Asymmetric pill shapes (e.g., elliptical, capsule) cry out for a means of aligning them.
Think about providing some suitable grooves in the flat surface on which the pills are initially placed. Throw the pills on randomly, provide a little agitation and, voila, the pills are aligned with their major axis parallel to the groove.
The number of pills in each groove is not the same so a simple push with a comb won't work. I haven't gotten beyond this point yet so I'm just describing the grooved plate idea so others can run with it.

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