A dispensing inspection device comprising: a first mounting table for placing a medicine sheet and a second mounting table for placing fractional medicines cut from the medicine sheet; diffusing lighting means for irradiating the first mounting table with diffused light from a lower side of the first mounting table; first imaging means for imaging the medicine sheet placed on the first mounting table from the lower side of the first mounting table and second imaging means for imaging the medicine sheet placed on the first mounting table from a lateral side of the first mounting table; third imaging means for imaging the fractional medicines placed on the second mounting table from a lower side of the second mounting table;; inclined lighting means for irradiating the second mounting table with light from a lower side of the second mounting table in a state where an optical axis thereof has an angle with respect to an optical axis of the third imaging means; medicine name detection means for detecting a medicine name of the medicine sheet using at least one of OCR and code recognition from a first image that is an image captured by the first imaging means;; medicine number detection means for detecting the number of the medicine sheets from a second image that is an image captured by the second imaging means, detecting the number of fractional medicines from a third image that is an image captured by the third imaging means, and detecting a total number of medicines from the number of the medicine sheets and the number of the fractional medicines;; and inspection result determination means for determining whether a medicine name and the number of medicines in acquired prescription information and the medicine name of the medicine sheets detected by the medicine name detection means and the total number of medicines detected by the medicine number detection means match each other, wherein the medicine number detection means is configured to detect the number of fractional medicines using a combination of a bright portion of the third image and a dark portion adjacent to the bright portion. a first mounting table for placing a medicine sheet and a second mounting table for placing fractional medicines cut from the medicine sheet; diffusing lighting means for irradiating the first mounting table with diffused light from a lower side of the first mounting table; first imaging means for imaging the medicine sheet placed on the first mounting table from the lower side of the first mounting table and second imaging means for imaging the medicine sheet placed on the first mounting table from a lateral side of the first mounting table; third imaging means for imaging the fractional medicines placed on the second mounting table from a lower side of the second mounting table;; inclined lighting means for irradiating the second mounting table with light from a lower side of the second mounting table in a state where an optical axis thereof has an angle with respect to an optical axis of the third imaging means; medicine name detection means for detecting a medicine name of the medicine sheet using at least one of OCR and code recognition from a first image that is an image captured by the first imaging means;; medicine number detection means for detecting the number of the medicine sheets from a second image that is an image captured by the second imaging means, detecting the number of fractional medicines from a third image that is an image captured by the third imaging means, and detecting a total number of medicines from the number of the medicine sheets and the number of the fractional medicines;; and inspection result determination means for determining whether a medicine name and the number of medicines in acquired prescription information and the medicine name of the medicine sheets detected by the medicine name detection means and the total number of medicines detected by the medicine number detection means match each other, wherein the medicine number detection means is configured to detect the number of fractional medicines using a combination of a bright portion of the third image and a dark portion adjacent to the bright portion.