APR 2025
SUPPLY CHAIN TEARDOWN
AUTOMATED DISPENSING
CABINETS (ADCs)
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Alexa DiLuca
Marketing Manager
Michael McEwen
Pharmacy500 Market Analyst
michael.mcewen@rxinsider.com
Gregory Cianfarani, RPh
Founder & CEO
Report Lead
Lexi Cianfarani
MEET THE
MARKET INTELLIGENCE TEAM
About RXinsider
Founded in 1999, RXinsider is a pharmacist-founded marketing/
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focused on pharmacy operations and the companies supporting
dispensing pharmacies. Through our publications, digital platforms,
market research, and training resources, RXinsider educates pharmacy
management and industry professionals on the products, services,
and trends that impact pharmacy operations across the supply chain.
RXinsider’s Market Intelligence (INTEL) Group performs market research
on the pharmacy operations supply chain and the Pharmacy500
companies. Through our weekly reports, digital awareness, and online
training, the INTEL Group educates Pharmacy500 professionals and
pharmacy management on the products and services impacting
pharmacy operations.
Jeff Rackliff
Pharmacy500 Market Analyst
jeff.rackliff@rxinsider.com
Emma Cidade
Pharmacy500 Market Analyst
emma.cidade@rxinsider.com
Lexi Cianfarani
Pharmacy500 Market Analyst
lexi.cianfarani@rxinsider.com
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
A 2025 Breakdown of Automated Dispensing
Cabinets (ADCs)
Table of Contents
• Introduction .................................................... 2-3
• Executive Snapshot ..........................................4
• ADC Overview & Key Features........................5
• ADC Pharmacy500 Company Listing ...........6
• ADC Product Examples ...................................7
• Company Location & Pratice Setting ............8
• Market News ......................................................9
• ADC Product Matrix ........................................10
• Conferences, Trade Shows & Meetings .....11
• ADC End Users & Buyer Personas ...............12
• Supply Chain Crossover .................................13
• References .......................................................14
• Pharmacy500 Companies ......................15-18
The objective of this report is to educate Pharmacy500
professionals, pharmacy leadership, and other stakeholders on
key trends within the automation supply chain as it relates to
automated dispensing cabinets.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Pharmacy500 Companies
Offer ADCs.
$68.88B
Global ADC market
projection by 2031
93%
of hospitals use ADCs in their
medication use systems.
70.2%
of hospitals use ADCs as a primary
method of maintenance
dose distribution.
4.3B
Value of Global ADC
Market size in 2024
6.06%
CAGR of the ADC Global
Market from 2024 to 2031
As of 2025, there are 6,093 U.S. Hospitals.
Source: ASHP
Source: ASHP
Source: Global Information, Inc.
Source: Global Information, Inc.
Source: American Hospital Association
EXECUTIVE SNAPSHOT
AUTOMATED DISPENSING
CABINETS (ADCs)
Source: Global Information, Inc.
$3.8M
Estimated loss of controlled
substance doses in 2023.
Source: DEA
10%
of all healthcare workers
will steal opioids and other
controlled substances from
patients and hospitals at some
point in their career.
Source: Healthcare Diversion
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
ADCs Overview
Pharmacy Automated Dispensing Cabinets (ADCs) are computerized,
self-contained machines used in hospitals to store, manage, and dispense
medications automatically. These cabinets are typically located in hospital
nursing units or pharmacy settings and are integrated into the medication
management system to improve accuracy, efficiency, and safety in
medication dispensing.
Key Features of Pharmacy ADCs
1. Automated Medication Dispensing
• ADCs store medications securely and dispense them automatically based on a physician’s order or a nurse’s request.
• Medications are retrieved from the cabinet using a barcode scanning system, ensuring the right drug is dispensed.
2. Real-Time Inventory Management
• Continuously tracks medication stock levels in real-time.
• Automatically updates inventory records when medications are dispensed, reducing the risk of human error and stock discrepancies.
3. User Authentication and Access Control
• Users, such as pharmacists, nurses, and physicians, must authenticate themselves before accessing the cabinet, ensuring medication safety and
accountability.
• Each user has specific access rights to controlled substances and other medications.
4. Barcode Scanning and Verification
• ADCs use barcode scanning technology to verify the medication being dispensed.
• Ensures the correct medication, dose, and patient are matched before the medication is administered.
5. Medication Security
• Medications, especially controlled substances, are securely stored within locked compartments or drawers.
• Prevents unauthorized access, diversion, or tampering with drugs.
6. Clinical Decision Support
• Some ADCs are integrated with the pharmacy’s electronic health record (EHR) and computerized physician order entry (CPOE) systems.
• This integration provides real-time clinical decision support, alerting users to potential drug interactions, allergies, or contraindications when
accessing or dispensing medication.
7. Audit Trail and Reporting
• The system logs every transaction, creating a detailed audit trail that includes who accessed the cabinet, what medication was dispensed, and
when.
• This helps with regulatory compliance, quality control, and investigating discrepancies or medication errors.
8. Remote Monitoring and Management
• Some ADCs allow pharmacy staff to remotely monitor inventory levels, perform maintenance, and generate reports.
• Helps in managing the system without needing to be physically present at the cabinet.
9. Integration with Medication Administration Systems
• ADCs can be integrated with barcode medication administration (BCMA) systems, ensuring that nurses are administering the correct medication
at the right time.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Pharmacy500 ADC Companies
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
ADC Products
BD Pyxis™ MedFlex
1000 & 2000
NexsysADC™
APS 250
ACCU-RDC1000
medDispense®
C series
MedSMART
MedSelect Flex
XT ADC
The following are select product examples
from
the
Pharmacy500
ADC
companies.
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
Companies by Location
The following are the most common practice settings for ADCs.
