Systems, methods, and modes for distribution of medical objects, such as medicines, from a sending station at a pharmacy or a nursing station to one of a plurality of receiving stations located by the patient's bedside via pneumatic tubing without a dedicated carrier. The system is a one-way system configured for allowing the medical object to travel in one direction from a sending station to one of the receiving stations. The pneumatic tube system comprises a sending station, a plurality of receiving stations routably connected to the sending station via the pneumatic tubing, a pump, and a system controller in signal communication with the sending station, the receiving station, and the pump. The system controller receives delivery information from the sending station, identifies an intended receiving station using the delivery information, and sends commands to the pneumatic tube system to control routing of the medical object from the sending station to the identified receiving station in the pneumatic tubing.
