In the "Editor's Note" to the article by Givens et al in the July 1995 issue of the Archives, a statement was made about using a flyswatter instead of a grenade.1(p 808) I agree. However, in New Jersey, Medicaid will pay for the prescription for the 2.5% selenium sulfide and will not pay for the 1% which is available over-the-counter. There are many similar instances causing increased Medicaid prescription costs. Medicaid does authorize some over-the-counter medicines; however, the drugstores (especially the chains) refuse to fill the prescriptions. I would run Medicaid a lot differently if I were in charge!