Disclosed is a medication dispensing device that can properly monitor the quantity of solid medications without making counting mistakes due to overlap or contact among the solid medication or the existence of individual wrapping. The disclosed medication dispensing device has: a medication preparation means (50) provided with a storage section (55) that can store and discharge one package at a time of a solid medication supplied by a medication supply means and a counting means that can count the solid medication discharged from the storage section (55). The counting means is provided with: a monitoring platform (62) on which the solid medication discharged from the storage section (55) rests an vibration means (64) that can vibrate the monitoring platform (62) horizontally an imaging means (64) that can image the solid medication on the monitoring platform (62) that has been vibrated and an image recognition means that can count the solid medication on the basis of the image obtained by the imaging means (64).
