A medication dispensing device has: a medication preparation unit provided with a storage section that can store and discharge one package at a time of a solid medication supplied by a medication supply unit; and a counting unit that can count the solid medication discharged from the storage section. The counting unit is provided with: a monitoring platform on which the solid medication discharged from the storage section rests; an vibration unit that can vibrate the monitoring platform horizontally; an imaging unit that can image the solid medication on the monitoring platform that has been vibrated; and an image recognition unit that can count the solid medication on the basis of the image obtained by the imaging unit.