The article introduces an innovative IoT-based pill reminder and monitoring system designed to address medication non-adherence issues. The system leverages interconnected devices and advanced sensors to provide personalized medication reminders, track pill intake, and facilitate remote monitoring by healthcare providers. Key features include a user-friendly interface for configuring medication schedules, real-time data tracking, and integration with electronic health records. The hardware components include a NodeMCU microcontroller, RTC module, sensors, and an LED display, while the software components involve programming the NodeMCU, interfacing with sensors, and enabling Wi-Fi connectivity. Extensive testing ensures the system's reliability and functionality, and safety and security measures are implemented to protect patient data. The results show a significant reduction in missed doses, improved health outcomes, and enhanced satisfaction among elderly patients and caregivers. The system represents a significant advancement in healthcare technology, offering a comprehensive solution for medication management and improving overall healthcare outcomes.The article introduces an innovative IoT-based pill reminder and monitoring system designed to address medication non-adherence issues. The system leverages interconnected devices and advanced sensors to provide personalized medication reminders, track pill intake, and facilitate remote monitoring by healthcare providers. Key features include a user-friendly interface for configuring medication schedules, real-time data tracking, and integration with electronic health records. The hardware components include a NodeMCU microcontroller, RTC module, sensors, and an LED display, while the software components involve programming the NodeMCU, interfacing with sensors, and enabling Wi-Fi connectivity. Extensive testing ensures the system's reliability and functionality, and safety and security measures are implemented to protect patient data. The results show a significant reduction in missed doses, improved health outcomes, and enhanced satisfaction among elderly patients and caregivers. The system represents a significant advancement in healthcare technology, offering a comprehensive solution for medication management and improving overall healthcare outcomes.