This cake combines delicious flavors with playful pharmacy-themed decorations—think fondant pill bottles, candy capsules, and a cheeky edible prescription label. It’s whimsical yet classy enough for a professional celebration.

🛒 What You’ll Need

Cake:
- 3 cups all-purpose flour
- 2 ½ tsp baking powder
- ½ tsp salt
- 1 cup unsalted butter (softened)
- 2 cups granulated sugar
- 4 large eggs
- 1 tbsp vanilla extract
- 1 cup whole milk
- ½ cup sour cream
Buttercream Filling:
- 1 ½ cups unsalted butter (softened)
- 6 cups powdered sugar
- ¼ cup heavy cream
- 1 tbsp vanilla extract
- Pinch of salt
Decoration:
- White fondant (covering cake)
- Red fondant (for cross emblem)
- Light blue fondant (optional, for top tier)
- Fondant or modeling chocolate (to shape pill bottles, capsules, and a stethoscope)
- Edible ink pen or edible printed prescription label
👩🍳 Pro Tips
- Chill cake before covering with fondant—it’s easier to get smooth sides.
- Use cornstarch or powdered sugar to keep fondant from sticking while rolling.
- Make fondant pill bottles and capsules 1–2 days ahead so they dry and hold shape.
- For a realistic look, write tiny “Rx” and pill details with an edible marker.
- Stack tiers with dowels for stability if making a multi-tier cake.
🧰 Tools You’ll Need
- Stand mixer or hand mixer
- Cake pans (round, 6-inch & 8-inch for tiers)
- Rolling pin (for fondant)
- Fondant smoother
- Modeling tools
- Parchment paper
- Offset spatula
- Cake turntable (optional but helpful)
🔄 Substitutions & Variations
- Make cupcakes with mini fondant pill toppers instead of a full cake.
- Use edible wafer paper to print pill bottle labels for realism.
- Swap vanilla sponge for chocolate, red velvet, or lemon cake.
⏱️ Make Ahead Tips
- Bake cake layers 1–2 days ahead and refrigerate wrapped tightly.
- Buttercream can be made 2 days ahead and stored in fridge (re-whip before use).
- Fondant decorations can be made up to a week in advance and stored in a cool, dry place.
👩🍳 Instructions
Step 1: Bake the Cake
Preheat oven to 350°F (175°C). Grease and line cake pans. In a medium bowl, whisk flour, baking powder, and salt. In a large bowl, cream butter and sugar until fluffy. Add eggs one at a time, then vanilla. Mix in dry ingredients alternately with milk and sour cream until smooth. Divide into pans and bake 25–30 minutes or until a toothpick comes out clean. Cool completely.

Step 2: Make the Buttercream
Beat butter until creamy. Gradually mix in powdered sugar, then add cream, vanilla, and salt until fluffy.

Step 3: Assemble & Cover with Fondant
Level cake layers. Stack with buttercream between each layer. Apply a crumb coat, chill 20 minutes, then frost smoothly. Roll fondant and drape over cake, smoothing edges.

Step 4: Add Decorations
Shape pill bottles, capsules, and stethoscope from fondant. Place red cross emblem, prescription label, and candy pills. Arrange decor around cake tiers.

🧊 Leftovers & Storage
- Store fondant-covered cake at room temp in a cool spot for 2–3 days.
- If storing in fridge, wrap well to prevent condensation on fondant.
- Freeze unfrosted cake layers for up to 2 months.
💬 Final Thoughts
A Pharmacy Cake is more than just dessert—it’s a personalized celebration of someone’s hard work and dedication in the medical field. Whether for a graduation, retirement, or special achievement, it’s the sweetest way to say “You’re just what the doctor ordered!”
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