UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


SCHEDULE 13G
Under the Securities Exchange Act of 1934



Amendment No.:      *


Name of Issuer: Omnicell, Inc.


Title of Class of Securities: Common Stock


CUSIP Number: 68213N109


Date of Event Which Requires Filing of this Statement: 12/31/2009

Check the appropriate box to designate the rule pursuant to which
this Schedule is filed.

[X] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[ ] Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to the
subject class of securities, and
for any subsequent amendment containing information which would
alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall
not be deemed
to be "filed" for the purpose of Section 18 of the Securities
Exchange Act of 1934 ("Act") or otherwise subject to the
liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however,
see the Notes).


CUSIP No.: 68213N109

1.  NAME OF REPORTING PERSON
    S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
    Janus Capital Management LLC
    EIN #75-3019302

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
    a.   ___
    b.   _X_

3.  SEC USE ONLY

4.  CITIZENSHIP OR PLACE OF ORGANIZATION
         Delaware

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:

   5.    SOLE VOTING POWER
         430,834**

   6.    SHARED VOTING POWER
         1,782,825

   7.    SOLE DISPOSITIVE POWER
         430,834**

   8.    SHARED DISPOSITIVE POWER
         1,782,825

9.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
    2,213,659**

10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES
    N/A

11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
    6.9%**

12. TYPE OF REPORTING PERSON
    IA, HC
    ** See Item 4 of this filing


CUSIP No.:  68213N109

1.  NAME OF REPORTING PERSON
    S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
    Perkins Small Cap Value Fund
    36-3344166

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
    a.   ___
    b.   _X_

3.  SEC USE ONLY

4.  CITIZENSHIP OR PLACE OF ORGANIZATION
         Massachusetts

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:

   5.    SOLE VOTING POWER
         1,600,000**

   6.    SHARED VOTING POWER
         -0-

   7.    SOLE DISPOSITIVE POWER
         1,600,000**

   8.    SHARED DISPOSITIVE POWER
         -0-

9.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
    1,600,000**

10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES
    N/A

11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
    5.0%**

12. TYPE OF REPORTING PERSON
    IV

**  See Item 4 of this filing



Item 1.
  (a). Name of Issuer: Omnicell, Inc. ("Omnicell")

  (b). Address of Issuer's Principal Executive Offices:

       1201 Charleston Road
       Mountain View, CA 94043

Item 2.
  (a).-(c).  Name, Principal Business Address, and Citizenship of
Persons
             Filing:

       (1)   Janus Capital Management LLC ("Janus Capital")
             151 Detroit Street
             Denver, Colorado  80206
             Citizenship:  Delaware

       (2)   Perkins Small Cap Value Fund
             151 Detroit Street
             Denver, Colorado 80206
             Citizenship:  Massachusetts


  (d). Title of Class of Securities: Common Stock

  (e). CUSIP Number:  68213N109

Item 3.

This statement is filed pursuant to Rule 13d-1 (b) or 13d-2(b) and
the person filing, Janus Capital, is an investment adviser in
accordance with Section 240.13d-1(b)(ii)(E) as well as a parent
holding company/control person in accordance with Section 240.13d-
1(b)(ii)(G).  See Item 4 for additional information.

Perkins Small Cap Value Fund is an Investment Company registered
under Section 8 of the Investment Company Act of 1940.

Item 4. Ownership

The information in items 1 and 5 through 11 on the cover page(s)
on Schedule 13G
is hereby incorporated by reference.

Janus Capital has a direct 91.8% ownership stake in INTECH
Investment Management ("INTECH") and a direct 77.8% ownership
stake in Perkins Investment Management LLC ("Perkins").  Due to
the above ownership structure, holdings for Janus Capital, Perkins
and INTECH are aggregated for purposes of this filing. Janus
Capital, Perkins and INTECH are registered investment advisers,
each furnishing investment advice to various investment companies
registered under Section 8 of the Investment Company Act of 1940
and to individual and institutional clients (collectively referred
to herein as "Managed Portfolios").

