NURSING ANM AND GNM

Detailed explanation-1: -A DAW code specifies the prescriber’s instruction for dispensing a specific medication or allowing the substitution of a generic equivalent. The code submitted (by the pharmacy) within the claim will factor into how the third-party payer reimburses or pays the pharmacy for that prescription claim.

Detailed explanation-2: -DAW-3 Pharmacist selected brand. Substitution allowed-pharmacist selected product dispensed. This value is used when the prescriber has indicated, in a manner specified by prevailing state laws, that generic substitution is permitted and the pharmacist determines that the brand product should be dispensed.

Detailed explanation-3: -DAW-2 occurs when the member specifically requests the brand-name drug instead of the generic version while at the pharmacy. In both instances, the plan continues to pay the high cost for the brand-name drug so as not to disrupt the member’s access to the medication.