A tablet counter and packaging module including a rotary disc with tablet apertures spaced thereabout, the tablet apertures configured to receive a tablet; a negative pressure system configured to retain the tablets in the tablet apertures; ejection devices to selectively eject one or more of the tablets from the corresponding tablet apertures; a plurality of ejection receptacles configured to collect the tablets ejected by the ejection devices; an inspection system operably engaged with the rotary disc and at least one of the ejection devices, the inspection system being configured to analyze tablets retained within the tablet apertures to determine if one or more tablet characteristics associated with the tablet; and the ejection devices configured to eject the tablet from a tablet aperture based on the determined at least one tablet characteristic.