Patent Publication Number: US-2023136001-A1

Title: Shuttle for moving packages through a filling system

Description:
BACKGROUND 
     Some filling centers, such as those found in high volume pharmacies, include shuttle systems that hold and transport containers through one or more filling stations where products are added to the containers. In some such shuttle systems, the acceleration and deceleration of the shuttle must be limited so as to avoid tipping the container held thereon and spilling its contents. Another approach is to lock the container to the shuttle, which may allow the shuttle to accelerate and decelerate quicker but which also requires additional time to effectuate the locking and unlocking process. 
     SUMMARY 
     An aspect of the present disclosure is related to a shuttle system for conveying a container through a filling center is provided. The shuttle system includes a shuttle and a base plate that is operably attached with the shuttle. A plurality of support members extend vertically upwardly from the base plate and surround a container receiving space. The support members are configured to directly contact side surfaces of the container and to support the container as the shuttle moves through the filling center without locking the container to the shuttle. 
     In an embodiment, the shuttle system further includes a rail, and the shuttle is configured to self-propel itself along the rail. 
     In an embodiment, the support members are made as separate pieces from the base plate and are fixedly attached with the base plate. 
     In an embodiment, the support members are fixedly attached with the base plate via at least one mechanical fastener. 
     In an embodiment, one of the support members is a first support member that extends vertically from the base plate by a first height to support the container when the base plate is tilted towards the first support member, and the other support members extend vertically form the base plate by respective heights that are less than the first height. 
     In an embodiment, in at least one filling station, the rail is tilted to tilt the shuttle and the container in a direction towards the first support member when the shuttle is in the at least one filling station to thereby allow contents to be added to the container more easily. 
     In an embodiment, one of the support members is a second support member and is positioned opposite of the first support member. The second support member includes two spaced apart fingers. A gripping device can grip the container in a space between the fingers when loading the container onto the shuttle or removing the container from the shuttle. 
     In an embodiment, an upper portion of at least one of the support members is angled away from the container receiving space to guide the container into the container receiving space. 
     In an embodiment, the shuttle system further includes a pattern that is configured to be attached with the base plate. The pattern has an outer periphery that matches an outer periphery of the container, and the support members can be attached to the base plate around the pattern. 
     In an embodiment, the base plate and the support members are made of metal. 
     Another aspect of the present disclosure is related to a pharmacy. The pharmacy includes a rail, which extends from a loading station, through at least one filling station, and to an unloading station. At least one shuttle is disposed on the rail and is configured to receive containers at the loading station and transport the containers to the at least one filling station where at least one pharmaceutical product can be loaded into the container and to the unloading station where the container can be removed from the shuttle. A controller is in communication with the at least one shuttle and controls the movement of the at least one shuttle through the pharmacy along the rail. The shuttle includes a base plate and a plurality of support members extending vertically from the base plate. The support members are spaced apart from one another to define a container receiving space, which receives the containers. When one of the containers is received in the container receiving space, the support members hold the container on the shuttle in a non-locking manner. 
     In an embodiment, the rail is angled within the at least one filling station to angle the container when the shuttle is in the at least one filling station. At least one of the support members extends vertically by a greater height than the other support members to hold the container when the container is angled in the at least one filling station. 
     In an embodiment, at least one of the loading and unloading stations includes a suction cup mechanism. One of the support members includes a pair of fingers that are spaced apart from one another so that the suction cup mechanism can access an outer surface of the container in an area between the fingers. 
     In an embodiment, the support members have upper portions that are angled away from the container receiving space for guiding the containers into the container receiving space. 
     In an embodiment, the support members are made as separate pieces from the base plate and are fixedly attached with the base plate. 
     Yet another aspect of the present disclosure is related to a method of operating a shuttle system. The method includes the step of, in a loading station, receiving a container into a container receiving space between a plurality of spaced apart support members that extend upwardly from a base plate of a shuttle. The support members hold the container in a non-locking manner. The method continues with the step of transporting the container with the shuttle from the loading station to at least one filling station. The method proceeds with the step of inserting at least one pharmaceutical product into the container in the at least one filling station. The method continues with the step of unloading the container from the shuttle in the unloading station. 
     In an embodiment, the method further includes the step of tilting the shuttle and the container in the at least one filling station. One of the support members extends to a greater height than the other support members to support the container when it is tilted. 
     In an embodiment, the step of inserting at least one pharmaceutical product occurs while the container is tilted. 
     In an embodiment, one of the support members includes a pair of spaced apart fingers, and the method further includes the step of gripping an outer surface of the container in a space between the fingers. 
     In an embodiment, the method further includes the step of fixedly attaching the support members with the base plate around a pattern which has an outer periphery that generally matches an outer periphery of the containers. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
       These and other features and advantages of the present disclosure will become more readily appreciated when considered in connection with the following description of the presently preferred embodiments, appended claims and accompanying drawings, in which: 
         FIG.  1    is a block diagram of an example system according to an example embodiment; 
         FIG.  2    is a block diagram of an example order processing device that may be deployed within the system of  FIG.  1   ; 
         FIG.  3    is a perspective and fragmentary view of an exemplary embodiment of a shuttle system constructed according to an exemplary embodiment of the present disclosure; 
         FIG.  4    is an exploded view of a holding device and a box and its contents; 
         FIG.  5    is a perspective elevation view of a holding device constructed according to an exemplary embodiment; 
         FIG.  6    is a top elevation view of the holding device of  FIG.  5   ; 
         FIG.  7    is a side elevation view of the holding device of  FIG.  5   ; 
         FIG.  8    is a front elevation view of the holding device of  FIG.  5   ; 
         FIG.  9    is a perspective elevation view of a loading station where a box is loaded onto a shuttle; 
         FIG.  10    is a perspective view of an unloading station where a box is unloaded from a shuttle; 
         FIG.  11    is a perspective view of a filling station where a box can be filled with pharmaceutical products; 
         FIG.  12    is a perspective view of the holding device of  FIG.  5    and with a pattern fixedly attached with a base plate of the holding device; 
         FIG.  13    is a perspective view of another exemplary embodiment of the holding device; 
         FIG.  14    is a perspective view of yet another exemplary embodiment of the holding device; and 
         FIG.  15    is a flow chart depicting the steps of an exemplary embodiment of operating a shuttle device. 
     
    
    
     DESCRIPTION OF THE ENABLING EMBODIMENTS 
     One aspect of the present disclosure is related to a shuttle system for receiving and conveying containers through a loading system where contents (such as pharmaceutical products and packing materials) are loaded into the containers. The shuttle system includes a shuttle with a base plate and a plurality of support members that extend vertically upwardly from the base plate and that are spaced apart from one another to define a container receiving space. The support members are specifically designed to allow the container to be easily inserted into and removed from the container receiving space and to allow the container to be transported with the shuttle as the shuttle moves along a rail and even as the shuttle is tilted to allow for easier insertion of the contents into the container. These benefits are achieved without locking or otherwise fixedly attaching the container with the shuttle, while securing the container for movement throughout the fulfillment center. In another aspect, the presently described shuttle system can allow for automated insert and automated removal of containers, which may be somewhat deformable or no uniform in shape. In an example, an automated process may mean a robotic, non-manual process for inserting containers, e.g., paper, paperboard, cardboard, corrugated or the like, into the shuttle, and for removal of the same after at least one fulfillment operation. 
