With the BoxPicker Automated Pharmacy Storage System, hospital pharmacies can securely automate storage and retrieval of refrigerated and non-refrigerated medications and narcotics within a single unit. The high-density pharmacy warehouse eliminates the need for pharmacy refrigerators and increases security by controlling access to the stored substances. Operators have access to only a single box at a time, thus eliminating picking errors. Scan-in/scan-out technology increases safety during dispensing, while providing inventory tracking. Additionally, pharmacies can achieve higher hourly throughput and productivity with picking performance that’s three-to-one when compared to carousels. The versatile pharmacy automation system expands as needs change. Configurations maximize available space and provide additional picking bays so operators can work simultaneously. The system also provides storage and pass-through capabilities for cleanrooms, removing the need to enter ante rooms to deliver stock. The optional narcotics module ensures the security of controlled substances and facilitates compliance with regulatory requirements. Narcotics are stored separately from other medications in secure, tamper-proof modules that can only be accessed by authorized users.