Which DAW code should be used when a patient insists on a brand name version after initially permitting generics?

The appropriate DAW code in this scenario is DAW 2, which is specifically used when the patient requests a brand name medication after having previously agreed to accept a generic version. This indicates that although the prescriber did not specify a brand, the patient has made a conscious decision to receive a brand-name product, and this desire should be conveyed in the billing process.

Using DAW 2 helps ensure that the pharmacy correctly bills for the brand medication while documenting the patient's preference, even though the prescriber initially allowed for generics. This can also impact reimbursement from insurance providers, as they may need to know the patient's choice to override any standard generic dispensing laws or guidelines.

In practice, having this clear coding allows for accurate communication between the pharmacy, the patient, and the insurance company regarding the choice made by the patient, ensuring proper reimbursement and adherence to the patient's preferred treatment option.