We have had an InstyMed dispenser in our Emergency Dept. for about 2 years. We in the inpatient pharmacy absolutely love it! It has reduced the number of outpatient prescriptions presented to us by 90%. The company tracks usage and sends replenishments regularly. Our techs receive a report on demand, (usually once a day) and refill as needed. On occasion, just like with any other mechanical device, there will be a problem with a bottle failing to fall into the proper area. When that happens, we get a phone call from InstyMed with a request to open the cabinet to retrieve the product. The cash handling is taken care of by our fiscal department.