CountPill

Pill counting tray, counting machine or app: which one?

Most pharmacies count with a tray and spatula. Some buy a counting machine. A phone app is a third option. Here is how they compare and where each one fits.

At a glance

Counting trayCounting machinePhoto counting app
How it countsBy hand, usually in fivesOptical sensor or weight as pills pass throughA model finds every pill in a photo
CostA few dollarsHundreds to thousands of dollarsFree on the web; an app subscription for records
Speed on a 90-countAbout a minute, more if interruptedSecondsA few seconds plus a look over the result
Where it worksAnywhereAt the station where it sitsAnywhere you have a phone
Shows its workNoNoYes: a dot on every pill, unsure spots marked
Record of the countOnly what you write downSome models log countsA photo with the dots; history and reports in the app
Cleaning between drugsWipe the trayClean the channels and hopperWipe the tray

Counting tray and spatula

The standard method in most community pharmacies. You slide pills into groups of five, sweep the counted ones into the chute, and tip them into the vial. It costs almost nothing and works for any tablet or capsule.

Its weak point is people, not the tray: a phone call or a question at the counter mid-count, and it's easy to lose your place. It also leaves no record beyond what you write down.

Electronic counting machines

Tablet counters pour pills past a sensor, or weigh them against a reference count. They're fast and consistent for high-volume pharmacies. They cost a lot, need calibrating and cleaning between drugs to avoid cross-contamination, and they're fixed to one spot. Weight-based counters can drift when tablets chip or vary in weight.

Photo counting apps

A phone takes one picture of the tray and a model marks every pill. It's quick, it works anywhere, and, unlike the other two, it shows its work: you can see which pills were counted and which spots it wasn't sure about, and fix them with a tap.

It needs a decent photo: one layer, from above, no flash glare. Heaps and blister packs cause misses. It's best used as a second count alongside the tray, or for checks where a count by hand would take a long time.

The CountPill web counter is free and runs in the browser without uploading the photo. The CountPill iPhone app adds the Rx quantity check, barcode and label reading, double counts for controlled drugs, and reports.

Which one should you use?

  • Low to medium volume: a tray, with a photo count as a second check on large or controlled counts.
  • High volume at one station: a counting machine, with a tray for odd shapes and a photo app for stock checks away from the station.
  • At home: a plate and a photo app. See counting pills at home.

Whatever the method, the pharmacist's verification is still the final check.

The CountPill iPhone app · coming soon

Counting pills every day? The app keeps the record.

  • Live count from the camera, with a level so you shoot straight down.
  • Rx quantity check: "Need 4 more", "Matches" or "2 too many", as you count.
  • Stock-bottle barcode and Rx label reading to catch the wrong bottle.
  • Double counts for controlled drugs, with both counts kept.
  • History, search, and PDF and CSV reports with photos, lot, expiry and initials.

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