Amazon has improved sound detection for routines and made Amazon Pharmacy customers eligible for Alexa’s prescription refill skill. The modifications were detailed in Amazon’s Alexa monthly report for November, which also mentioned the US launch of Conversation Mode and the arrival next week of the wall-mountable Echo Show 15.

Amazon first announced its ambitions to allow custom sounds at its autumn event in September, but it doesn’t appear that users can write custom sounds just yet – instead, Amazon has introduced two new noises that Alexa can detect. With the new version, the device can now detect sounds such as running water and beeping appliances.

For example, if you want Alexa to detect the chime of your dryer, you may set up a program for Alexa to notify you when your dryer turns off. Dogs barking, kids crying, sleeping, glass cracking, and smoke alarms ringing were the only sounds the device could distinguish previously.

Additionally, if you’re an Amazon Pharmacy customer, you can now say, “Alexa, refill my medications,” when you need a refill on your prescriptions. Alexa will provide you with updates on when your medications are delivered, and you can also ask Alexa to call Amazon Pharmacy if you need any assistance. In the past, the ability to request refills through Alexa was only available to Giant Eagle Pharmacy customers.

Amazon has also fully rolled out Conversation Mode for the third-gen Echo Show 10 in the US, something that it started adding to devices in November. You can opt in to the feature by saying, “Alexa, join the conversation.” After that, you can speak more “naturally” with Alexa without using a wake word.

Anyone in the room can talk to Alexa if they face the device’s camera, according to Amazon. If Alexa is directly addressed during Conversation Mode, she will respond, and if she is interrupted, she will pause. The blue border that appears around the screen of the Echo Show indicates that Conversation Mode is active. Simply say, “Leave this chat” when you wish to turn it off.