A tool for use with a medication vial and a syringe includes a housing having a top side, a bottom side, and a surrounding edge. A slotted aperture is defined in the housing and including a flange shaped to engage a vial cap. A cylindrical aperture is defined in the housing and sized to permit placement of a forward portion of the syringe including a cap into the cylindrical aperture. An actuator button is mounted to the housing, and a gripper is mounted within the housing having a pair of opposed edges. The gripper is responsive to movement of the actuator button to permit movement of the edges between a retracted position in which the edges are disposed away from a central portion of the cylindrical aperture, and an extended position in which the edges are displaced toward the central portion of the cylindrical aperture.