     In an embodiment, the shuttle system is implemented within a high-volume pharmacy or fulfillment center (e.g., a mail order pharmacy, a direct delivery pharmacy, an automated pharmacy, a multiple package delivering center, and the like).  FIG.  1    depicts a block diagram of an example pharmaceutical fulfillment system  100  that could be deployed in such a high-volume pharmacy or fulfillment center 
     A high-volume pharmacy may be a pharmacy that is capable of filling prescriptions automatically, mechanically, manually, or a combination thereof. The system  100  and/or the components thereof may otherwise be deployed in a lower volume pharmacy. The pharmacy may also fill prescription orders including highly regulated drugs in a secure manner. 
     The system  100  may include a benefit manager device  102 , a pharmacy device  106 , and a user device  108 , which may communicate either directly and/or over a network  104 . The system may also include a storage device  110 . 
     The benefit manager device  102  is a device operated by an entity that is at least partially responsible for creation and/or management of the pharmacy or drug benefit. While such an entity operating the benefit manager device  102  is typically a pharmacy benefit manager (PBM), other entities may operate the benefit manager device  102  either on behalf of themselves, the PBM, another entity, or other entities. For example, the benefit manager device  102  may be operated by a health plan, a retail pharmacy chain, a drug wholesaler, a data analytics or other type of software-related company, or the like. In some embodiments, a PBM that provides the pharmacy benefit may also provide one or more than one additional benefit including a medical or health benefit; a dental benefit; a vision benefit; a radiology benefit; a pet care benefit; an insurance benefit; a long-term care benefit; a nursing home benefit; and the like. The PBM may, in addition to its PBM operations, operate one or more than one pharmacy. 
     Some of the operations of the PBM that operates the benefit manager device  102  may include the following activities and processes. A member (or a person on behalf of the member) of a pharmacy benefit plan administered by or through the PBM attempts to obtain a prescription drug at a retail pharmacy location (e.g., a location of a physical store) from a pharmacist or a pharmacist technician. The member may also attempt to obtain the prescription drug through mail order drug delivery, from a mail order pharmacy location, which may be the high-volume pharmacy system  100 . In some embodiments, the member may also attempt to obtain the prescription drug directly or indirectly through the use of a machine, such as a kiosk, vending unit, mobile electronic device, or a different type of mechanical electrical, electronic communication device, and/or computing device. Such a machine may be filled with the prescription drug in prescription packaging, which may include multiple prescription components, prepared by the high-volume pharmacy system  100 . 
     The member may have a copayment for the prescription drug that reflects an amount of money that the member is responsible to pay the pharmacy for the prescription drug. The money paid by the member to the pharmacy may come from personal funds of the member, a health savings account (HSA) of the member or the member&#39;s family, a health reimbursement arrangement (HRA) of the member or the member&#39;s family, a flexible spending account (FSA) of the member or the member&#39;s family, or the like. In some instances, an employer of the member may directly or indirectly fund or reimburse the member for the copayments. 
     The amount of the co-pay required form the member may vary with different pharmacy benefit plans having different plan sponsors or clients and/or prescription drugs. The member&#39;s copayment may be based on a flat copayment (e.g., $10), co-insurance (e.g., 10%), and/or a deductible (e.g., for first $500 of annual prescription drug expenses) for certain prescription drugs, certain types and/or classes of prescription drugs, and/or all prescription drugs. The copayment may be stored in the storage  110  or determined by the benefit manager device  102 . 
     In some instances, the member may not pay the copayment or may only pay a portion of the copayment for the prescription drug. For example, if the usual and customary cost for a generic version of a prescription drug is $4, and the member&#39;s flat copayment is $20 for the prescription drug, the member may only be required to pay $4 to receive the prescription drug. In another example involving a worker&#39;s compensation claim, no copayment may be due by the member for the prescription drug. 
     In addition, copayments may also vary based on different delivery channels used for the prescription drug to be received by the member. For example, the copayment for receiving the prescription drug from a mail order pharmacy location may be less than the copayment for receiving the prescription drug from a retail pharmacy location. Such a copayment may change depending on whether a prescription is filled manually or through at least partially automated fulfillment processes as described herein 
     In conjunction with receiving the copayment (if any) from the member and dispensing the prescription drug to the member, the pharmacy submits a claim to the PBM for the prescription drug. After receiving the PBM (e.g., through the benefit manager device  102 ) may perform certain adjudication operations including verifying eligibility for the member, identifying and/or reviewing an applicable formulary for the member to determine any appropriate copayment, coinsurance, and deductible for the prescription drug, and performing a drug utilization review (DUR) on the member. The PBM provides a response to the pharmacy (e.g., from the benefit manager device  102  to the pharmacy device  106 ) following performance of at least some of the operations mentioned herein. For example, the PBM can route the prescription order to an automated pharmacy fulfillment system as described herein. 
     As part of the adjudication, a plan sponsor (or the PBM on behalf of the plan sponsor) ultimately reimburses the pharmacy for filling the prescription drug when the prescription drug was successfully adjudicated. 
     The aforementioned adjudication operations generally occur before the copayment is received and the prescription drug is dispensed. However, in some instances these operations may occur simultaneously, substantially simultaneously, or in a different order. In addition, more or less adjudication operations may be performed as at least part of the adjudication process. 
     The amount of reimbursement paid to the pharmacy by a plan sponsor and/or money paid by the member may be determined at least partially based on the type(s) of pharmacy network in which the pharmacy is included. Other factors may also be used to determine the amount in addition to the type of pharmacy network. For example, if the member pays the pharmacy for the prescription drug without the prescription drug benefit provided by the PBM (e.g., by paying cash without use of the prescription drug benefit or by use of a so-called pharmacy discount card offering other negotiated rates), the amount of money paid by the member may be different than when the member uses prescription or drug benefit. In some embodiments, the amount of money received by the pharmacy for dispensing the prescription drug and for the prescription drug itself may be higher than when the member uses the prescription or drug benefit. Some or all of the foregoing operations may be performed by executing instructions stored on the benefit manager device  102  and/or an additional device. 
     Examples of the network  104  include Mobile Communications (GSM) network, a code division multiple access (CDMA) network, 3 rd  Generation Partnership Project (3GPP) network, an Internet Protocol (IP) network, a Wireless Application Protocol (WAP) network, a WiFi network, or an IEEE 802.11 standards network, as well as various combinations thereof. The network  104  may include an optical communication network. The network  104  may be a local area network or a global communication network, such as the Internet. In some embodiments, the network  104  may include a network dedicated to prescription orders, e.g., a prescribing network such as the electronic prescribing network operated by Surescripts of Arlington, Va. 
     Moreover, although the system shows a single network  104 , multiple networks can be used. The multiple networks may communicate in series with each other to link the devices  102 ,  106 - 110  or in parallel to link the devices  102 ,  106 - 110 . 
