Which DAW Code means "other"?

Study for the Certified Pharmacy Benefit Specialist Exam. Explore flashcards and multiple-choice questions, each accompanied by hints and explanations. Be fully prepared for your test!

The DAW code that indicates "other" is specifically coded as 9. This code is used in pharmacy billing to signify that the prescriber has authorized a substitution or that the situation is not adequately captured by the other defined codes from 0 to 8.

DAW codes are essential in communicating the prescriber's intent regarding medication dispensing. The use of the code 9 allows pharmacists and insurers to understand that there is an alternative reason for the decision made about the medication, but it does not fit into the predefined categories such as no substitution or brand mandated by the prescriber, which is what the other codes represent.

For instance, if a patient requests a specific brand of medication due to personal preference or past experiences, and there isn't a clear option in the standard DAW codes to capture that scenario, the pharmacy would use DAW code 9 to signify this unique circumstance. This flexibility allows for a more comprehensive record of the dispensing rationale and aids in the effective processing of insurance claims.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy