * to a per-card icon button.
+ * Sparkles glyph + `aria-label` while shrinking the optical weight
+ * to a per-card icon button. UI-H2 — the glyph is the same Sparkles
+ * the hero strip, the inline pill and the layout-level FAB use, so
+ * the per-card Coach launch reads on one icon vocabulary across the
+ * app.
  */
 export interface TargetCoachButtonProps {
   /**
@@ -85,7 +88,7 @@ export function TargetCoachButton({
       // Coach drawer cluster). Glyph stays `size-4`.
       className={cn("min-h-11 min-w-11", className)}
     >
-      <MessageCircle className="size-4" aria-hidden="true" />
+      <Sparkles className="size-4" aria-hidden="true" />
     </Button>
   );
 }