Medicated chick starter may help prevent outbreaks, but it's not perfect, and they have to be exposed to coccidia while eating it for it to work. Outbreaks still can happen, and when they do you have to treat with the full strength medication. If in doubt, I would treat. The treatment is safe and will do no harm either way, better to be safe. At their age, it's more likely to be that than Marek's. Also look at feed, make sure there is not any signs of spoilage or mold. Sometimes a bag can be going bad on the bottom and the top looks fine. I always empty my bag into another container before using so I see all of it. Also look around for anything that they could possibly have gotten into, leaking fluid from engines, other chemicals, plants that might be toxic. A couple of years ago someone lost some chicks on here that ate poisonous caterpillars. Try to rule anything out.