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Cocci are present everywhere, and medication isn't needed for healthy chicks living in a healthy environment (inside or outside), as they will build up an immunity by exposure. Also, if brooding in deep litter, it's actually best not to clean it out from a previous hatch, as beneficial bacteria will thrive in the brooder, giving the next set of chicks additional strength to their immune systems.
ETA: if a chick experiences coccidiosis and its flock mates do not, it indicates a weakness, and should not be used to breed.
I don't use medicated feed. I treat them if they get cocci.
Works great so far!