Systems and methods are disclosed for a medical pill dispensing system. A system includes a supply module configured to supply one or more pills, where the supply module includes a plurality of containers. Each of the plurality of containers is configured to dispense one or more pills of a respective type. The system also includes a receiving module configured to receive one or more pills from the supply module. The system also includes a pre-fill tray configured to receive one or more pills from the receiving module. The system also includes a transfer plate configured to receive an arrangement of pills from the pre-fill tray. The system also includes a control module operable to control operation of one or more of the supply module, the first receiving unit, and the second receiving unit.