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I don't think I've ever seen half a pill be prescribed, I don't think that exists as a thing in my country. They'd just give you smaller pills?

In fact the opposite happens here, you end up with instructions like "Take ten", each of which has to be individually popped out of a blister pack.

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Not every medication is manufactured in the precise doses required. To get to the right amount, a few common doses will be produced with score marks to allow easy(ish) division for a smaller amount. For example, one of my family members has needed a half-pill of thyroid medicine. Something like a 75mcg pill split in half to make it 37.5mcg.

It’s very common in Ukraine for example. I take 80mg Valsartan. The pharmacy on the way home maybe only has 160mg. Fine I’ll buy the 160mg and split it. I could keep looking and find a pharmacy with 80mg in stock or plan ahead and order online but splitting the pills is no big deal.

Another comment mentions Metformin. This is more of a hassle since I find the 1g tablets awkward to split with my pill splitter due to the size, and yet for some reason finding the 500mg version is rare for me.

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