The present invention relates to a device for de-stacking and spreading out medication packaged in pouches (2), which pouches are arranged successively in a ribbon-like medication roll (101), comprising a transport track (102) configured to transport the unrolled pouches of the medication roll, wherein the transport track comprises a section over which the pouches are displaceable and wherein the underside of at least one pouch lies against an upper side of the section during operation, and the section comprises means for de-stacking and spreading out the medication in a pouch lying on the section during operation, wherein the device is configured to co-act with means for supplying or discharging the medication roll over the transport track.