Abstract: In combination with a mobile medical medication cart for dispensing medications to a variety of patients, such medical treatment cart consisting of a substantially rectangular cart member having a plurality of drawers disposed on a same side of said cart, having wheels disposed at each corner of said cart and having a top surface thereon, the improvement comprises an acid resistant top surface having a cavity disposed therein. There is a three tiered step down tray for holding pre-measured medications and water. Such three tiered step down tray disposed completely within in the cavity formed in the top surface thereof. A narcotics drawer is disposed on a same side of the cart as such plurality of drawers. The narcotics drawer has a front portion that flips down and slides into the cart member and there is at least one lockable pullout bin disposed in the narcotics drawer for holding narcotic medications.