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How to count pills at home

Filling a weekly organizer, checking a fresh refill, or splitting a 90-day supply — sooner or later every medication routine comes down to counting pills. Here are both ways to do it well.

The traditional way: tray and tally

The classic method still works: pour the pills onto a clean plate or tray, then slide them across in groups of five with a card or spatula, keeping a running tally. Groups of five are easier to eyeball than singles, and sliding counted pills to a separate zone keeps them from mixing back in.

The catch is reliability. Counting is monotonous, and one interruption — a phone buzz, a “was that 65 or 70?” — means starting over. An NIH-published study measured a 12.6% error rate for manual pill counting — roughly one miscount in every eight counts.

Hand-counting a large bottle takes minutes of full attention, and leaves no record of what you counted beyond the number you wrote down.

The 3-second way: one photo

countRx counts the whole tray from a single photo — 99.2% accuracy in testing across pill shapes, sizes, and colors, with a confidence indicator on every count. It's free, with no account and no subscription.

  1. 1

    Spread the pills out

    Pour the pills onto a tray, plate, or any flat surface and nudge them apart so most pills aren’t stacked on each other.

  2. 2

    Take one photo

    Open countRx and photograph the whole tray from above. Normal room lighting is fine — bright counter, dim room, or harsh fluorescents.

  3. 3

    Read the count and flags

    The count comes back in about 3 seconds with every detected pill marked on screen. Broken pills, or one that doesn’t match the rest, get flagged for a second look.

  4. 4

    Save or export

    The count lands in your history with its photo and timestamp. Export to CSV or PDF whenever you need a record.

Which should you use?

For a handful of pills, counting by hand is fine. For a full bottle, a weekly organizer session, or anything you might want to double-check later, the photo wins: it's faster, it doesn't lose its place, and every count is saved with its picture and timestamp so you can pull it back up if a number is ever questioned.

Count your next tray in 3 seconds.

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