A pill dispenser for use with a pill container. The present invention describes a dispensing apparatus for a pill container comprising a housing, a rotatable closure to which a pill container may be mounted in an inverted orientation, a hopper for collecting pills emptied from the pill container into the housing, and a rotatable spool that is adapted to receive pills from the hopper. The spool comprises one or more slots that are sized to receive pills of various sizes and shapes. A metering sleeve rotatably disposed around the spool selectively covers all but one of the slots of the spool. Users can select the setting of the metering sleeve corresponding to the size and shape of the pill that they are seeking to dispense, ensuring that a single pill is received in the corresponding slot of the spool.