Technologies are generally described for providing a pill dispensing device with adherence monitoring and alerting features, as well as communication capabilities. A pill pack may be integrated within a housing of the pill dispensing device, where removal of each pill in the pill pack may be monitored through a conductive trace or comparable mechanism. Timing of the removal, remaining pills, and similar information may also be detected by the pill dispensing device and provided along with additional information such as health status of the consumer monitored by one or more sensors to a health care provider or similar entity over wired and/or wireless networks. The pill dispensing device may include audio and/or visual output device(s) to provide alerts and health/medication related information to the consumer. A display technology may employed enabling continuous display with low power usage such as ink display while providing color and/or video capabilities.
