A pill dispensing system includes a pill dispenser, which includes a body, a dispensing port in the body to dispense medicine from the body, and a computer processor supported by the body. In an embodiment, pill dispensing system includes a dispensing system platform and a pill dispenser configured to communicate with the dispensing system platform. The dispensing system platform includes an administrator module having a central database and an administrator portal configured for system administrator access. A pill dispenser key device includes a body housing a processor, a memory, and a communication element, the processor, the memory, and the communication element configured to communicate a digital key to a pill dispenser.