A device for manually dispensing medications is realized, which allows the operator to perform preliminary manual medication dispensing in advance of several subsequent dispensing steps, while facilitating the operator's ability to recognize the region to which each medication is to be dispensed, there by allowing the operator to easily and precisely perform manual dispensing of various kinds of medications.The device for manually dispensing medications includes: a frame member (44) which allows the operator to insert/extract a preliminary dispensing cassette (20), which is partitioned into a multitude of cells (21), via the top face thereof; a lid member (47), which is formed in the shape of a plate, that serves a lid for opening/closing the top face of the frame member, and which has a multitude of insertion openings in the form of through holes with the layout that corresponds to the layout of the cells formed in the preliminary dispensing cassette (20); a multitude of light-emitting units provided to the lid member such that they are associated with the respective insertion openings (48); a screen display unit (41) which displays the names of medications to be manually dispensed; and a control unit (42) which receives a selection with respect to the medication name, and which turns on, from among the light-emitting units (49) thus provided, the light-emitting units that belong to a region to which the medication thus selected is to be manually dispensed.