     The pharmacy device  106  may include an order processing device  114 , a pharmacy manager device  116 , and a pharmacy fulfillment device  112  in communication with each other directly and/or over the network  104 . 
     The order processing device  114  may receive information regarding filling prescriptions and may direct an order component to one or more than one of the devices of the pharmacy fulfillment device  112  at a pharmacy. The pharmacy fulfillment device  112  may fulfill, dispense, aggregate, and/or pack the order components of the prescription drugs in accordance with one or more than one of the prescription orders directed by the order processing device  114 . The order processing device  114  may be deployed in the system  100  or may otherwise be used. The pharmacy fulfillment device  112  may include an item dispenser that includes a door as described herein. The door may include devices to stage groups of items, e.g., medication, small solids, or the like, for dispensing into an appropriate container. The containers can be tracked in the pharmacy fulfillment device  112  and/or the order processing device  114 . The door may include apertures, openings or slots through which power lines can extend from inside the door to outside the door to allow movement of the door and maintenance of the door without completely disconnecting all bundled lines in the door. In an example embodiment, the pharmacy fulfillment device  112  can include the shuttle and at least partially automated fulfillment system and methods as described herein. 
     In general, the order processing device  114  is a device located within or otherwise associated with the pharmacy to enable fulfillment of a prescription and dispensing prescription drugs by the pharmacy fulfilment device  112 . In some embodiments, the order processing device  114  may be an external device separate from the pharmacy and communicate with other devices located within the pharmacy. In an example embodiment, the order processing device  114  can include shuttle operations as described in U.S. Provisional Patent Nos. 63/272,667 and 63/272,671, which are hereby incorporated by reference. 
     For example, the external order processing device  114  may communicate with an internal order processing device  114  and/or other devices located within the system  100 . In some embodiments, the external order processing device  114  may have limited functionality (e.g., as operated by a patient requesting fulfillment of a prescription drug), while the internal pharmacy order processing device  114  may have greater functionality (e.g., as operated by a pharmacist). 
     The order processing device  114  may track the prescription order as it is fulfilled by the pharmacy fulfillment device  112 , inclusive of tracking the shuttle, the container on the shuttle and objects being placed in the container. The prescription order may include one or more than one prescription drugs to be filled by the pharmacy. The order processing device  114  may make pharmacy routing decisions and/or order consolidation decisions for the particular prescription order. The pharmacy routing decisions may include what device(s) in the pharmacy are responsible for filling or otherwise handling certain portions of the prescription order. The order consolidation decisions include whether portions of one prescription order or multiple prescription orders should be shipped together for a patient or a patient family. The order processing device  114  may also track and/or schedule literature or paperwork associated with each prescription order or multiple prescription orders that are being shipped together. The order processing device  114  may also control track operations and direct an individual shuttle to a specific location in the fulfillment center such that a specific object can be placed in the container or select tasks can be performed at workstations. 
     The pharmacy management device  116  may enable and/or facilitate management and operations in a pharmacy. For example, the pharmacy management device  116  may provide functionality to enable receipt and processing of prescription drug claims, management of pharmacy personnel, management of pharmaceutical and non-pharmaceutical products, track products in the pharmacy, record workplace incidents involve personnel and products, and the like. In some embodiments, the order processing device  114  may operate in combination with the pharmacy management device  116 . 
     In some embodiments, the pharmacy management device  116  may be a device associated with a retail pharmacy location (e.g., exclusive pharmacy location, a grocery store with a retail pharmacy, or a general sales store with a retail pharmacy) or other type of pharmacy location at which a member attempts to obtain a prescription. The pharmacy management device  116  may be utilized by the pharmacy to submit the claim to the PBM (e.g., through the benefit management device  102 ) for adjudication. 
     In some embodiments, the pharmacy management device  116  may enable information exchange between the pharmacy and the PBM, for example, to allow the sharing of member information such as drug history, and the like, that may allow the pharmacy to better service a member (e.g., by providing more informed therapy consultation and drug interaction information, etc.). In some embodiments, the benefit manager  102  may track prescription drug fulfillment and/or other information for patients that are not members or have not identified themselves as members, at the time (or in conjunction with the time) in which they seek to have a prescription filled at a pharmacy. 
     The pharmacy fulfillment devices  112 , the order processing device  114 , and/or the pharmacy management device  116  may include circuitry, a processor, a memory to store data and instructions, and communication functionality. These devices  112 - 116 , in some embodiments are dedicated to performing processes, methods and/or instructions described herein. Other types of electronic devices specifically configured to implement with the processes, methods and/or instructions described herein may also be used. 
     In some embodiments, at least some functionality of the order processing device  114  may be included in the pharmacy management device  116  may include circuitry, a processor, a memory to store data and instructions, and communication functionality. These devices  112 - 116 , in some embodiments, are dedicated to performing processes, methods and/or instructions described herein. Other types of electronic devices specifically configured to implement with the processes, methods and/or instructions described herein may also be used. 
     In some embodiments, at least some functionality of the order processing device  114  may be included in the pharmacy management device  116 . The order processing device  114  may be in a client-server relationship with the pharmacy management device  116 , in a peer-to-peer relationship with the pharmacy management device  116 , or in a different type of relationship with the pharmacy management device  116 . The order processing device  114  and/or the pharmacy management device  116  may communicate directly (e.g., by utilizing a local storage) and/or through the network  104  (e.g., by utilizing a cloud configuration or software as a service, etc.) with the storage  110 . 
     The user device  108  is used by a device operator. The device operator may be a user (e.g., an employee, a contractor, a benefit member, a patient of the pharmacy, or the like) associated with the system  100 . Other device operators may also operate the user device  108 . In some embodiments, the user device  108  may enable the device operator to attend to pharmacy operations in a convenient manner (e.g., remote from a pharmacy). In some embodiments, the user device  108  may enable the device operator to receive information about pharmacy processes, prescription drug fulfillment status, and the like. 
     The user device  108  may be a stand-alone device that solely provides at least some of the functionality of the methods and systems or may be a multi-use device that has functionality outside off analysis of the methods and systems. In some embodiments, the computing system may include a mobile computing device. For example, the user device  108  may include a mobile electronic device, such as an iPhone or iPad by Apple, Inc., and mobile electronic devices powered by Android by Google, Inc. The user device  108  may also include other computing devices, such as desktop computing devices, notebook computing devices, netbook computing devices, gaming devices, and the like. Other types of electronic devices may also be used. The user device  108  running an application becomes a dedicated device when executing the application. 
     The storage device  110  may include: a non-transitory storage (e.g., memory, hard disk, CD-ROM, and the like) in communication with the benefit manager device  102 , the pharmacy device  106 , and/or the user device  108  directly and/or over the network  104 . The non-transitory storage may store order data  118 , member  120 , claims data  122 , drug data  124 , prescription data  126 , and/or plan sponsor  128 . Further, the system  100  may include additional devices, which may communicate with each other directly or over the network  104 . 
