There are provided a dispensing inspection device, a dispensing inspection method, a program, and a recording medium capable of inspecting whether dispensing is appropriately performed with high reliability. By obtaining a first image captured by imaging a rear surface of a medicine sheet and a second image obtained by imaging a lateral side thereof, and a third image obtained by irradiating a front surface of a fractional medicine with light from an inclined lower side, detecting a medicine name using OCR and/or code recognition from the first image, detecting the number of medicine sheets from the second image, detecting the number of fractional medicines from the third image, detecting a total number of medicines from the number of the medicine sheets and the number of the fractional medicines, and determining whether a medicine name and the number of medicines in prescription information and the detected medicine name and the detected total number of medicines match each other.