Abstract: Apparatus for removing medication units from a card dispenser comprising a card on which medication units are secured in pockets formed in a flexible sheet material disposed in the card and sealed by a rupturable covering element thereof, has a base member upon which the card dispenser is supported. The base member has a body portion with a series of elongated channels in its upper surface defined by parallel extending ribs. A roller with a handle is rotatably rolled along the upper surface of the card dispenser while bridging the channels to press downwardly the medication units and cause the rupturable covering element to be severed and the medication units to drop into the channels.