     The order data  118  may be related to a prescription order. The order data may include the type of the prescription drug (e.g., drug name and strength) and quantity of the prescription drug. The order data  118  may also include data used for completion of the prescription, such as prescription materials and/or the type and/or size of container in which the drug is dispensed or in which is requested to be dispensed. In general, prescription materials include an electronic copy of information regarding the prescription drug for inclusion with or otherwise provided (e.g., via email) in conjunction with the fulfilled prescription. The prescription materials may include electronic information regarding drug interaction warnings, recommended usage possible side effects, expiration date, date of prescribing, or the like. The order data  118  may be used by the pharmacy to fulfill a pharmacy order. 
     In some embodiments, the order data  118  includes verification information associated with fulfillment of the prescription in the pharmacy. For example, the order data  118  may include videos and/or images taken of (i) the prescription drug prior to dispensing, during dispensing, and/or after dispensing, (ii) the prescription container (e.g., a prescription bottle and sealing lid, prescription packaging, and the like) used to contain the prescription drug prior to dispensing, during dispensing, and/or after dispensing, (iii) the packaging and/or packaging materials used to ship or otherwise deliver the prescription drug prior to dispensing, during dispensing, and/or after dispensing, and/or (iv) the fulfillment process within the pharmacy. Other types of verification information, such as bar code data read from pallets, bins, trays, carts, and the like used to facilitate transportation of prescriptions within the pharmacy may also be stored as order data  118 . 
     The member data  120  includes information regarding the members associated with the PBM. The information stored as member data  120  may include personal information, personal health information, protected health information, fitness data, health data, web and mobile app activity, and the like. Examples of the member data  120  include name, address, telephone number, e-mail address, prescription drug history, and the like. The member data  120  may include a plan sponsor identifier that identifies the plan sponsor associated with the member and/or a member identifier that identifies the member to the plan sponsor. The member data  120  may also include, by way of example, dispensation preferences such as type of label, type of cap, message preferences, language preferences, or the like. 
     The member data  120  may be accessed by various devices in the pharmacy to obtain information utilized for fulfillment and shipping of prescription orders. In some embodiments, an external order processing device  114  operated by or on behalf of a member may have access to at least a portion of the member data  120  for review, verification, or other purposes. 
     In some embodiments, the member data  120  may include information for persons who are patients of the pharmacy but are not members in a pharmacy benefit plan being provided by the PBM. For example, these patients may obtain drugs directly from the pharmacy, through a private label service offered by the pharmacy, or otherwise. In general, the use of the terms member (e.g., of a prescription drug benefit plan) and patient (e.g., of a pharmacy) may be used interchangeably in this disclosure. 
     The claims data  122  includes information regarding pharmacy claims adjusted by the PBM under a drug benefit program provided by the PBM for one, or more than one, plan sponsor. In general, the claims data  122  includes an identification of the client that sponsors the drug benefit program under which the claim is made, and/or the member that purchased the prescription drug giving rise to the claim, the prescription drug that was filled by the pharmacy (e.g., the national drug code number), the dispensing date, generic indicator, GPI number, medication class, the cost of the prescription drug provided under the drug benefit program, the copay/coinsurance amount, rebate information, and/or member eligibility, and the like. Additional information may be included. 
     In some embodiments, other types of claims beyond prescription drug claims may be stored in the claims data  122 . For example, medical claims, dental claims, wellness claims, or other types of health care-related claims for members may be stored as a portion of the claims data. 
     In some embodiments, the claims data  122  includes claims that identify the members with whom the claims are associated. In some embodiments, the claims data  122  includes claims that have been de-identified (e.g., associated with a unique identifier but not with a particular, identifiable member), aggregated, and/or otherwise processed. 
     The drug data  124  may include drug name (e.g., technical name and/or common name), other names by which the drug is known by, active ingredients, an image of the drug (e.g., in pill form), and the like. The drug data  124  may include information associated with a single medication or multiple medications. 
     The prescription data  126  may include information regarding prescriptions that may be issued by prescribers on behalf of patients, who may be members of the pharmacy benefit plan, for example to be filled by a pharmacy. Examples of the prescription data  126  include patient names, medication or treatment (such as lab tests), dosing information, and the like. The prescriptions may be electronic prescriptions, paper prescriptions that have been scanned, or otherwise. In some embodiments, the dosing information reflects a frequency of use (e.g., once a day, twice a day, before each meal, etc.) and a duration of use (e.g., a few days, a week, a few weeks, a month, etc.). 
     In some embodiments, the order data  118  may be linked to associated member data  120 , claims data  122 , drug data  124 , and/or prescription data  126 . 
     The plan sponsor data  128  includes information regarding the plan sponsors of the PBM. Examples of the plan sponsor data  128  include company name, company address, contact name, contact telephone number, contact e-mail address, and the like. 
       FIG.  2    illustrates the pharmacy fulfillment device  112 , according to an example embodiment. The pharmacy fulfillment device  112  may be used to process and fulfill prescriptions and prescription orders. After fulfillment, the fulfilled prescriptions are packed for shipping. 
     The pharmacy fulfillment device  112  may include devices in communication with the benefit manager device, the order processing device  114 , and/or the non-transitory storage  110 , directly or over the network  104 . Specifically, the pharmacy fulfillment device  112  may include pallet sizing and pucking device(s); loading device(s)  208 ; inspect device(s)  210 , unit of use device(s)  212 , automated dispensing device(s)  214 , manual fulfillment device(s)  214 , review device(s)  218 , imaging device(s)  220 , cap device(s)  222 , accumulation device(s)  224 , packing device(s)  226 , and literature device(s)  228 . Further, the pharmacy fulfillment device  112  may include additional devices, which may communicate with each other directly or over the network  104 . 
     In some embodiments, operations performed by one or more of these devices  206 - 228  may be performed sequentially, or in parallel with the operations of devices as may be coordinated by the order processing device  114 . In some embodiments, the order processing device  114  tracks a prescription with the pharmacy based on operations performed by one or more than one of the devices  206 - 228 . 
     In some embodiments, the pharmacy fulfillment device  112  may transport prescription drug containers, for example, between more than one of the devices  206 - 228  in a high-volume fulfillment center, by use of pallets. The pallet sizing and pucking device  206  may configure pucks in a pallet. A pallet may be a transport structure for a number of prescription containers, and may include a number of cavities. A puck may be placed in one or more than one of the cavities in a pallet by the pallet sizing and pucking device  206 . The puck may include a receptacle sized and shaped to receive a prescription container. Such containers may be supported by the pucks during carriage in the pallet. Different pucks may have differently sized and shaped receptacles to accommodate containers of differing sizes, as may be appropriate for different prescriptions. 
     The arrangement of pucks in a pallet may be determined by the order processing device  114  based on prescriptions that the order processing device  114  decides to launch. The arrangement logic may be implemented directly in the pallet sizing and pucking device  206 . Once a prescription is set to be launched, a puck suitable for the appropriate size of container for that prescription may be positioned in a pallet by a robotic arm or pickers. The pallet sizing and pucking device  206  may launch a pallet once pucks have been configured in the pallet. 