As a result of its role as investment adviser or sub-adviser to
the Managed Portfolios, Janus Capital may be deemed to be the
beneficial owner of 430,834 shares or 1.3% of the shares
outstanding of Omnicell Common Stock held by such Managed
Portfolios.  However, Janus Capital does not have the right to
receive any dividends from, or the proceeds from the sale of, the
securities held in the Managed Portfolios and disclaims any
ownership associated with such rights.

As a result of its role as investment adviser or sub-adviser to
the Managed Portfolios, Perkins may be deemed to be the beneficial
owner of 1,782,825 shares or 5.6% of the shares outstanding of
Omnicell Common Stock held by such Managed Portfolios.  However,
Perkins does not have the right to receive any dividends from, or
the proceeds from the sale of, the securities held in the Managed
Portfolios and disclaims any ownership associated with such
rights.

Perkins Small Cap Value Fund is an investment company registered
under the Investment Company Act of 1940 and is one of the Managed
Portfolios to which Janus Capital provides investment advice.

Item 5. Ownership of Five Percent or Less of a Class

Not applicable.

Item 6. Ownership of More than Five Percent on Behalf of Another
Person

The Managed Portfolios, set forth in Item 4 above, have the right
to receive all
dividends from, and the proceeds from the sale of, the securities
held in their respective accounts.

The interest of one person, Perkins Small Cap Value Fund, an
investment company registered under the Investment Company Act of
1940, in Omnicell Common Stock amounted to 1,600,000 shares or
5.0% of the total outstanding Common Stock.

These shares were acquired in the ordinary course of business, and
not with the purpose of changing or influencing control of the
Issuer.

Item 7.  Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on by the Parent Holding
Company

Perkins  is a direct subsidiary of Janus Capital (Janus Capital
has a direct 77.8% ownership stake) and is a registered investment
adviser furnishing investment advice to various investment
companies registered under Section 8 of the Investment Company Act
of 1940 and to individual and institutional clients.

Item 8.  Identification and Classification of Members of the Group

Not applicable.

Item 9.  Notice of Dissolution of Group

Not applicable.

Item 10. Certification

By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired in the
ordinary course of business and were not acquired for the purpose
of and do not have the effect of changing
or influencing the control of the issuer of such securities and
were not acquired in connection with or as a participant in any
transaction having such purposes or effect.



SIGNATURES

After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this statement
is true, complete and correct.

JANUS CAPITAL MANAGEMENT LLC

By  /s/  David R. Kowalski                          2/16/2010
  David R. Kowalski,                                Date
    Senior Vice President & CCO

PERKINS SMALL CAP VALUE FUND

By  /s/  David R. Kowalski                          2/16/2010
  David R. Kowalski,                                Date
    Senior Vice President & CCO

PERKINS INVESTMENT MANAGEMENT LLC

By  /s/  David R. Kowalski                       2/16/2010
    David R. Kowalski                               Date
        Under Power of Attorney dated 01/26/06
        On file with Schedule 13G for
        Cooper Tire & Rubber Company 02/14/06



EXHIBIT A
JOINT FILING AGREEMENT

In accordance with Rule 13d-1(f) under the Securities Exchange Act
of 1934, the
persons named below agree to the joint filing on behalf of each of
them of a Statement on Schedule 13G (including amendments thereto)
with respect to the Common Stock of Omnicell, Inc. and further
agree that this Joint Filing Agreement be included as an Exhibit
to such joint filings.  In evidence thereof, the undersigned
hereby execute this Agreement as of the 16th day of February,
2010.

            JANUS CAPITAL MANAGEMENT LLC

            By  /s/  David R. Kowalski
               David R. Kowalski, Senior Vice President & CCO

            PERKINS SMALL CAP VALUE FUND

            By  /s/  David R. Kowalski
               David R. Kowalski, Senior Vice President & CCO