The clock/alarm component comes pre-set with 4 different alarms. The only thing that knocks this down a star for me is that you cannot disable or enable individual alarms. They can only all be on, or all be off, so if you only need to have two alarms set you must set multiple alarms for the same time, so more than one goes off together. For example, setting the morning and afternoon alarms for the same time. Also, the clock unit talks for everything, which is great for people who have poor eyesight or are blind (although there is no braille on the clock surface, so someone who is blind would need assistance with the initial setup), but you cannot turn that off, so if you are setting the clock or one of the alarms it talks through minutes and seconds which is a bit annoying. Nor is there a real volume adjustment. The only volume adjustment you can make is via a switch on the back that allows you to choose from loud or very loud. So you will get at least a loud verbal reminder to take your pills at whatever time(s) you set (plus a backup reminder a half hour later in case you ignore the first alarm even after turning it off). There is no option to have it just buzz like a "regular" alarm clock. Basically, we recycled the clock and just set reminders on Echo devices.
Those issues aside, it is a great option for an older person who has to take a lot of pills, whether it is every day, every other day, etc. The compartments are big enough to hold a good quantity of pills unless you take a lot of very large (as large as some multi-vitamin tablets for example) pills. But if most of your pills are relatively small they will all easily fit. It is a bit pricey for a pill case, but definitely worth it under the right circumstances.