Abstract: A pill management apparatus and related methods are disclosed herein. In various aspects, the pill management apparatus may include a housing with a disc rotatably received therein. The disc may be divided into a plurality of compartments, and a compartment of the plurality of compartments may be in communication with the passage. A gate may be slideably disposed about the passage and positionable between a closed position, wherein the gate generally seals the passage, and an open position, wherein the gate unseals the passage sufficiently to dispense a pill from the compartment to the exterior therethrough. The gate cooperates mechanically with the disc such that the disc advances as the gate is positioned from the closed position to the open position, in various aspects.