     The loading device  208  may load prescription containers into the pucks on a pallet by a robotic arm, a pick and place mechanism, or the like. In one embodiment, the loading device  208  has robotic arms or pickers to grasp a prescription container and move it to and from a pallet or to and from a puck. The loading device may also print a label that is appropriate for a container that is to be loaded onto the pallet and apply the label to the container. The pallet may be located on a conveyor assembly during these operations (e.g., at the high volume fulfillment center or the like). 
     The inspect device  210  may verify that containers in a pallet are correctly labeled and in the correct spot on the pallet. The inspect device  210  may scan the label on one or more than one container on the pallet. Labels of containers may be scanned or imaged in full or in part by the inspect device  210 . Such imaging may occur after the container has been lifted out of its puck by a robotic arm, picker, or the like, or may be otherwise scanned or imaged while retained in the puck. In some embodiments, images and/or video captured by the inspect device may be stored in the storage device as a portion of the order data  118 . 
     The unit of use device  212  may temporarily store, monitor, label, and/or dispense unit of use products. In general, unit of use products are prescription drug products that may be delivered to a patient or member without being repackaged at the pharmacy. These products may include pills in a container, pills in a blister pack, inhalers, liquids in a spray or other dispensing container, and the like. Prescription drug products dispensed by the unit of use device  212  may be packaged individually or collectively for shipping or may be shipped in combination with other prescription drugs dispensed by other devices (e.g., in the high-volume fulfillment center). 
     At least some of the operations of the devices  206 - 228  may be directed by the other processing device  114 . For example, the manual fulfillment device  216 , the review device  218 , the automated dispensing device  214 , the packing device  226 , and/or another device may receive instructions provided by the order processing device. 
     The automated dispensing device  214  may include one or more than one device that dispenses prescription drugs or pharmaceuticals into prescription containers in accordance with one or multiple prescription orders. In general, the automated dispensing device  214  may include mechanical and electronic components with, in some embodiments, software and/or logic to facilitate pharmaceutical dispensing that would otherwise be performed in a manual fashion by a pharmacist and/or pharmacist technician. For example, the automated dispensing device  214  may include high volume fillers (HVFs) that fill a number of prescription drug types at a rapid rate and blister pack machines that dispense and pack drugs into a blister pack. Prescription drugs dispensed by the automated dispensing devices  214  may be packaged individually or collectively for shipping or may be shipped in combination with other prescription drugs dispensed by other devices in the high volume fulfillment center. The automated dispensing device  214  may include a counter to count medications from a hopper and dispense to a specified container through a dispensing door structure to stage and to guide the drug items to the specified container. 
     The manual fulfillment device  216  may provide for manual fulfillment of prescriptions. For example, the manual fulfillment device  216  may receive or obtain a container and enable fulfillment of the container by a pharmacist or pharmacy technician. In some embodiments, the manual fulfillment device  216  provides the filled container to another device in the pharmacy fulfillment devices  112  to be joined with other containers in a prescription order for a patient or member. In general, a manual fulfillment may include operations at least partially performed by a pharmacist or a pharmacy technician. For example, a person may retrieve a supply of the prescribed drug, may make an observation, may count out a prescribed quantity of drugs and place them into a prescription container, or the like. Some portions of the manual fulfillment process may be automated by use of a machine. For example, counting of capsules, tablets, or pills may be at least partially automated (e.g., through use of a pill counter or the like). Prescription drugs dispensed by the manual fulfillment device  216  may be packaged individually or collectively for shipping or may be shipped in combination with other prescription drugs dispensed by other devices in the high-volume fulfillment center. 
     The review device  218  may process prescription containers to be reviewed by a pharmacist for proper pill count, exception handling, prescription verification, and the like. Fulfilled prescriptions may be manually reviewed and/or verified by a pharmacist, as may be required by state or local law. A pharmacist or other licensed pharmacy person who may dispense certain drugs in compliance with local and/or other laws may operate the review device  218  and visually inspect a prescription container that has been filled with a prescription drug. The pharmacist may review, verify, and/or evaluate drug quantity, drug strength, and/or drug interaction concerns, or otherwise perform pharmacist services. The pharmacist may also handle containers which have been flagged as an exception, such as containers with unreadable labels, containers for which the associated prescription order has been cancelled, containers with defects, and the like. In an example embodiment, the manual review may be performed at the manual station. 
     The imaging device  220  may image containers prior to filling and/or after they have been filled with pharmaceuticals. The imaging device  220  may measure a fill height of the pharmaceuticals in the container based on the obtained image to determine if the container is filled to the correct height given the type of pharmaceutical and the number of pills in the prescription. Images of the pills in the container may also be obtained to detect the size of the pills themselves and markings thereon. The images may be transmitted to the order processing device  114 , and/or stored in the storage device  110  as part of the order data  118 . 
     The cap device  222  may be used to cap or otherwise seal a prescription container. In some embodiments, the cap device  222  may secure a prescription container with a type of cap in accordance with a patient preference (e.g., a preference regarding child resistance, a preference regarding built-in adherence functionality, or the like), a plan sponsor preference, a prescriber preference, or the like. The cap device  222  may also etch a message into the cap or otherwise associate a message into the cap, although this process may be performed by a different device in the high-volume fulfillment center. 
     The accumulation device  224  accumulates various containers of prescription devices in a prescription order. The accumulation device  224  may accumulate prescription containers from various devices or areas of the pharmacy. For example, the accumulation device  224  may accumulate prescription containers from the unit of use device  212 , the automated dispensing device  214 , the manual fulfillment device  216 , and the review device  218 , at the high-volume fulfillment center. The accumulation device  224  may be used to group the prescription containers prior to shipment to the member or otherwise. 
     The literature device  228  prints, or otherwise generates, literature to include with prescription drug orders. The literature may be printed on multiple sheets of substrates, such as paper, coated paper, printable polymers, or combinations thereof. The literature printed by the literature device  228  may include information required to accompany the prescription drugs included in a prescription order, relating to prescription drugs in the order, financial information associated with the order (e.g., an invoice or an account statement, or the like). 
     In some embodiments, the literature device  228  folds or otherwise prepares the literature for inclusion with a prescription drug order (e.g., in a shipping container or the like). In some embodiments, the literature device  228  that prints the literature may be separate from the literature device that prepares the literature for inclusion with a prescription order. 
     The packing device  226 , which is discussed in further detail below, packages prescription orders in preparation for shipping the order. 
     The pharmacy fulfillment device  112  in  FIG.  2    may include single devices  206 - 228  or multiple devices  206 - 228  (e.g., depending upon implementation in a pharmacy). The devices  206 - 228  may be the same type or model of device or may be different device types or models. When multiple devices are present, the multiple devices may be of the same device type or models or may be a different device type or model. The types of devices  206 - 228  shown in  FIG.  2    are example devices. In other configurations of the system  100 , lesser, additional, or different types of devices may be included. 
