A pharmaceutical counter for dispensing precise quantities of pharmaceuticals is disclosed. The pharmaceutical counter includes a holder defining a first interior sized to hold a first plurality of pharmaceuticals. A hopper defines a second interior sized to hold a second plurality of pharmaceuticals. The pharmaceutical counter also includes a counting mechanism that counts precise quantities of pharmaceuticals. The counting mechanism is arranged to receive pharmaceuticals of the first plurality of pharmaceuticals held by the holder and to receive pharmaceuticals of the second plurality of pharmaceuticals held by the hopper.