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

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 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.

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