     Moreover, multiple devices may share processing and/or memory resources. The devices  206 - 228  may be located in the same area or in different locations. For example, the devices  206 - 228  may be located in a building or a set of adjoining buildings. The devices  206 - 228  may be interconnected (e.g., by conveyors), networked, and/or otherwise in contact with one another or integrated with one another (e.g., at the high-volume fulfillment center), e.g., using a track on which shuttles move. In addition, the functionality of a device may be split among a number of discrete devices and/or combined with other devices. 
     Shuttle tracking and control  230  may be in communication with the bus. Shuttle tracking and control includes communication modules that read data from the shuttle and provide instructions to the shuttle wherein to remain at a location or proceed to the next location. A track controller can configure the track so that the shuttle, which may carry a pallet or container, travels to the assigned next location as determined by shuttle tracking and control  230 , see, e.g., U.S. Provisional Patent App. Nos. 63/272,667 and 63/272,671, which are hereby incorporated by reference. 
     Referring now to  FIG.  3   , a shuttle system  300  is provided for transferring containers  302  through a packaging area of the high-volume pharmacy and for holding those containers  302  while they are filled with pharmaceutical products and packaging materials. In the exemplary embodiment, these containers are corrugated or cardboard boxes  302 , and therefore, the containers are hereinafter referred to as “boxes.” However, in some embodiments, the containers could be environmentally sealed coolers or could be other types of containers that have generally rigid side walls. Further, in some embodiments, the packaging area could be in a different, non-pharmaceutical setting and the shuttle system could be for non-pharmaceutical products. The boxes can include receptacles made from paper, paperboard, cardboard, corrugated or the like. The boxes can include receptacles made from thin polymer material that may be flexible. The boxes can include receptacles that are flexible when being handled, e.g., inserted, lifted or moved. In an example embodiment, the boxes may be non-uniform in size. 
     The shuttle system  300  includes a plurality of shuttles  304 , each of which is self-propelled and has a holding device for holding a single box  302  and guiding the box  302  through the packaging area. A single rail  306  or track extends along a path from a loading station (see  FIG.  9   ) where empty boxes  302  are loaded onto the shuttles  304  to an unloading station (see  FIG.  10   ) where filled boxes  302  are transferred to a conveyor  308  and ultimately to a shipping area for shipment to their intended destinations. The boxes  302  remain with their tops opened as the shuttle  304  guides the box along the rail  306 . At either the loading or the unloading station, a robot  310  may grasp the outside surface of a box  302  with one or more suction cups  312  and lift the box  302  and either place the box  302  onto the shuttle  304  or remove the box  302  from the shuttle  304  and place it onto the conveyor  308 . In the exemplary embodiment, the robot  310  is a six-axis robotic arm and includes a plurality of spaced apart suction cups  312 , each of which can grasp the outer surface of the box  302 . 
     In between the loading and unloading stations, the rail passes  306  through one or more filling stations (see  FIG.  11   ) where the pharmaceutical products can be either automatically (such as by a robot) or manually added to the box  302 . With reference to  FIG.  4   , in the exemplary embodiment, the pharmaceutical products include upper and lower packaging trays  314  and a plurality of pharmaceuticals  316  (for example, pill containers, syringes, unit-of-use packages, etc.) are added to the box  302  in the filling stations. Additional materials (for example, literature materials to accompany the pharmaceuticals  316 , syringes, a sharps box, mixing cups, etc.) may also be added to the box  302  in one or more filling stations. In some embodiments, the contents that is added to the box can take a range of different forms apart from pharmaceutical products. 
     Each shuttle  304  includes at least one drive wheel (not shown) that is operably connected with an electric motor (not shown) for driving the shuttle  304  along the rail  306 . A power source and communication means are built into the rail  306  so that the shuttle  304  does not have to carry a battery or a communications module for communication with an external controller, which simultaneously controls the movement of many shuttles  304  along the rail  306  so that multiple boxes  302  can be filled simultaneously. In some embodiments, each shuttle  304  includes a battery (not shown) for powering the motor and a wireless communications module for communicating with the external controller. 
     Referring now to  FIGS.  3 - 8   , the holding device of the shuttle  304  includes a generally planar base plate  318  that is held above the rail. In the exemplary embodiment, the base plate  318  is generally rectangular in shape and with a constant thickness. A plurality of box supports  320 ,  322 ,  324  (or support members or support guides) are disposed on a top surface of the base plate  318  and are spaced apart from one another to define a receiving space that is shaped to retain the box  302  on the shuttle  304  as the shuttle  304  moves along the rail  306  and even when the shuttle  304  is tipped at an angle, as described in further detail below. In the exemplary embodiment, the base plate  318  and the box supports  320 ,  322 ,  324  are made of metal, such as steel, an alloy steel, aluminum, an aluminum alloy, etc. In other embodiments, these components are made of other materials, such as plastics, ceramics, or composites. 
     In the exemplary embodiment, the plurality of box supports  320 ,  322 ,  324  includes four box supports  320 ,  322 ,  324  that are specifically placed on the base plate  318  to contact the four side walls of the box  302  when the box  302  is resting on the base plate  318 . The box supports  320 ,  322 ,  324  are made as separate pieces from the base plate  318  and extend upwardly from the base plate  318 . Each box support  320 ,  322 ,  324  is generally L-shaped as viewed in cross-section with a short leg that is fixedly attached with a top surface of the base plate  318  and a long leg that rises vertically upwardly away from the base plate  318 . In this example embodiment, the box supports  320 ,  322 ,  324  are fixedly attached with the base plate  318  inwardly of an outer periphery of the base plate  318 . A box support  320 ,  322 ,  324  may be cantilevered from the base plate  318  with its free end extending outwardly from the center of the base plate  318 . The outward angle of the top portion of the box support  320 ,  322 ,  324  can be in the range of five to thirty degrees relative to the vertical elongate part of the box supports  320 ,  322 ,  324 . The angled top portion of the box support  320 ,  322 ,  324  has a height that is less than the vertical portions of the support in the first and second box supports  320 ,  322 . In an example embodiment, the angled top portion of each of the types of box supports  320 ,  322 ,  324 , e.g., the first, second and third supports  320 ,  322 ,  324 , have the same height. However, as the end, third supports  324  are shorter the angled portion is between ninety percent and one hundred-ten percent the height of the vertical portion of the third support  324 . The angled portion of the first box support  320  is about ten percent to twenty percent the height of its vertical portion. The angled portion of the first box support  320  is about ten percent to twenty percent the height of its vertical portion. While shown with each box support  320 ,  322 ,  324  having the same outward angle, the first box support  320  may have no angle or a smaller angle than the second or third box supports  322 ,  324 . This will assist the first box support  320  in holding the box  302  in place when the box  302  on the shuttle  304  is tilted. 
     In some embodiments, one or more of the box supports  320 ,  322 ,  324  may be mounted on or operably coupled with springs that bias the box supports  320 ,  322 ,  324  against the box  302 . The springs chosen are selected to have a spring force that holds the box  302  tightly without impeding the insertion of the box  302  into the box receiving space or the removal thereof. 
