A manually operable pill crusher device for use with pill pouches. A base includes a crushing surface over which a head is mounted. A handle is attached to a cam inside the head. The head moves the handle from a horizontal to a vertical position. The cam is mounted inside a ram which slideably moves axially from a raised position in the head when the handle is vertical to a lowered position when horizontal. The ram includes a crushing surface. The head includes a slot for a pill in a pouch to be inserted.