diff --git a/backend/app.py b/backend/app.py
index 979b4d0..70e0841 100644
--- a/backend/app.py
+++ b/backend/app.py
@@ -5070,14 +5070,15 @@ def api_admin_pos_live_detail(order_no):
         mssql_conn = mssql_engine.raw_connection()
         cursor = mssql_conn.cursor()
         
-        # 품목 상세 조회
+        # 품목 상세 조회 (바코드 포함)
         cursor.execute("""
             SELECT
                 S.DrugCode AS drug_code,
                 ISNULL(G.GoodsName, '(약품명 없음)') AS product_name,
                 S.SL_NM_item AS quantity,
                 S.SL_NM_cost_a AS unit_price,
-                S.SL_TOTAL_PRICE AS total_price
+                S.SL_TOTAL_PRICE AS total_price,
+                G.Barcode AS barcode
             FROM SALE_SUB S
             LEFT JOIN PM_DRUG.dbo.CD_GOODS G ON S.DrugCode = G.DrugCode
             WHERE S.SL_NO_order = ?
@@ -5092,7 +5093,8 @@ def api_admin_pos_live_detail(order_no):
                 'product_name': row[1],
                 'quantity': int(row[2]) if row[2] else 0,
                 'unit_price': float(row[3]) if row[3] else 0,
-                'total_price': float(row[4]) if row[4] else 0
+                'total_price': float(row[4]) if row[4] else 0,
+                'barcode': row[5] or ''
             })
         
         return jsonify({
diff --git a/backend/templates/admin_otc_labels.html b/backend/templates/admin_otc_labels.html
index cbef6bb..4951287 100644
--- a/backend/templates/admin_otc_labels.html
+++ b/backend/templates/admin_otc_labels.html
@@ -401,6 +401,30 @@
                     debounceTimer = setTimeout(previewLabel, 500);
                 });
             });
+            
+            // URL 파라미터로 바코드/이름 전달 시 자동 로드
+            const params = new URLSearchParams(window.location.search);
+            const urlBarcode = params.get('barcode');
+            const urlName = params.get('name');
+            if (urlBarcode) {
+                currentBarcode = urlBarcode;
+                currentDrugName = urlName || urlBarcode;
+                document.getElementById('barcode').value = urlBarcode;
+                document.getElementById('searchInput').value = urlName || urlBarcode;
+                
+                // 기존 프리셋 확인
+                fetch(`/api/admin/otc-labels/${urlBarcode}`)
+                    .then(res => res.json())
+                    .then(data => {
+                        if (data.exists) {
+                            document.getElementById('displayName').value = data.label.display_name || '';
+                            document.getElementById('effect').value = data.label.effect || '';
+                            document.getElementById('dosageInstruction').value = data.label.dosage_instruction || '';
+                            document.getElementById('usageTip').value = data.label.usage_tip || '';
+                        }
+                        previewLabel();
+                    });
+            }
         });
         
         // 약품 검색 (MSSQL)
diff --git a/backend/templates/admin_pos_live.html b/backend/templates/admin_pos_live.html
index 05ee683..235150a 100644
--- a/backend/templates/admin_pos_live.html
+++ b/backend/templates/admin_pos_live.html
@@ -400,6 +400,24 @@
             font-family: 'JetBrains Mono', monospace;
             font-weight: 600;
         }
+        .item-label-btn {
+            padding: 4px 8px;
+            background: linear-gradient(135deg, #f59e0b, #d97706);
+            border: none;
+            border-radius: 6px;
+            font-size: 12px;
+            cursor: pointer;
+            margin-left: 8px;
+            transition: all 0.2s;
+        }
+        .item-label-btn:hover {
+            transform: scale(1.1);
+            box-shadow: 0 2px 8px rgba(245,158,11,0.4);
+        }
+        .item-label-btn:disabled {
+            opacity: 0.6;
+            cursor: wait;
+        }
 
         /* ── 오버레이 ── */
         .overlay {
@@ -1139,6 +1157,7 @@
                             <span class="detail-item-name">${item.product_name}</span>
                             <span class="detail-item-qty">×${item.quantity}</span>
                             <span class="detail-item-price">₩${Math.floor(item.total_price).toLocaleString()}</span>
+                            ${item.barcode ? `<button class="item-label-btn" onclick="printOtcLabel('${item.barcode}', '${escapeHtml(item.product_name)}')">💊</button>` : ''}
                         </div>
                     `).join('');
                     document.getElementById('itemsList').innerHTML = itemsHtml;
@@ -1149,6 +1168,61 @@
                 document.getElementById('itemsList').innerHTML = `<div class="empty-state">오류: ${err.message}</div>`;
             }
         }
+        
+        // OTC 용법 라벨 인쇄
+        async function printOtcLabel(barcode, productName) {
+            const btn = event.target;
+            btn.disabled = true;
+            btn.textContent = '...';
+            
+            try {
+                // 프리셋 확인
+                const checkRes = await fetch(`/api/admin/otc-labels/${barcode}`);
+                const checkData = await checkRes.json();
+                
+                if (checkData.exists) {
+                    // 프리셋 있음 → 바로 인쇄
+                    const preset = checkData.label;
+                    const printRes = await fetch('/api/admin/otc-labels/print', {
+                        method: 'POST',
+                        headers: { 'Content-Type': 'application/json' },
+                        body: JSON.stringify({
+                            barcode: barcode,
+                            drug_name: preset.display_name || productName,
+                            effect: preset.effect || '',
+                            dosage_instruction: preset.dosage_instruction || '',
+                            usage_tip: preset.usage_tip || ''
+                        })
+                    });
+                    const printData = await printRes.json();
+                    
+                    if (printData.success) {
+                        btn.textContent = '✓';
+                        btn.style.background = '#10b981';
+                        showToast(`용법 라벨 인쇄 완료!`, 'success');
+                    } else {
+                        btn.textContent = '💊';
+                        btn.disabled = false;
+                        showToast(printData.error || '인쇄 실패', 'error');
+                    }
+                } else {
+                    // 프리셋 없음 → 새 창으로 등록 페이지 열기
+                    btn.textContent = '💊';
+                    btn.disabled = false;
+                    showToast('프리셋 미등록 → 등록 페이지로 이동', 'info');
+                    window.open(`/admin/otc-labels?barcode=${barcode}&name=${encodeURIComponent(productName)}`, '_blank', 'width=1200,height=800');
+                }
+            } catch (err) {
+                btn.textContent = '💊';
+                btn.disabled = false;
+                showToast('오류: ' + err.message, 'error');
+            }
+        }
+        
+        function escapeHtml(str) {
+            if (!str) return '';
+            return str.replace(/[&<>"']/g, m => ({'&':'&amp;','<':'&lt;','>':'&gt;','"':'&quot;',"'":'&#39;'})[m]);
+        }
 
         // ═══════════════════════════════════════════════════════════════
         // 상세 패널에서 단일 건 처리