       FIG.  13    depicts an alternate embodiment of the box supports  1320 ,  1322 ,  1324 , with like numbers, separated by a prefix of “13,” identifying like components with the above-described embodiments. In this embodiment, the box supports  1320 ,  1322 ,  1324  are fixedly attached with a bottom surface of the base plate  1318  and wrap around the peripheral edges of the base plate  1318  to extend vertically upwardly above the top surface of the base plate  1318 . In an example, the free ends of the cantilevered box supports  1320 ,  1322 ,  1324  can extend inwardly toward the center of the base plate  1318 . In another example, the intermediate portion of the box supports  1320 ,  1322 ,  1324  can wrap around the base plate  1318  and firstly extend upwardly and then back outwardly, e.g., the same structure above the base plate  1318  as shown in  FIGS.  3 - 8   . 
       FIG.  14    depicts another alternate embodiment of the box supports with like numerals, separated by a prefix of “14,” identifying like components with the above-discussed embodiments. In this embodiment, the first and third box supports  1420 ,  1424  are formed as a single, monolithic piece with one another, and the second and fourth box supports  1422 ,  1424  are formed as a single, monolithic piece with one another. Thus, in this embodiment, the process of attaching the box supports  1420 ,  1422 ,  1424  with the base plate  1418  may be effectuated more quickly. In another example embodiment, the box supports can be formed from a single monolithic component that extends around the perimeter of the base plate to define the box receiving space. 
     Referring back to  FIGS.  3 - 8   , the base plate  318  has a plurality of pre-drilled and tapped holes and each box support  320 ,  322 ,  324  has a pair of through openings. Fasteners (such as bolts)  326  extend through the through openings of the box supports and threadedly engage with the holes of the base plate  318  to fixedly attach the box supports  320 ,  322 ,  324  with the base plate  318 . The through openings in the box supports  320 ,  322 ,  324  are elongated to allow the positioning of the box supports  320 ,  322 ,  324  to be adjusted into precise locations around a pattern in a manner described in further detail below prior to tightening to ensure the box supports  320 ,  322 ,  324  are properly located to hold the box  302 . This attachment process is described in further detail below. In some other embodiments, the box supports  320 ,  322 ,  324  may be fixedly attached with the base plate  318  through other attachment means, such as welding, brazing, adhesives, or other types of mechanical fasteners. In still other embodiments, the box supports  320 ,  322 ,  324  may be monolithic with the base support  318  with the entire holding device being made as a single piece of metal (such as formed through a casting, forging, and/or machining operation) or being made as a single piece of plastic that is shaped through an injection molding operation. 
     The four box supports  320 ,  322 ,  324  include a first box support  320 , a second box support  322 , a third box support  324 , and a fourth box support  324 . The first and second box supports  320 ,  322  are adapted for engaging the long side walls of the rectangular box  302  and are thus longer than the third and fourth box supports  324 , which are adapted for engaging the short side walls of the rectangular box  302 . In the example embodiment, the first and second box supports  320 ,  322  have equal first lengths and the third and fourth box supports  324  have equal second lengths. Moreover, the third and fourth box supports  324  are identical in construction with their long legs facing towards each other. Because the third and fourth box supports  324  are identical with one another, this lends itself to cost savings through economies of scale. An upper portion of each of the four box supports  320 ,  322 ,  324  is curved outwardly towards a periphery of the base plate  318  to guide the boxes  302  into the receiving space between the box supports  320 ,  322 ,  324  when the box  302  is placed onto the shuttle  304 . While the box supports  320 ,  322 ,  324  are described for ease of description, it will be recognized that the box supports  320 ,  322 ,  324  can be positioned to support a square cross sectional box with the third and fourth box supports  324  being the front and rear supports and the first and second box supports  320 ,  322  being the side supports, with reference to the travel of the shuttle  304 . 
     The long leg of the first box support  320  is generally plate-like along its entire length and extends upwardly at a constant first height. The first height is preferably at least half the height of the box  302  and more preferably approximately seventy-five percent (75%) of the box  302  for supporting the box  302  when the box  302  is tilted in the filling station, as shown in  FIG.  11    and discussed in further detail below. In an embodiment, the first height is at least two inches less than a height of the box  302  so that a machine readable code (such as a barcode, a QR code, a 2D code, an alphanumeric code or the like) can be printed onto the box  302  above the first box support  320  while the box  302  is on the shuttle  304 . In an example, the height of the first box support  320  is between half and three-quarters of the height of the box  302 . This also allows reader devices downstream along the rail to read the machine code over the top of the side, first box support  320 . The length of the first box support  320  extends up to about 80% to 90% the side length of the box  302  to be held in the box receiving space. In an example embodiment, the length of the first box support  320  is greater than half the length of the box  302  to be held in the box receiving space. 
     The second box support  322  includes two spaced apart fingers  328  that extend upwardly in spaced and parallel relationship with one another by a second height, which is less than the first height. The second box support  322  is positioned at the opposite side of the first box support  320 . When a new, empty box  302  is inserted into the box receiving space of the shuttle  304  and when a full box  304  is removed from the box receiving space (intermediate the box supports  320 , 322 ,  324 ), one or more of the suction cups  312  can grip the side wall of the box  302  in the space between the two fingers  328  of the second box support  322 , as shown in  FIG.  10   . The two fingers  328  are sized to engage the box  302  along less than half the length of the box  302  to be received in the box receiving space. In an example embodiment, the two fingers  328  are sized to engage the box  302  along less than one-third the length of the box  302  to be received in the box receiving space. In an example embodiment, the two fingers  328  are sized to engage the box  302  at least one-quarter the length of the box  302  to be received in the box receiving space. In an example embodiment, a lower section of the fingers  328  may be connected by a section of wall, which has a height less than the fingers  328  and allows the grippers to still engage a box  302  that is within the box receiving space. The width of the fingers  328  is determined by the space needed for the gripper&#39;s end-of-arm tooling to engage the box  302  for insertion into the box receiving space or removal from the box receiving space. 
     The end, third box supports  324  includes extend upwardly from the base plate  318  at a third height, which is less than the second height and the first height. The third box supports  324  are positioned on the opposite ends of the base plate  318 , one on the front and one on the back. The third height is between ten percent and twenty-five percent the height of the box  302 . However, the third height is not higher than fifty percent of a height of the box  302 , in an example embodiment. The length of the third box support  324  extends up to about 80% to 90% the end length of the box  302  to be held in the box receiving space. In an example embodiment, the length of the third box support  324  is greater than half the length of the box  302  to be held in the box receiving space. 
     In the exemplary embodiment, the box supports  320 ,  322 ,  324  are made of metal that is thick enough to resist deformation when contacted as may occur in the environment that the shuttle system  300  operates, e.g., by robotic equipment or the box  302  being placed into or removed from the box receiving space. The box supports  320 ,  322 ,  324  can be shaped by cutting the metal, such as with wire electrical discharge machining (EDM) or laser cutting and then bending the box supports  320 ,  322 ,  324  to their respective final shapes. In the exemplary embodiment, following cutting and before bending, the first, third, and fourth box supports  320 ,  324  are generally rectangular in shape (when viewed from the side), and the second box support  322  is generally capital F shaped. The top, free ends of the box supports  320 ,  322 ,  324 , in some embodiments, do extend outwardly from the box receiving space as defined in the central portion of the base plate intermediate the four box supports  320 ,  322 ,  324 . 
