A vending refrigerator for dispensing pharmaceutical products, such as vials, bottles, syringes, and the like, at a point of distribution, e.g., a doctor's office or pharmacy. The vending refrigerator comprises a first product dispenser for one type of packaging and a second product dispenser for a second type of packaging. The product can be removed from a dispenser drawer but cannot be placed back into the dispenser through the drawer. The product dispensers are filled through openings that are not accessible during normal operations, but that are accessible during refilling procedures. The refrigerator may include a shelf where products that are mistakenly pulled from the product dispenser or that contain multiple doses of their contents can be placed for temporary storage. In some embodiments, the refrigerator comprises a chilled compartment and a freezer compartment.