Practice Setting Breakout
NUCLEAR
MANAGED CARE / PBM
HOME INFUSION / COMPOUNDING
LONG TERM CARE
SPECIALTY
HOSPITAL / HEALTH SYSTEM
COMMUNITY / RETAIL
ADC Market News
Touchpoint Medical | Announced Staci Kroon as the New President and CEO
Capsa Healthcare | Unveiled the New Kirby Lester KL1v
Capsa Healthcare | Unveiled Innovation Center
BD | Announced A Split Between Biosciences and Diagnostics Unit, Creating Two Independent Companies
Omnicell | Announced OmniSphere Platform
Capsa Healthcare | Announced Gaurav Agarwal as CEO
Capsa Healthcare | Unveiled the New Tryten P-Series: Engineering a Path to Better Care
Touchpoint Medical | Revealed New medDispense® A Series Intelligent Cart
Omnicell | Collaborated with TrackTraceRX to Launch New Pharmacy Inventory Tracking Interface
Omnicell | Announced Strategic Partnership with LSPedia
BD | Partnered with Ten23 Health Partner to Advance Efficiency and Quality in Aseptic Manufacturing with RFID-enabled Prefillable
Syringes
BD | Launched Enhanced Intraosseous System for Critical Care Solutions
BD | Introduced PGII Sharps Container Portfolio, an All-in-one Sharps Disposal Solution.
BD | Launched Fingertip Blood Testing with Babson Diagnostics
Swisslog Healthcare | Announced Robotics Partnership with BD to Automate Pharmacy Inventory Management in U.S. Hospitals
BD | Announced the Complete Acquisition of Edwards Lifesciences’ Critical Care Product Group; to be Renamed as BD Advanced
Patient Monitoring
BD | Announced the Commercial Release of the BD Neopak™ XtraFlow™ Glass Prefillable Syringe and the Latest Capacity Expansion of
the BD Neopak™ Glass Prefillable Syringe Platform
Swisslog Healthcare | Introduced ezCUT Automated Tablet Cutter
Q1|
2025
Q4|
2024
Q3|
2024
Q2|
2024
©2025 RXinsider | RXinsider Market Intelligence Group | 2025
10
ADC Product Matrix
APS 250
Individual Multi-Dose Packages per
Patient
250 types of oral medications
APS software
APS 200
Individual Multi-Dose Packages per
Patient
200 types of oral medications
APS software
APS Mini
PRN & First dose Medications
30 Types of Oral Medications
APS software
APS Vault
Upper Unit: Refrigerated Storage for
Infusion Therapy, Insulin, Narcotics, etc.
Lower Unit: 100 bulk medications such
as Inhalers and Emergency Kits
100 Bulk Medications
APS software
NexsysADC
Controls, Routine meds, Supplies
400+ Items
YES
NexsysADC 4T
Medications or supplies, controlled and
high-value medications
150 Items
YES
ACCU-RDC1000
Bulk Storage
SecureMax System
ACCU-RDC500
Bulk Storage
SecureMax System
MedSelect Flex
MedSelect Software, version 9.0
MedSelect Flex Unit Dose
Module (UDM)
Unit dose dispensing for controlled
substance accountability
35 Types of Medications / 1400
Doses
MedSelect Software, version 9.0
MedSelect Flex Tower Module
Bulk, IV and general hospital supplies
MedSelect Software, version 9.0
MedSelect Flex Main Drawer
Module
Unit dose pouches, ampules, vials,
cartridges, tablets, capsules, boxes and
bulk bottles
300 - 400 medications
MedSelect Software, version 9.0
MedSelect Flex External Lock
Module
MedSelect Software, version 9.0
MedSelect Flex Compact Drawer
Module
MedSelect Software, version 9.0
MedSelect Flex Standard
Cabinet Module
MedSelect Software, version 9.0
medDispense® F series
Security with single-dose dispensing
384 Items
YES
medLogic™, NurSync™, medGuard™,
PharmacyCenter™
medDispense® C series
Bulk storage or large items secure
storage and dispensing
600 Items
medLogic™, NurSync™, medGuard™,
PharmacyCenter™
medDispense® A series
Secure storage of narcotics
medLogic™, NurSync™, medGuard™,
PharmacyCenter™
medDispense® V series
(S1, S2, S2S, S3, S3S, S4, S4S,
S5)
Large or bulky items for Central
Pharmacy Controlled Substance Storage
720 Items
YES
medLogic™, NurSync™, medGuard™,
PharmacyCenter™
medDispense® L series
Controlled Substance Dispensing of a
wide range of medication sizes
324 Items
YES
medLogic™, NurSync™, medGuard™,
PharmacyCenter™
Omnicell XT Automated
Dispensing Cabinet
Single Dose Controlled Substance
Dispensing, store controlled drugs, IV
bags and high risk or abusable items
YES
SupplyXpert, XTExtend, CarePlus, XT
Controlled Substance Manager”
BD Pyxis™ MedBank
First dose and emergeny medications
MedPass, myQLink, BD HealthSight™
BD Pyxis™ MedBank Mini
Tabletop solution for medication and
controlled substance management
MedPass, myQLink, BD HealthSight™
BD Pyxis™ MedFlex (MedFlex
1000, Medflex 200)
Medical storage cabinets supporting
a mixed use of medications, medical
supplies, and controlled substance
inventory management
288 Items
myQLink
BD Pyxis™ SupplyBank 1000
Main
Supply inventory control
MedSMART Automated
Dispensing Cabinet
Narcotics, controlled substances and
critical medication
500 Items
YES
SMARTCenter
PRODUCT, MODEL
& MODULES
PURPOSE
STORAGE
PICK-TO-
LIGHT
GUIDANCE
SOFTWARE