Medications for older people are increasingly dispensed in dose administration aids (DAAs). This includes automated or multidose drug dispensing (MDD)—machine-dispensed disposable sachets in which medications are packaged according to the intended time of administration. MDD is already common in Northern Europe, while blister packs, dosettes and other forms of DAAs are widely used elsewhere. In this issue, Kwint et al. report that community-dwelling recipients of MDD in the Netherlands have better medication adherence but poorer medication knowledge compared with age- and sex-matched recipients of manual medication dispensing.