This paper presents an innovative IoT-based pill reminder and monitoring system designed to address medication non-adherence issues. The system uses interconnected devices and advanced sensors to deliver personalized medication reminders, improving adherence rates. The system allows patients to configure medication schedules and receive timely reminders through a user-friendly interface accessible via smartphones or other devices. It tracks pill intake for dosage accuracy and provides real-time data to healthcare providers for remote monitoring and intervention. Integration with electronic health records streamlines communication between patients and healthcare providers, fostering collaborative care. The system leverages IoT principles to ensure timely medication intake and comprehensive monitoring of patients' pill consumption patterns. It integrates IoT devices such as smart pill dispensers and wearable sensors, enabling real-time tracking and remote monitoring via wireless connectivity options like Wi-Fi or Bluetooth. The smart pill dispenser is equipped with RFID or NFC technology to accurately dispense medication doses according to the prescribed schedule, recording each instance for monitoring purposes. Advanced data analytics algorithms analyze adherence patterns to support personalized interventions. Alert mechanisms promptly notify patients, caregivers, and healthcare providers in case of missed doses or irregularities, facilitating proactive intervention. The system ensures the privacy and security of patient data through robust encryption protocols and access controls, complying with regulatory standards. This IoT solution represents a paradigm shift in medication management, offering a comprehensive solution to enhance adherence, improve outcomes, and streamline healthcare delivery. The system was tested for functionality and reliability, with results showing a significant decrease in missed doses among elderly patients, leading to improved health outcomes and fewer emergency room visits. Caregivers reported reduced stress levels and increased confidence in medication adherence management. Patient surveys indicated enhanced satisfaction with the system's usability and effectiveness. Integration with healthcare provider platforms facilitated better communication and coordination of care. Overall, the project's results underscore its effectiveness in enhancing medication adherence, reducing healthcare burdens, and improving patient and caregiver experiences.This paper presents an innovative IoT-based pill reminder and monitoring system designed to address medication non-adherence issues. The system uses interconnected devices and advanced sensors to deliver personalized medication reminders, improving adherence rates. The system allows patients to configure medication schedules and receive timely reminders through a user-friendly interface accessible via smartphones or other devices. It tracks pill intake for dosage accuracy and provides real-time data to healthcare providers for remote monitoring and intervention. Integration with electronic health records streamlines communication between patients and healthcare providers, fostering collaborative care. The system leverages IoT principles to ensure timely medication intake and comprehensive monitoring of patients' pill consumption patterns. It integrates IoT devices such as smart pill dispensers and wearable sensors, enabling real-time tracking and remote monitoring via wireless connectivity options like Wi-Fi or Bluetooth. The smart pill dispenser is equipped with RFID or NFC technology to accurately dispense medication doses according to the prescribed schedule, recording each instance for monitoring purposes. Advanced data analytics algorithms analyze adherence patterns to support personalized interventions. Alert mechanisms promptly notify patients, caregivers, and healthcare providers in case of missed doses or irregularities, facilitating proactive intervention. The system ensures the privacy and security of patient data through robust encryption protocols and access controls, complying with regulatory standards. This IoT solution represents a paradigm shift in medication management, offering a comprehensive solution to enhance adherence, improve outcomes, and streamline healthcare delivery. The system was tested for functionality and reliability, with results showing a significant decrease in missed doses among elderly patients, leading to improved health outcomes and fewer emergency room visits. Caregivers reported reduced stress levels and increased confidence in medication adherence management. Patient surveys indicated enhanced satisfaction with the system's usability and effectiveness. Integration with healthcare provider platforms facilitated better communication and coordination of care. Overall, the project's results underscore its effectiveness in enhancing medication adherence, reducing healthcare burdens, and improving patient and caregiver experiences.