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Oral nutritional supplements (ONS) are recommended for patients who are malnourished or at risk of malnutrition. Appropriate ONS prescribing requires regular monitoring to assess its continued requirement. Previous research identified long-term ONS prescriptions (6 months) without review, with 70% of these influenced by social factors. To investigate the characteristics of long-term ONS users in Ireland and the determinants of larger volumes of ONS dispensing. Secondary analysis of anonymous dispensed pharmacy claims data of patients dispensed standard