A pharmaceutical filling system for a high volume pharmacy is described. Thesystem caninclude a manual pick/pack device and method. The system may include arotationassembly, a left door and a right door, both positioned below the rotationassembly, a leftdivider positioned below the left door, and a right divider positioned belowthe right door,and a left gathering table positioned below the left divider, and a rightgathering tablepositioned below the right divider. The system may also include a controldevice inelectronic communication with the rotation assembly, the doors and thedividers for controlof same.