Which DAW code indicates that a patient can only receive the brand medication?

Study for the Pharmacy Billing and Reimbursement Test. Engage with interactive questions and detailed explanations. Prepare effectively with targeted learning resources and ensure your success!

The correct DAW code that indicates a patient can only receive the brand medication is indeed DAW 7. This code specifically indicates that the brand name drug prescribed is the only option available for the patient due to both the prescriber's indication and insurance regulations.

Using DAW 7 signifies that the patient is unable to accept a generic version of the medication because either the healthcare provider mandates the brand name product or there are formulary restrictions that prevent generic alternatives. This detail is crucial in pharmacy billing and reimbursement processes because it influences how the claims are processed and reimbursed by insurance companies.

When properly applied, DAW 7 helps ensure that pharmacies are compensated for dispensing the brand name medication, acknowledging the restrictions that dictate its use over generics. This helps in maintaining a transparent billing process in accordance with the patient's needs and provider requirements.

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