     Referring now to  FIGS.  6  and  12   , during an assembly phase, a pattern  330  can be fixedly attached with the base plate  318  by threading fasteners  326  through the pattern and into tapped holes  332  in the box receiving space of the base plate  318 . The pattern  330  has an outer periphery that matches the outer periphery of a box  302 . Once the pattern  330  is fixedly attached with the base plate  318 , the box supports  320 ,  322 ,  324  can then be positioned onto the base plate  318  such that their respective long legs contact the adjacent peripheral edge of the pattern  330 . The box supports  320 ,  322 ,  324  can then be tightened onto the base plate  318 , at which point, the pattern  330  can be removed from the base plate  318 . This provides a simple and reliable means of attaching the box supports  320 ,  322 ,  324  in very specific locations on the base plate  318  to hold the box  302 . 
     Referring now to  FIG.  11   , in the exemplary embodiment, the rail  306  is tilted or angled (i.e., not perfectly vertical) in at least one of the filling stations. Thus, when the shuttle  304  is in the filling station, the shuttle  304  tilts both itself and the box  302  carried thereon to make it easier for a person or robot to add the prescription products to the box  302 . When the box  302  is tilted, the first box support  320  is on the lower side of the box  302  (i.e., on the side towards which the box  302  is tilted). The taller first height of the first box support  320  ensures that the box  302  does not tip over and spill its contents when the box  302  is tilted. In an embodiment, the box  302  may be tilted by approximately thirty degrees (30°) in a work station. In an embodiment, the box  302  may be tilted in a range of ten to forty-five degrees (10-45°) in a work station. In an alternate embodiment, the rail  306  may remain untilted in the filling station, and the shuttle  304  can be provided with an actuator which tilts the base plate  318  and the box  302  in the filling station. 
     Referring now to  FIG.  15   , a flow chart depicting the steps of operating a shuttle system  300 , the shuttle system  300  shown in  FIGS.  3 - 14   . At step  1500 , a container  302  (such as a cardboard box) is received into the receiving space of the holding device of the shuttle  304 . At step  1502 , the shuttle  304  transports the box  302  to a work station, which can be a filling station, a pharmacist station, or a rework station. At step  1504 , the shuttle  304  and the box  302  are tilted while the box supports  320 ,  322 ,  324  hold the box  302  on the shuttle  304 . At step  1506 , at least one pharmaceutical product is inserted into the box  302  while the shuttle is in the work station. At step  1508 , the box  302  is removed from the shuttle  304 . 
     While the present description uses a single box  302  being mounted and carried on the shuttle  304 , it is within the scope of the present invention to use the present holding device to hold two or more than two boxes  302  on the shuttle  304 . In an example, at least two boxes are held side-by-side with an end wall of each in direct contact with each other. The other ends of the respective box  302  is held on the holder by the end supports  324 . The sides of each box  302  are held by the side supports  320 ,  322 . The system will track the box  302  by associating a front box  302  with a first order and the rear box  302  with a second order different from the first order. 
     The present system can be used with the order fulfillment systems described in U.S. Provisional Patent Application Nos. 63/273,002 and 63/272,925 (Attorney References ESRX-346PRV and ESRX-347PRV), filed 28 Oct. 2021, titled PHARMACEUTICAL CONTAINER PROCESSING SYSTEMS AND METHODS and PHARMACEUTICAL ORDER PROCESSING SYSTEMS AND METHODS respectively, which are hereby incorporated by reference. The shuttles can move to the carriers to work station and be tracked according to the disclosure of U.S. Provisional Patent Application Nos. 63/272,667 and 63/272,671 (Attorney References ESRX-344PRV and ESRX-345PRV), filed 27 Oct. 2021, which are hereby incorporated by reference. 
     The above discussion is meant to be illustrative of the principles and various embodiments of the present invention. Numerous variations and modifications will become apparent to those skilled in the art once the above disclosure is fully appreciated. It is intended that the following claims be interpreted to embrace all such variations and modifications. 
     The word “example” is used herein to mean serving as an example, instance, or illustration. Any aspect or design described herein as “example” is not necessarily to be construed as preferred or advantageous over other aspects or designs. Rather, use of the word “example” is intended to present concepts in a concrete fashion. As used in this application, the term “or” is intended to mean an inclusive “or” rather than an exclusive “or.” That is, unless specified otherwise, or clear from context, “X includes A or B” is intended to mean any of the natural inclusive permutations. That is, if X includes A; X includes B; or X includes both A and B, then “X includes A or B” is satisfied under any of the foregoing instances. In addition, the articles “a” and “an” as used in this application and the appended claims should generally be construed to mean “one or more” unless specified otherwise or clear from context to be directed to a singular form. Moreover, use of the term “an implementation” or “one implementation” throughout is not intended to mean the same embodiment or implementation unless described as such. 
     Implementations of the systems, algorithms, methods, instructions, etc., described herein may be realized in hardware, software, or any combination thereof. The hardware may include, for example, computers, intellectual property (IP) cores, application-specific integrated circuits (ASICs), programmable logic arrays, optical processors, programmable logic controllers, microcode, microcontrollers, servers, microprocessors, digital signal processors, or any other suitable circuit. In the claims, the term “processor” should be understood as encompassing any of the foregoing hardware, either singly or in combination. The terms “signal” and “data” are used interchangeably. 
     As used herein, the term module may include a packaged functional hardware unit designed for use with other components, a set of instructions executable by a controller (e.g., a processor executing software or firmware), processing circuitry configured to perform a particular function, and a self-contained hardware or software component that interfaces with a larger system. For example, a module may include an application specific integrated circuit (ASIC), a Field Programmable Gate Array (FPGA), a circuit, digital logic circuit, an analog circuit, a combination of discrete circuits, gates, and other types of hardware or combination thereof. In other embodiments, a module may include memory that stores instructions executable by a controller to implement a feature of the module. 
     Further, in one aspect, for example, systems described herein may be implemented using a special purpose computer/processor may be utilized which may contain hardware for carrying out any of the methods, algorithms, or instructions described herein. The hardware may become a special purpose device when storing instructions, loading instructions, or executing instructions for the methods and/or algorithms described herein. 
     Further, all or a portion of implementations of the present disclosure may take the form of a computer program product accessible from, for example, a computer-usable or computer-readable medium. The program includes steps to perform, at least, portions of the methods described herein. A computer-usable or computer-readable medium may be any device that can, for example, tangibly contain, store, communicate, or transport the program for use by or in connection with any processor. The medium may be, for example, an electronic, magnetic, optical, electromagnetic, or a semiconductor device. Other suitable mediums are also available. 
     The above-described embodiments, implementations, and aspects have been described in order to allow easy understanding of the present disclosure and do not limit the present disclosure. On the contrary, the disclosure is intended to cover various modifications and equivalent arrangements included within the scope of the appended claims, which scope is to be accorded the broadest interpretation to encompass all such modifications and equivalent structure as is permitted under law.