Had to return this item. I bought it for my husband to hold his nitro, which are the smallest pills made, and I couldn't even get one to fit in the thing. It wasn't a matter of it holding one, but that the opening wasn't big enough to fit one into it. Not sure how you could use this as a "pill holder" unless you crush the pill before putting it into the vial. I realize this is also listed as a holder of "cremains" to capture both markets. I just pray you never pass out in public and have some good samaritan open that baby and toss your granny under your tongue to bring you back.