Systems and methods are disclosed for a medical pill dispensing system. Asystemincludes a supply module configured to supply one or more pills, where thesupply moduleincludes a plurality of containers. Each of the plurality of containers isconfigured to dispenseone or more pills of a respective type. The system also includes a receivingmodule configuredto receive one or more pills from the supply module. The system also includesa pre-fill trayconfigured to receive one or more pills from the receiving module. The systemalso includes atransfer plate configured to receive an arrangement of pills from the pre-filltray. The systemalso includes a control module operable to control operation of one or more ofthe supplymodule, the first receiving unit, and the second receiving unit.