A pill feeder accepts a quantity of pills and organizes the pills into a single file where each pill is output in a controlled orientation at a controlled rate. The pill feeder includes a rotating disk, a rotating rim, a lift gate, a separator gate, and an exit path. The rotating disk receives and moves pills in a rotation direction about a surface of the rotating disk at a first angular velocity. The rotating rim that moves pills received from the rotating disk in the same rotation direction as the rotating disk. The lift gate raises a height above the surface of the rotating rim that permits passage of a single layer of the plurality of pills. A transition to an exit chute of the pill feeder provides a plurality of slopes to control the orientation of pills transitioning from the rim to the exit chute.