Which DAW code would indicate that the generic is out of stock and the pharmacist dispensed the brand?

Enhance your pharmacy career with the Pharmacy Billing and Reimbursement Test. Utilize flashcards and multiple choice questions, each with explanations, to prepare effectively. Ace your exam!

The correct DAW code that indicates the generic medication is out of stock and the pharmacist has dispensed the brand name instead is DAW 4.

Using DAW 4 effectively communicates to insurance payers that while the generic was initially prescribed, it was unavailable, prompting the pharmacist to substitute with the brand name. This is crucial in the billing process, as it ensures that the billing aligns with both the medication dispensed and the necessity for the substitution, thus facilitating proper reimbursement from the insurance provider.

In this scenario, DAW 4 ensures that the situation is documented for both record-keeping and potential audit purposes, supporting the pharmacy's rationale for the substitution and protecting against any issues that may arise from the billing process.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy