The present invention intends to provide a medicament inspection device that can inspect medicaments enclosed in a package, which has a print, with a sufficient accuracy, as well as a medicament packing system equipped with the medicament inspection device. The medicament inspection device 10 contains a control device 60, which implements a medicament information detection process for detecting information about the medicament to be inspected. The medicament information detection process includes: a medicament candidate area extraction step which extracts a dark colored area in a back side illuminated image as a medicament candidate area A where the presence of the medicament is assumed； a print candidate area extraction step which extracts an area containing the print on the package based on a front side illuminated image as a print candidate area B； a print area identification step which specifies an area corresponding to the print contained in the print candidate area B based on the brightness distribution of the back side illuminated image as a print area C； and a medicament area identification step which identifies a medicament area X by subtracting the print area C from the medicament candidate area A.
