Might mean (unverified): Very large, difficult-to-swallow tablet.
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We found 2 dictionaries that define the word horse pill:

General (1 matching dictionary)
  1. horse pill: Wiktionary

Slang (1 matching dictionary)
  1. horse pill: Urban Dictionary

Definitions from Wiktionary (horse pill)

noun:  (idiomatic, sometimes mildly humorous) A medicinal pill which is very large in size and is therefore difficult for a person to swallow.
noun:  (idiomatic, by extension) A fact, proposal, claim, etc. that is difficult to accept or believe.
noun:  (animal husbandry) Used other than figuratively or idiomatically: see horse, pill: a pill for horses, sometimes a large one.

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