IntroductionPrescription and most over-the-counter medicines are required to have child resistant (CR) packaging and/or labeled with instructions “Keep out of reach of children”. Although medication organizers are not required to have such design features or instructions, these could help prevent unsupervised ingestions (UIs) by children. Commonly purchased medication organizers were evaluated for CR design features and instructions for safe use to prevent UIs. MethodsThe 29 best-selling medication organizers on Amazon.com were identified and product identifiers, design characteristics, and safety characteristics recorded using a standardized instrument. ResultsOf the 29 medication organizers, none claimed to be CR. Only 31% provided a specific warning that the organizer was not CR on the packaging; only 41% communicated “Keep out of reach of children”. Most organizers (59%) provided neither a warning that the organizer was not CR nor instructions to store out of reach of children. The majority of organizers (79%) shared the following characteristics: plastic construction, rectangular shape, non-electronic flip-top opening mechanisms, and 7-day usage. ConclusionsOpportunities exist for manufacturers of medication organizers to improve CR product design, provide information to help prevent UIs (directions to keep the device out of the reach of children), and help to reduce UIs.