Techniques for managing stored information in an implantable medical device system using multiple user accounts are described. An implantable medical device system may provide a general user account and a set of authenticable user accounts. In some examples, the general user account does not require a user of a programmer in an implantable medical device system to enter user identity information to manage information stored in the implantable medical device system. The general user account may be permitted to perform a subset of actions available to an authenticable user account. In some examples, an authenticable user account may rollback changes made to the stored information by the general user account. An authenticable user account may also be able to synchronize changes made to the stored information across all or some of the user accounts.