A system and method provides for a pneumatic tube carrier routing and tracking system having a system control module that captures and presents tracking information associated with sending and receiving carriers. The pneumatic tube carrier tracking system comprises sending and receiving stations connected by pneumatic tubing, and which are configured to securely send carriers, with receiving users optionally being restricted from unauthorized access of carriers. The pneumatic tube carrier tracking system further comprises a color sensor to automatically route the color-coded carriers to dedicated receiving stations using color identifiers. The sending and receiving stations further have identifying tag readers configured to scan identifier tags to read carrier delivery, carrier receipt and receiving user information.