An apparatus for automatically dispensing medical elements to individual bin receptacles, each bin receptacle having at least one individual sector, comprising: a download elevator configured to disassemble an incoming cassette by removing individual bin receptacles, wherein the cassette includes stacked bin receptacles, the cassette including a latching pole assembly upon which the stacked bin receptacles are mounted and a support member for the latching pole assembly; at least one vault storage assembly comprising a plurality of storage members for medical elements, each storage member holding a plurality of overjacket packages containing medical elements, each overjacket package having an indicia associated therewith indicating the medical element contained therein, the overjacket package having a size configuration corresponding to a unit dose of medication and suitable for use in one of the bin receptacles; an ejection member for ejecting the overjacket packages of medical elements from their associated storage member, in response to a signal command; an assembly for moving the one of the bin receptacles into a medical element receiving position; a collecting and transferring assembly which receives the ejected overjacket packages of medical elements and transfers them into the one of the bin receptacles; an upload elevator configured to stack the individual bin receptacles to form an outgoing cassette; and a controller (20, 24), providing signal commands, for controlling operation of the apparatus, wherein the assembly for moving the one of the bin receptacles includes an infeed conveyor, the infeed conveyor including a receiver for the incoming cassette, and an infeed shuttle for moving the one of the bin receptacles to the collecting and transferring assembly, and wherein the assembly for moving the one of the bin receptacles away from the collecting and transferring assembly includes an outfeed shuttle for moving a filled bin receptacle from the collecting and transferring assembly to the upload elevator, and an outfeed conveyor for advancing the reassembled cassette away from the upload elevator, wherein the infeed conveyor is configured to accept and move the cassette to the download elevator, wherein the outfeed conveyor is configured to accept and move the cassette away from the download elevator, wherein the download elevator includes infeed sensors to ensure that only a single one of the bin receptacles is released at a time down and off the latching pole assembly from the stacked bin receptacles and the download elevator and wherein the upload elevator is configured to load each released bin reaching the upload elevator onto the latching pole assembly, and includes outfeed sensors to ensure that each released bin reaching the upload elevator is accumulated into a reassembled cassette comprising a plurality of stacked bin receptacles. a download elevator configured to disassemble an incoming cassette by removing individual bin receptacles, wherein the cassette includes stacked bin receptacles, the cassette including a latching pole assembly upon which the stacked bin receptacles are mounted and a support member for the latching pole assembly; at least one vault storage assembly comprising a plurality of storage members for medical elements, each storage member holding a plurality of overjacket packages containing medical elements, each overjacket package having an indicia associated therewith indicating the medical element contained therein, the overjacket package having a size configuration corresponding to a unit dose of medication and suitable for use in one of the bin receptacles; an ejection member for ejecting the overjacket packages of medical elements from their associated storage member, in response to a signal command; an assembly for moving the one of the bin receptacles into a medical element receiving position; a collecting and transferring assembly which receives the ejected overjacket packages of medical elements and transfers them into the one of the bin receptacles; an upload elevator configured to stack the individual bin receptacles to form an outgoing cassette; and a controller (20, 24), providing signal commands, for controlling operation of the apparatus, wherein the assembly for moving the one of the bin receptacles includes an infeed conveyor, the infeed conveyor including a receiver for the incoming cassette, and an infeed shuttle for moving the one of the bin receptacles to the collecting and transferring assembly, and wherein the assembly for moving the one of the bin receptacles away from the collecting and transferring assembly includes an outfeed shuttle for moving a filled bin receptacle from the collecting and transferring assembly to the upload elevator, and an outfeed conveyor for advancing the reassembled cassette away from the upload elevator, wherein the infeed conveyor is configured to accept and move the cassette to the download elevator, wherein the outfeed conveyor is configured to accept and move the cassette away from the download elevator, wherein the download elevator includes infeed sensors to ensure that only a single one of the bin receptacles is released at a time down and off the latching pole assembly from the stacked bin receptacles and the download elevator and wherein the upload elevator is configured to load each released bin reaching the upload elevator onto the latching pole assembly, and includes outfeed sensors to ensure that each released bin reaching the upload elevator is accumulated into a reassembled cassette comprising a plurality of stacked bin receptacles.