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The purpose of this project was to describe patterns in over-the-counter medication prescribing for nonacute patients with Medicaid in a pediatric emergency department. Differences were also tested in visit time and charges between patients with and without over-the-counter medication prescriptions. Retrospective chart review of children with Missouri Medicaid presenting to a single site between January 1, 2018 and December 31, 2018. Low-acuity patients with common diagnoses were included. Over-the-counter medications prescribed, the c