A pill dispensing assembly for dispensing a pill from a pill bottle includes a first layer having a pill exit passage. A second layer is operatively connected to the first layer, and includes a pill entry passage horizontally offset from the exit passage. A pill dispensing layer is positioned between the first and second layers, is movable with respect to the first and second layers, and includes a holding chamber sized to receive the pill. The holding chamber is horizontally movable from a first loading position in which the holding chamber is aligned with the entry passage and is horizontally offset from the exit passage to receive the pill, to a second dispensing position in which the holding chamber is aligned with the exit passage and is horizontally offset from the entry passage to dispense the pill through the exit passage. Pill dispensing may be timed or time monitored.